DateTimeFromToMessage
2020-09-24 06:36:16 PM sjackson wondering
2020-09-24 06:36:17 PM lisacomstock Ive worked in activities for the past 5 years and was let go during this COVID19 so hoping this certificate will land me a position some where as I loved working in activities
2020-09-24 06:36:17 PM sbowles Someone with severe dementia hitting people
2020-09-24 06:36:20 PM sjackson aggitation
2020-09-24 06:36:22 PM nealeyjones agression
2020-09-24 06:36:29 PM sjackson exit seeking
2020-09-24 06:36:34 PM rachelordille Sorry just now joining, got off work late! Rachel ordille
2020-09-24 06:36:42 PM williamsmary22 withdrawn
2020-09-24 06:36:48 PM kaylazoccole attention seeking behaviors-kayla zoccole
2020-09-24 06:36:53 PM diannareich running around naked
2020-09-24 06:36:55 PM karenb I got punched by a resident yesterday.
2020-09-24 06:36:59 PM laurieh sedentary
2020-09-24 06:37:01 PM diannareich left the chat room
2020-09-24 06:37:04 PM angeldewitt biting
2020-09-24 06:37:17 PM angeldewitt spitting
2020-09-24 06:37:18 PM lisacomstock Anger. withdrawal, anxiousness,
2020-09-24 06:37:27 PM laurieh anger
2020-09-24 06:37:33 PM lisacomstock confusion
2020-09-24 06:37:34 PM diannareich enter the chat room
2020-09-24 06:37:38 PM karenb denial
2020-09-24 06:37:39 PM dholmes86 enter the chat room
2020-09-24 06:37:41 PM rachelordille depression
2020-09-24 06:37:46 PM santonya enter the chat room
2020-09-24 06:37:51 PM thomasodougherty Yes! A lot of things can be a behavior. Do they all need to be negative, harmful, etc.?
2020-09-24 06:37:55 PM lisacomstock restlessness
2020-09-24 06:38:01 PM angeldewitt no
2020-09-24 06:38:01 PM sjackson not
2020-09-24 06:38:03 PM laurieh no
2020-09-24 06:38:04 PM kaylazoccole no
2020-09-24 06:38:04 PM williamsmary22 no
2020-09-24 06:38:08 PM sjackson over excitement
2020-09-24 06:38:08 PM nealeyjones no they dont
2020-09-24 06:38:09 PM santonya hello
2020-09-24 06:38:11 PM sbowles No.
2020-09-24 06:38:23 PM dholmes86 left the chat room
2020-09-24 06:38:30 PM laurieh we tend not to notice good behavior as much as bad
2020-09-24 06:38:39 PM lisacomstock guess not but mostly yes attention behavior
2020-09-24 06:38:39 PM thomasodougherty Suffice it to say, anything can be considered a behavior.
2020-09-24 06:38:59 PM thomasodougherty That being said, who are those who have behaviors?
2020-09-24 06:39:11 PM kaylazoccole everyone
2020-09-24 06:39:12 PM williamsmary22 dementia
2020-09-24 06:39:12 PM rachelordille everyone
2020-09-24 06:39:14 PM karenb we all do
2020-09-24 06:39:15 PM angeldewitt dementia
2020-09-24 06:39:18 PM sbowles Everyone
2020-09-24 06:39:24 PM diannareich everyone
2020-09-24 06:39:28 PM nealeyjones everyone
2020-09-24 06:39:44 PM laurieh every person
2020-09-24 06:39:50 PM thomasodougherty Absolutely everyone. Those of you who said "dementia", you are not wrong and we'll delve into that in a little bit.
2020-09-24 06:40:09 PM lisacomstock everyone at some point! daily usually alzheimers dementia
2020-09-24 06:40:30 PM williamsmary22 yes all people do at some point
2020-09-24 06:40:40 PM thomasodougherty Most are likely to be dementia (roughly 50% of all NF residents have dementia).
2020-09-24 06:40:52 PM thomasodougherty Those who have a sense of a loss of control.
2020-09-24 06:41:15 PM thomasodougherty Thos with a h/o stroke, TIA, or a brain injury.
2020-09-24 06:41:18 PM sjackson yes
2020-09-24 06:41:34 PM lisacomstock New residents are apt to be needy until you get them acclaimated
2020-09-24 06:41:52 PM sbowles What is h/o and TIA?
