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DateTimeFromToMessage
2020-09-22 06:50:00 PM smithtammyl yes
2020-09-22 06:50:00 PM ahicks absolutley pain is a trigger
2020-09-22 06:50:03 PM aprilw yes it can
2020-09-22 06:50:07 PM nicholashuffman Yeah, pain can be a pretty big trigger.
2020-09-22 06:50:11 PM perrylori oh yes pain management
2020-09-22 06:50:19 PM ahicks especially for residents who can not communicate that they are in pain
2020-09-22 06:50:20 PM seanj One of our families made fidget sleeves for the residents and that helps.
2020-09-22 06:50:26 PM sarahwms no Susan, they have different types of things for the residents to do
2020-09-22 06:50:27 PM nicholashuffman We had one lady who was day and night compared to how she is now due to a painful uti.
2020-09-22 06:50:29 PM sarahwms zippers
2020-09-22 06:50:34 PM sarahwms velcro
2020-09-22 06:50:36 PM sarahwms keys
2020-09-22 06:50:41 PM thomasodougherty Has anyone had a truly awful roommate that you simply couldn't get along with?
2020-09-22 06:50:44 PM perrylori getting to know the resident is very important to know what make them tick
2020-09-22 06:50:46 PM susanpmazziotta Pain is a significant concern and finding less toxic ways to relieve their pain is always a consideration and it is important to keep their pain managed well.
2020-09-22 06:50:49 PM eckhartdanielle Yes
2020-09-22 06:50:51 PM kathrynlsvec for one of our residents, her husband is a trigger. it's been a silver lining of no visitors. she hasn't had any behaviors since he stopped coming in.
2020-09-22 06:50:55 PM pjbell lol yes
2020-09-22 06:50:56 PM seanj Yes. My sister. :-)
2020-09-22 06:50:58 PM dana1 Thank goodness no
2020-09-22 06:50:59 PM nicholashuffman Yeah, having a bad roommate can cause all sorts of troubles too.
2020-09-22 06:51:01 PM ahicks I think every roommate turns into awful lol
2020-09-22 06:51:02 PM susanpmazziotta oh thanks sarah
2020-09-22 06:51:07 PM davidsonc we male residents who like to fish we play a fishing game they love it
2020-09-22 06:51:09 PM eckhartdanielle Roommates affect each other 100%
2020-09-22 06:51:23 PM aprilw i wouldn't say roommate.... Sister
2020-09-22 06:51:27 PM srolle yse
2020-09-22 06:51:34 PM srolle yes i have
2020-09-22 06:51:38 PM thomasodougherty Being smart about rooming assignments can certainly help avoid behaviors.
2020-09-22 06:51:47 PM krystalthompson I agree
2020-09-22 06:51:48 PM chanelrheubottom roommate i believe is a big part
2020-09-22 06:51:51 PM vzamora7871 Valerie Zamora- i agree
2020-09-22 06:51:52 PM jadehsmith especailly now during covid
2020-09-22 06:51:53 PM smithtammyl agree
2020-09-22 06:51:53 PM perrylori room mates is a good one. if they are not in with the right roommate it can cause havvock
2020-09-22 06:51:57 PM eckhartdanielle This is something my facility needs to get better at
2020-09-22 06:52:02 PM sarahwms our residents have their own bedrooms, but may share a bath
2020-09-22 06:52:04 PM ahicks yes imagine being our residents who is paired up with another esident who has behaviors and they can not express how much their room mate bothers them
2020-09-22 06:52:07 PM smithtammyl mine to
2020-09-22 06:52:13 PM aprilw their tv is on all night
2020-09-22 06:52:16 PM davidsonc yes roommates are good one
2020-09-22 06:52:17 PM seanj So true. I've had to break up fights between residents who were not matched well.
2020-09-22 06:52:19 PM thomasodougherty Some of you have mentioned consistency with the environment (noise, light, etc.). What about staffing?
2020-09-22 06:52:21 PM smithtammyl we move people around to much
2020-09-22 06:52:25 PM pjbell too much moving can cause it too with the frustration of not knowing where they are
2020-09-22 06:52:29 PM seanj That is key too!
