Resistive Behaviour Care Plan Sample

Case Study

John is 84 years old and in the early stages of dementia. He is disoriented of time and place.

Prior to residential care, John lived on his own for many years and is used to having his own way. He has been estranged from most of his family for many years but has a niece and a couple of friends who visit him weekly.

He is resistive to medication and ADLs and resents when nurses approach him.

John has a morose personality and despite being able to communicate he often chooses not to; keeping mostly to himself.

John very rarely attends programmed activities but has shown an interest in community outings. Staff invite and encourage John on a daily basis to join small groups of residents for games and conversation but so far he has declined.

His niece informed staff that John is most upset by having to give his 14-year-old dog away.

John is very fond of watching tv and movies.

Social & Emotional Care Plan

Goals:

Staff will endeavour to find activities that capitalize on John’s strengths (dexterity and fitness). Resistant behaviour will be handled with kindness and compassion.

John will maintain his current abilities.

Interventions:

SOCIAL - John will be invited to social outings such as picnics, sightseeing trips, café and restaurant visits and garden walks. Staff will make John aware of concerts, guest speakers and programmed children’s visits.

John enjoys the company of animals and he will be encouraged to engage with the resident cat.

He will be encouraged to attend recreation activities even if on a passive basis. Staff will try to help John engage with other residents and form friendships.

Staff will encourage John to attend exercises classes every week.

Staff will always inform and encourage John to attend programmed movie screenings.

ONE on ONE - Staff will take extra time to visit and talk to John at least 3 x weekly to give John the opportunity to express his wishes.

He will be offered a hand and/or foot massage with essential oils twice a week.

RELIGIOUS - John is Presbyterian but has expressed that he does not wish to participate in religious services.

FAMILY- John’s niece Eva visits once a week and brings John home cooked cakes and meals. Staff will liaise with her regarding John’s wellbeing.

Staff will make sure John’s friends are welcomed to encourage them to keep visiting.

EMOTIONAL - John is dependent on staff for support when he is frustrated and/or depressed. Staff will console and counsel John offering reassurance and empathising with his feelings.

Evaluation - Quarterly