Mother fucking problem behaviours

Question 1

Agitation – can be

Answer 1

verbal, vocal, or motor, either

aggressive or non-aggressive,

Question 2

always

Answer 2

inappropriate or excessive, and negatively affect the person or others.

Question 3

Agitated behaviours and limited communication skills may put the person with dementia at risk for

Answer 3

inadequate

assessment and treatment.

Question 4

Agitated behaviours increase the probability of

Answer 4

caregiver burden

Question 5

it s an indicator of

Answer 5

nursing home placement

Question 6

Leads to (2)

Answer 6

falls and often restraint

Question 7

agitation loop

Answer 7

Physical restraint 
= more agitation  
= chemical restraint
= gait impairment, falls, anorexia, sedation, hypotension, diminished cognitive function, 
= more agitation

Question 8

Identification of antecedents to problem behaviours and prompt appropriate intervention can help the individual to continue to communicate and function effectively.
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 Four types of antecedents –

Answer 8

– patient factors,
– environmental factors
– interpersonal relation factors,
– restraints or medication.

Question 9

Authors listed….
Cognitive impairment,
Sensory impairment (bathing, feeding, touching agitations);
Physiological (pain, infection, dehydration, constipation);
Personality and psychiatric (depression, psychosis,
anxiety)
Drug effects (too much, too many, withdrawal

Answer 9

What about the environment….. Relationships with

staff and others…..

Question 10

Three types of interventions:

Answer 10

– behavioural approaches
– environmental modifications
– pharmacologic solutions.

Question 11

Behavioural 4

Answer 11

Determine type of agitation, 
– frequency, duration, severity;
Identify antecedents & prevent
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Consider basic needs
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Address communication
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Foster autonomy and sense of control

Question 12

Environmental

Answer 12

Familiar, constant, predictable
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Objects or labels to orientate
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Photos from earlier years r/t LT memory
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Simple familiar activities, keep it simple – fucking *
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Diversion and a sense of belonging
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Music to soothe, entertain, socialize, invite others in

Question 13

Pain - what can be pivotal?

Answer 13

Proper use of analgesics can be pivotal

Question 14

…. Often

agitation is due to

Answer 14

joint pain due to arthritis

Question 15

Examples of analgesics

Answer 15

Entrophen 650, tylenol, NSAIDs work well, be
careful about protecting gastric systems;
*
Remember alternatives - warmth (sweater, cup of
tea, a throw, hot water bottle); distraction (a chat,
music, a picture book); relaxation …

Question 16

4 other types of bhv

Answer 16

Wandering - diversion and stimulation, music therapy, social interaction, area for wandering
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Sleep disturbances
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Eating disorders – Need time, small meals often, finger foods, dishes that contrast the food
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Sexual Disturbances – read the cues, investigate, divert.

Question 17

Nancy Fucking Drew

Answer 17

Embrace the role of sleuth in identifying problems and creating effective solutions!