2020-09-22 06:52:29 PM aprilw they have to much company
2020-09-22 06:52:30 PM sarahwms absolutely
2020-09-22 06:52:37 PM nicholashuffman Yeah, different people treat others differently.
2020-09-22 06:52:38 PM smithtammyl yes
2020-09-22 06:52:38 PM kathrynlsvec they have a constant phlegm-y cough because they are a smoker and the other resident isn't.
2020-09-22 06:52:42 PM eckhartdanielle Yes residents like to have eople around that they know and trust with their care
2020-09-22 06:52:42 PM jadehsmith yes we have a staff member that scares one resident
2020-09-22 06:52:48 PM srolle oh yes staffing it one
2020-09-22 06:52:51 PM seanj Some staff members just have a way with residents that invites calm.
2020-09-22 06:52:51 PM smithtammyl some yell at them that gets them going
2020-09-22 06:52:52 PM vzamora7871 Valerie Zamora- residents have their preference or get comfortable with a certain staff member
2020-09-22 06:52:52 PM davisr Staffing can use loud voices when laughing or upset
2020-09-22 06:52:53 PM aprilw they leave their light on all night long
2020-09-22 06:52:53 PM dana1 Not enough staff to answer the call button
2020-09-22 06:53:04 PM davisr and it can cause a trigger
2020-09-22 06:53:07 PM pjbell yes they become familiar
2020-09-22 06:53:07 PM seanj Dana, same problem at my job/
2020-09-22 06:53:09 PM ahicks staffing is huge with noise....especially 3rd shift...they are going about their work day with no consideration that people are in their home sleeping
2020-09-22 06:53:10 PM eckhartdanielle Anyone can get anxious if they have new people all of a sudden
2020-09-22 06:53:16 PM thomasodougherty Absolutley, it is hard to trust in the care one is receiving when they see a new face everyday.
2020-09-22 06:53:26 PM davidsonc some one in the dinning room yelling can cause bad behaivor to for every one.
2020-09-22 06:53:28 PM miguele deafness can cause communication noise therefore frustration and isolation
2020-09-22 06:53:39 PM susanpmazziotta Well staffing is critical and it seems that this can be a big challenge. It seems from my perspective that the care givers are not well paid and often have to care for too many residents/patients.
2020-09-22 06:53:41 PM perrylori staffing. educate and training for how to deal with combative residents. then you know the approach and knowing the resident is very important. patience and compassoin
2020-09-22 06:53:42 PM smithtammyl they know when some one is upset
2020-09-22 06:53:46 PM davisr We try to keep our memory care units assigned with the same care partners '
2020-09-22 06:54:03 PM smithtammyl agree
2020-09-22 06:54:08 PM thomasodougherty Call lights. I don't know that I have worked in a facility where call lights weren't an issue. This ties into toileting also. Prompt care can make all of the difference in someone's day.
2020-09-22 06:54:15 PM kreese828 They can tell when someone is annoyed or upset. They pick up on it
2020-09-22 06:54:23 PM eckhartdanielle I hear "thank god you're here" often when residents talk to caregivers they trust
2020-09-22 06:54:28 PM srolle at our facility we keep the same staff member on the units
2020-09-22 06:54:29 PM perrylori yes the do
2020-09-22 06:54:29 PM smithtammyl true
2020-09-22 06:54:36 PM pjbell very true
2020-09-22 06:54:38 PM thomasodougherty It seems for some of you and some of your Residents family can be a problem, but it can also be a deterent to a behavior.
2020-09-22 06:54:40 PM ahicks davisr....is that a good solution? We do also, but I feel that caregiver become to comfortable and they lose respect for the residents
2020-09-22 06:54:46 PM aprilw yes call lights
2020-09-22 06:54:47 PM eckhartdanielle Yes, noone should wait 30 minutes for attention
2020-09-22 06:54:50 PM susanpmazziotta Probably the biggest complaint and my skilled nursing unit is toileting
2020-09-22 06:54:54 PM smithtammyl yes
2020-09-22 06:55:05 PM thomasodougherty I can imagine that right now being apart from loved ones is very taxing.
