Managing accommodating responsive behaviors dementia care
Managing accommodating responsive behaviors dementia care - dating a female lawyer
Next, we use a four-phased protocol known by the acronym DRNO to organize and analyze our observations about the behavior.Based on analysis of the expression’s attributes (identified during the “Describe” phase) and evaluation of any other relevant information known about the person exhibiting the behavior, identify possible reason(s) or trigger(s) for the negative communication.
As CMS sets increasingly ambitious goals for antipsychotic medication reduction—and attaches more regulatory weight to achieving them—nursing home providers will have no choice but to tune in to the individual needs, desires, and perspectives of their residents with dementia to find alternative methods of behavior management.All of this matters, and should be collected upon admission.It should then be revisited quarterly and/or as needed throughout the year to ensure it remains current and able to provide valuable insight during care-related decision-making.Other adverse effects linked to inappropriate antipsychotic administration include heart attack, falls, and hospitalizations.Clearly, there are many reasons providers should resist the urge to reach for the prescription pad at the first sign of a person with dementia’s negative behavior expression.Such discoveries can be particularly powerful for nursing home professionals, who are currently contending with the CMS crackdown on the antipsychotic drugs historically used in the setting to curb negative behaviors associated with dementia.
According to Advancing Excellence in America’s Nursing Homes, a national initiative to improve nursing home care, nonpharmacologic interventions can promote the highest possible levels of mental, psychosocial, and bodily functioning in residents with dementia, enhancing their interpersonal relationships, reducing their risk of medication-related declines, and generally promoting their overall well-being.
More often than not, it’s a response to a person or a situation—and a communication that something is wrong.
Many times, this response is clear and reasonable, albeit not always pleasant to encounter.
These benefits can, in turn, help nursing home staff deliver care that is efficient, effective, and person-centered in nature.
For these reasons, movements to diminish the use of antipsychotics among vulnerable nursing home populations are picking up speed across the country.
The first step in shifting the dementia care paradigm from drug to human intervention is trying to see the world from the vantage point of a person with dementia— a perspective that is more relatable than you might think.