Preventing Aggressive Resident Injuries防止攻击性居民受伤.pptVIP

Preventing AggressiveResident Injuries Introduction to Aggressive Behavior Half of staff injuries caused by aggression Injuries may be severe Stressful and confusing to caregiver Can be frightening Types Of Aggressive Behavior Verbal Physical Emotional Causes Of Aggressive Behavior Pleasantly confused; can’t understand Fear: of us, their environment, their future Difficulty communicating: feel anxious and frustrated Underlying medical problems such as pain or infection Toilet-related problems Damage to the brain, Alzheimers, etc. (con’t)? Causes Of Aggressive Behavior (con’t)  Approach and attitude of caregivers Changes resulting in loss of control of their lives Over-reaction to simple things such as noise, glare, commotion, routine, rushing Social and moral values Losses resulting from aging Some Characteristics of Aggressive Behavior Aggressive behavior is usually progressive Can usually predict behavior Most likely times for aggression: Bathing and toileting ADL care Passing meds There are good days and bad days Avoiding Preventing Aggression Avoid: Reality orientation or reasoning Approaching from the rear Calling out after the resident Talking too loudly Shouting at or among staff members Using slang (“take a hike”)? Arguing, scolding, or being negative Talking about other residents Avoiding Preventing Aggression Evaluate as you approach, looking for clues Stay out of their space until sure of your safety Approach from the front; smile Establish eye contact Give resident time to respond or “warm up” Use touch if appropriate Avoiding Preventing Aggression  Your face should match your words Watch your body language: they will tend to mirror your moods and actions Keep your voice at normal tone Remove distractions before communicating Don’t rush Watch for warning signs Avoiding Preventing Aggression  Validation matches your mood to your message Redirection distracts them from frustration Remember: concentration is difficult for them Limit choic