2020-09-22 06:55:11 PM stepha630 left the chat room
2020-09-22 06:55:16 PM dana1 VERY
2020-09-22 06:55:17 PM smithtammyl yes
2020-09-22 06:55:24 PM nicholashuffman Yeah I couldn't imagine having a loved one in a facility right now.
2020-09-22 06:55:26 PM aprilw sure is, depression, not eating
2020-09-22 06:55:27 PM sjohnson35 yes toileting is a major concern in all nursing facilities
2020-09-22 06:55:28 PM srolle yes
2020-09-22 06:55:28 PM pjbell yes window visits and facetime
2020-09-22 06:55:29 PM davidsonc yes
2020-09-22 06:55:29 PM kreese828 my old facility had an app on the administators phone that alerted her if someone's call light was on longer than 20 minutes
2020-09-22 06:55:30 PM perrylori its important to involve the family toknow what they like and dont like and what their past was like
2020-09-22 06:55:32 PM susanpmazziotta Sadly many of our elderly are forgotten by family or have very little locally.
2020-09-22 06:55:38 PM ahicks yes....especially right now it is our time to be their families
2020-09-22 06:55:45 PM thomasodougherty Alright, so we've discussed how to avoid behaviors. How do we address behaviors once they've happened?
2020-09-22 06:55:47 PM dana1 loneliness
2020-09-22 06:55:48 PM eckhartdanielle It's important to use phones and video calls during this time as much as we can
2020-09-22 06:55:59 PM miguele yes, technology
2020-09-22 06:56:00 PM sjohnson35 our did to then he left so did the attentiveness to the call lights
2020-09-22 06:56:03 PM smithtammyl they miss them so much when they come to visit and all they can do it talk on phone throughnwindow is very upsetting to them
2020-09-22 06:56:04 PM vzamora7871 Valerie Zamora- be calm and understanding
2020-09-22 06:56:05 PM davisr when have opened to 1 hour visits in there rooms
2020-09-22 06:56:08 PM jadehsmith or seeing a resident who has family visit often when they do not
2020-09-22 06:56:11 PM miguele zoon, whastapp, etc
2020-09-22 06:56:14 PM perrylori technology is our best friend right now
2020-09-22 06:56:16 PM sjohnson35 some have pagers to tell you the room
2020-09-22 06:56:17 PM pjbell try to have their materials ready before it happens
2020-09-22 06:56:27 PM eckhartdanielle Make sure to report the issue so that it can be promptly discussed by the care plan team and other members involved in care
2020-09-22 06:56:28 PM aprilw have a heart to heart chat with them
2020-09-22 06:56:29 PM ahicks once the behavior has happened we adjust our care plan to be able to avoid that behavior
2020-09-22 06:56:44 PM thomasodougherty Are there some questions we can ask ourselves before engaging with the Resident(s)?
2020-09-22 06:56:52 PM miguele we are level 1, letting family come in, schedule a visit keeping the protocol
2020-09-22 06:56:56 PM vzamora7871 Valerie Zamora- what is the issue?
2020-09-22 06:56:58 PM smithtammyl yes
2020-09-22 06:56:59 PM sjohnson35 like who are we dealing with
2020-09-22 06:57:05 PM jadehsmith empathy!
2020-09-22 06:57:05 PM eckhartdanielle What is the best approach for this person that has worked in the past...
2020-09-22 06:57:05 PM thomasodougherty For example: "What is the behavior?"
2020-09-22 06:57:08 PM dana1 How do they like being addressed
2020-09-22 06:57:10 PM davisr Normally I ask a care partner what kind of day the resident is happy
2020-09-22 06:57:10 PM ahicks yes...we can ask ourselves how we can help
2020-09-22 06:57:12 PM smithtammyl did this happen in their past
2020-09-22 06:57:21 PM davisr then I can approach them in the correct way
2020-09-22 06:57:22 PM aprilw was it loud? was it too bright? was the place crowded?
2020-09-22 06:57:24 PM stepha630 enter the chat room
2020-09-22 06:57:26 PM sjohnson35 what was their normal rountie
2020-09-22 06:57:26 PM pjbell what do they need
2020-09-22 06:57:32 PM nicholashuffman Should ask yourself how you would want to be treated if you were in their place.
2020-09-22 06:57:39 PM perrylori evaluate the resident and the situatio
2020-09-22 06:57:41 PM eckhartdanielle How can I make their day better and more comfortable?
2020-09-22 06:57:41 PM davidsonc we use our phones so the family can talk and see each oyher on messager works great
2020-09-22 06:57:51 PM jadehsmith how is there day
2020-09-22 06:57:53 PM susanpmazziotta We need to be sure we know a bit about the resident we are about to engage and maybe review their care plan for some enlightenment.
2020-09-22 06:57:56 PM srolle make sure we are calm at all times
2020-09-22 06:58:02 PM miguele questions should come from the MDS, and care plans
2020-09-22 06:58:07 PM sjohnson35 is this person pleasant
2020-09-22 06:58:09 PM kreese828 What can we do to help
2020-09-22 06:58:10 PM eckhartdanielle Ask others for assistance if you're not familiar with the resident
2020-09-22 06:58:15 PM davidsonc great they are happy
2020-09-22 06:58:33 PM perrylori mds 3.0 is the best place to get information
2020-09-22 06:58:38 PM pjbell the same thing may not work
2020-09-22 06:58:42 PM thomasodougherty After we have identified what the behavior is. Next it might be beneficial to ask "has this behavior happened before?"If not, what changed?
2020-09-22 06:58:56 PM davisr If they are an estabilished resident majority of the time we know there moods
2020-09-22 06:58:58 PM thomasodougherty If so, what was used to address the behavior in the past?
2020-09-22 06:59:07 PM smithtammyl it might be room change
2020-09-22 06:59:14 PM susanpmazziotta HOw regularly do we review the care plan and implement activities that support that person and what has worked in the past to help them.
2020-09-22 06:59:16 PM pjbell uti
2020-09-22 06:59:21 PM chanelrheubottom if you know the person you wouuld understand them better'
2020-09-22 06:59:22 PM davisr Depends on the resident
2020-09-22 06:59:22 PM srolle resident may have a uti
2020-09-22 06:59:25 PM perrylori yes again know the resident and most of the time you know their triggers
2020-09-22 06:59:28 PM davidsonc family and resident are grat ful for that we set up visit dates and times for them.
2020-09-22 06:59:34 PM ahicks See if it could be UTI or something medically wrong
2020-09-22 06:59:45 PM kathrynlsvec sometimes it's an indicator that they are coming down with something, or that they have had a significant change cognitively or physically
2020-09-22 06:59:52 PM davidsonc sorry greatfull
2020-09-22 06:59:55 PM srolle had a loss in the family
2020-09-22 06:59:58 PM thomasodougherty We get the opportunity to become something of a detective in these moments.
2020-09-22 07:00:07 PM smithtammyl true
2020-09-22 07:00:10 PM pjbell yes
2020-09-22 07:00:11 PM vzamora7871 Valerie Zamora- Identify the changes
2020-09-22 07:00:14 PM srolle yes
2020-09-22 07:00:16 PM dana1 True
2020-09-22 07:00:18 PM susanpmazziotta Love the detective reference
2020-09-22 07:00:21 PM eckhartdanielle Ask yourself to break it down. Why is it happening? When/what time does it occur? What factors do we need to consider? What are the solutions we can try?
2020-09-22 07:00:22 PM ahicks yes...figuring out what will work
2020-09-22 07:00:34 PM thomasodougherty We can look for:- When does the behavior take place?- Where does the behavior take place?
2020-09-22 07:00:45 PM smithtammyl yes
2020-09-22 07:00:49 PM srolle ok
2020-09-22 07:00:49 PM aprilw yes
2020-09-22 07:00:55 PM ahicks who is around when the behavior takes place
2020-09-22 07:00:56 PM jadehsmith pattersn
2020-09-22 07:00:58 PM davidsonc yes
2020-09-22 07:01:04 PM pjbell yes
2020-09-22 07:01:04 PM jadehsmith **patterns
2020-09-22 07:01:06 PM taherrens Remain calm and figure out the best way to approach the issue. It's a good thing if you know about the resident. You're able to figure out if its a constant behavior or not
2020-09-22 07:01:11 PM davisr a lot of the behaviors happen when they afre sundowning
2020-09-22 07:01:14 PM perrylori then when we know all that we can change it up to better suit the resident
2020-09-22 07:01:16 PM thomasodougherty - What preceeded the behavior?- What happened after the behavior?
2020-09-22 07:01:21 PM smithtammyl yes
2020-09-22 07:01:25 PM perrylori yes
2020-09-22 07:01:30 PM pjbell yes
2020-09-22 07:01:39 PM smithtammyl yes
2020-09-22 07:01:44 PM ahicks how did the behvior resolve
2020-09-22 07:01:52 PM seanj What is about sundowning that increases behavior? I am experiecning that with my newest patient.
2020-09-22 07:02:12 PM ahicks seanj...their sleep schedule gets all messed up
2020-09-22 07:02:17 PM pjbell but what if the same behaviour everyday and you do what works and now its routine
2020-09-22 07:02:29 PM eckhartdanielle Ask yourself is there any tricks that always seems to work with this resident and try them out
2020-09-22 07:02:42 PM perrylori calmly approach sounddowners get in their world and go ffrom their play into them
2020-09-22 07:02:50 PM eckhartdanielle To get them engaged and no longer as upset
2020-09-22 07:02:53 PM thomasodougherty That's a good segway.
2020-09-22 07:02:55 PM ahicks pjbell...just redirect daily until it stops
2020-09-22 07:03:09 PM susanpmazziotta How well are the behaviors before and after are documented-so that we can learn from them
2020-09-22 07:03:17 PM aprilw when you can 1:1
2020-09-22 07:03:20 PM pjbell same time everyday
2020-09-22 07:03:20 PM thomasodougherty We have identified that dementia patients are our most likely Residents who will have behaviors.
2020-09-22 07:03:30 PM dana1 yes
2020-09-22 07:03:31 PM pjbell yes
2020-09-22 07:03:33 PM aprilw yes
2020-09-22 07:03:34 PM ahicks ok
2020-09-22 07:03:39 PM krystalthompson redirection and 1:1 vsits
2020-09-22 07:03:40 PM chanelrheubottom yeah
2020-09-22 07:03:43 PM srolle yes
2020-09-22 07:04:06 PM dana1 They can't help it
2020-09-22 07:04:16 PM thomasodougherty Sundowning (very loosely) is something of an accumulation of stimulus throughout the day.
2020-09-22 07:04:23 PM perrylori yes but the other times they usually have a medical condition like UTI or dehydration will make them have behavioral as well
2020-09-22 07:04:24 PM thomasodougherty Going to bed is like a reset.
2020-09-22 07:04:28 PM seanj Ahhhh. That makes sense.
2020-09-22 07:04:39 PM davidsonc we have a coulpe residents we try to keep them up i do activities the like to do so some times it works then we try some thing ealse for them
2020-09-22 07:04:48 PM sjohnson35 thats so true
2020-09-22 07:04:48 PM pjbell sometimes they just need a nap
2020-09-22 07:04:49 PM thomasodougherty Dementia patients often struggle with reality.
2020-09-22 07:05:01 PM smithtammyl yes
2020-09-22 07:05:15 PM srolle true
2020-09-22 07:05:16 PM thomasodougherty How do we address a Dementia patient who is trying to get outside so their mother can pick them up for pizza?
2020-09-22 07:05:18 PM dana1 yes
2020-09-22 07:05:19 PM aprilw they do
2020-09-22 07:05:27 PM dana1 redirect
2020-09-22 07:05:28 PM smithtammyl redirect them
2020-09-22 07:05:29 PM susanpmazziotta I see "sundowning" alot and often the next day the individual is doing quite well. It is important to help them settle in befor it gets to late in the day.
2020-09-22 07:05:41 PM vzamora7871 Valerie Zamora- redirect them
2020-09-22 07:05:44 PM smithtammyl get them involved in some thing they like
2020-09-22 07:05:45 PM chanelrheubottom Let go inside and do something until she comes
2020-09-22 07:05:46 PM sjohnson35 we take them for a stroll down memeory lane the opposite way
2020-09-22 07:05:49 PM pjbell make conversation redirect
2020-09-22 07:05:51 PM thomasodougherty Redirection is a great tool!What if it doesn't work?
2020-09-22 07:05:53 PM perrylori yes they do. thats why you communicate with them and get in their world and it usually works. they have memories it is up to us to help them bring them out
2020-09-22 07:05:53 PM srolle redirect them to a different area
2020-09-22 07:05:56 PM vzamora7871 ask questions about thier mother
2020-09-22 07:05:58 PM jadehsmith redirect, moms on her way lets do so and so
2020-09-22 07:05:58 PM aprilw your mom called and canceled, we are going tomorrow
2020-09-22 07:06:01 PM seanj Chanel that's a great idea.
2020-09-22 07:06:01 PM sarahwms we normaly tell them that their mom is still at work and we'll let them know when she gets there and then redirect
2020-09-22 07:06:06 PM smithtammyl ask for help
2020-09-22 07:06:06 PM kreese828 Tell her that there's pizza inside and tell her you'll keep an eye out for mo
2020-09-22 07:06:10 PM eckhartdanielle Try to get them involved with another task while they "wait"
2020-09-22 07:06:14 PM ahicks if redirection does not work then use distracton
2020-09-22 07:06:21 PM davidsonc yes but they do come back if you talk with them long than they expextand you ask quiestions about them
2020-09-22 07:06:21 PM thomasodougherty I saw "take a stroll down memory lane"! Great answer!
2020-09-22 07:06:30 PM kathrynlsvec sometimes we will tell them it isn't quite time yet, but we will do (activity) until it is time. we have a resident we do this regularly with beause she thinks she needs to catch the bus.
2020-09-22 07:06:35 PM sjohnson35 tell her she already came and you ate it
2020-09-22 07:06:37 PM thomasodougherty The pizza is already there! Great!
2020-09-22 07:06:42 PM susanpmazziotta Redirecting the resident that want pizza and seeing a family member can be accomplished by talking about other foods they enjoy and other family members, they can talk about some of their favorite times.
2020-09-22 07:06:53 PM seanj I usually start asking what kinds of things they would do with their mom whenever she picked them up from school and they take a tripd own memory lane and start doing other things.
2020-09-22 07:06:53 PM aprilw let's go in your room and tell me about your mom
2020-09-22 07:06:57 PM perrylori memory lane is good
2020-09-22 07:06:59 PM thomasodougherty What do we never do?
2020-09-22 07:07:08 PM aprilw what's your favorite pizza
2020-09-22 07:07:09 PM ahicks LIE
2020-09-22 07:07:10 PM eckhartdanielle Yell at them and try to tell them the truth
2020-09-22 07:07:11 PM smithtammyl yell at them
2020-09-22 07:07:12 PM chanelrheubottom telling them they are never coming
2020-09-22 07:07:14 PM kreese828 never argue
2020-09-22 07:07:15 PM pjbell argue
2020-09-22 07:07:15 PM dana1 Tell them that she is dead
2020-09-22 07:07:20 PM nicholashuffman Play into dangerous or harmful ideals.
2020-09-22 07:07:21 PM smithtammyl pull them away
2020-09-22 07:07:24 PM sarahwms argue with them
2020-09-22 07:07:25 PM eckhartdanielle You will only upset them more
2020-09-22 07:07:27 PM stepha630 never be forceful with them
2020-09-22 07:07:29 PM aprilw passed awy
2020-09-22 07:07:29 PM srolle yell
2020-09-22 07:07:34 PM perrylori never say remember. and never argrue with them
2020-09-22 07:07:42 PM aprilw get angry
2020-09-22 07:07:44 PM davidsonc they really like cookies and milk or tea before bed to
2020-09-22 07:07:46 PM eckhartdanielle Showing any sign of tension or frusteration will make matters much worse
2020-09-22 07:07:55 PM kathrynlsvec tell them to stop, yell at them, tell them they don't know what they are talking about.
2020-09-22 07:08:12 PM thomasodougherty Never argue!To them they are in reality. Their delusion is very real.
2020-09-22 07:08:21 PM perrylori they always watch your facial expressions. if angry always smile they read your face
2020-09-22 07:08:23 PM smithtammyl true
2020-09-22 07:08:38 PM thomasodougherty Absolutely! Anger never helps.
2020-09-22 07:08:38 PM seanj Never yell or argue. To them, that is what is happening. You enter their world instead of asking them to leave and enter yours.
2020-09-22 07:08:39 PM ahicks (L)
2020-09-22 07:08:49 PM perrylori they dont see anything wrong with them thats is true
2020-09-22 07:09:02 PM eckhartdanielle Sad but I see people trying to bring them back to reality. Nurses, CNAs professionals of all kinds. It's not the answer.
2020-09-22 07:09:07 PM davidsonc true they do and body language to
2020-09-22 07:09:11 PM smithtammyl they see us doing it why not them
2020-09-22 07:09:26 PM vzamora7871 left the chat room
2020-09-22 07:09:27 PM vzamora7871 enter the chat room
2020-09-22 07:09:43 PM thomasodougherty How can we anticipate behaviors before they happen?
2020-09-22 07:09:53 PM davisr body language
2020-09-22 07:09:54 PM eckhartdanielle Know the warning signs
2020-09-22 07:09:56 PM smithtammyl body langue
2020-09-22 07:09:56 PM dana1 Look for signs
2020-09-22 07:09:59 PM eckhartdanielle And triggers
2020-09-22 07:10:03 PM jadehsmith know there schedule
2020-09-22 07:10:05 PM vzamora7871 Valerie Z- pay attention to triggers
2020-09-22 07:10:06 PM pjbell have material on hand
2020-09-22 07:10:10 PM davidsonc i,m a cna and i train others not to do that they are very good
2020-09-22 07:10:13 PM jadehsmith do they need to pick the kids up from school at 3
2020-09-22 07:10:13 PM kreese828 Know your residents and their triggers
2020-09-22 07:10:13 PM chanelrheubottom triggers
2020-09-22 07:10:13 PM smithtammyl their tone of voice
2020-09-22 07:10:16 PM thomasodougherty How can we learn their triggers?
2020-09-22 07:10:22 PM aprilw i remember a time the state would tell us to bring them back to reality and let them know where they are, that their parents have passed away!!
2020-09-22 07:10:26 PM smithtammyl watch them
2020-09-22 07:10:29 PM chanelrheubottom get to know the person
2020-09-22 07:10:32 PM perrylori from the time you get them up in the morning you kind a of know what mood they are in sometimes
2020-09-22 07:10:33 PM pjbell observe
2020-09-22 07:10:35 PM eckhartdanielle Going back to identification of patterns and avoiding factors that make behaviors worse
2020-09-22 07:10:36 PM srolle grt to know each resident history
2020-09-22 07:10:39 PM jadehsmith document and communicate
2020-09-22 07:10:47 PM eckhartdanielle Observation
2020-09-22 07:10:48 PM perrylori being very observant true
2020-09-22 07:10:50 PM thomasodougherty Document!
2020-09-22 07:10:51 PM susanpmazziotta Anticipating if the there have been disruptions to a normal day that there will be problems and try to prepare in advance. Being prepared.
2020-09-22 07:10:52 PM aprilw behavior meetings
2020-09-22 07:10:55 PM smithtammyl yes
2020-09-22 07:11:04 PM thomasodougherty What is a documentation tool we use when a Resident first arrives?
2020-09-22 07:11:04 PM perrylori document all behavior
2020-09-22 07:11:07 PM taherrens There are always signs. Warning signs, tone of voice, body language, etc.
2020-09-22 07:11:07 PM aprilw from family members

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