2020-09-24 06:41:53 PM thomasodougherty What are some things we can do to help avoid any of the individuals we work with from having "behaviors"?
2020-09-24 06:41:55 PM lisacomstock COPD very needy
2020-09-24 06:42:05 PM laurieh We went into that with dementia. The brain short circuits and the person can't figure out things so they become angry or have bad behavior
2020-09-24 06:42:10 PM angeldewitt keeping them busy
2020-09-24 06:42:15 PM lisacomstock make sure their needs are met
2020-09-24 06:42:18 PM rachelordille redirect them with an activity to work on
2020-09-24 06:42:22 PM sjackson try and keep them on routine
2020-09-24 06:42:31 PM karenb check the initial acessment and find out their interests.
2020-09-24 06:42:35 PM sbowles Give them praise when they do good things
2020-09-24 06:42:43 PM nealeyjones keep them busy
2020-09-24 06:42:46 PM thomasodougherty h/o = history ofTIA = Transient Ischemic Attack
2020-09-24 06:42:47 PM laurieh redirect and preoccupy
2020-09-24 06:42:49 PM lisacomstock and that all diciplines are on board to assist the resident in that goal
2020-09-24 06:43:23 PM thomasodougherty Let's say a room is noisy, could that be a trigger?
2020-09-24 06:43:24 PM sjackson figure out their triggers and try and avoid them
2020-09-24 06:43:29 PM angeldewitt yes
2020-09-24 06:43:30 PM karenb yes
2020-09-24 06:43:33 PM santonya yes
2020-09-24 06:43:37 PM laurieh absolutely
2020-09-24 06:43:40 PM nealeyjones yes
2020-09-24 06:43:40 PM sjackson yes
2020-09-24 06:43:45 PM thomasodougherty What about if the room is too bright?
2020-09-24 06:43:49 PM williamsmary22 Redirect , talk to them in a calm manner
2020-09-24 06:43:49 PM sbowles Yes. Shut the door if in a room
2020-09-24 06:43:50 PM angeldewitt yes
2020-09-24 06:43:51 PM nealeyjones yes
2020-09-24 06:43:52 PM sjackson dim the lights
2020-09-24 06:43:53 PM santonya yes
2020-09-24 06:43:53 PM lisacomstock most diffinately
2020-09-24 06:43:54 PM karenb yes
2020-09-24 06:43:57 PM rachelordille yes
2020-09-24 06:43:58 PM rachelordille for sure
2020-09-24 06:44:02 PM laurieh yes that too
2020-09-24 06:44:04 PM williamsmary22 yes
2020-09-24 06:44:08 PM sbowles Yes
2020-09-24 06:44:15 PM thomasodougherty How many of us have gotten angry when we're hungry?
2020-09-24 06:44:22 PM sjackson me
2020-09-24 06:44:25 PM angeldewitt i know i have
2020-09-24 06:44:25 PM williamsmary22 Hangry
2020-09-24 06:44:25 PM karenb yes
2020-09-24 06:44:26 PM sjackson hangry
2020-09-24 06:44:28 PM rachelordille me lol
2020-09-24 06:44:31 PM santonya mee
2020-09-24 06:44:35 PM lisacomstock grumpy argumentative
2020-09-24 06:44:50 PM laurieh al;\l of us
2020-09-24 06:44:59 PM laurieh oops
2020-09-24 06:45:06 PM thomasodougherty I think you're correct @laurieh.
2020-09-24 06:45:40 PM thomasodougherty So we can do things like dim the lights, offer a blanket, offer a snack, answer call lights promptly, invovle family...
2020-09-24 06:45:50 PM sjackson yes
2020-09-24 06:45:52 PM williamsmary22 yes
2020-09-24 06:45:52 PM santonya true
2020-09-24 06:45:53 PM angeldewitt yes
2020-09-24 06:45:57 PM nealeyjones ok
2020-09-24 06:46:06 PM kaylazoccole yes
2020-09-24 06:46:06 PM lisacomstock yep
2020-09-24 06:46:06 PM sbowles get family on the phone
2020-09-24 06:46:09 PM karenb It was so much easier befor covid
2020-09-24 06:46:14 PM thomasodougherty Rooming assignments. Who has had an awful roommate?
2020-09-24 06:46:20 PM williamsmary22 all
2020-09-24 06:46:28 PM sbowles Me.
2020-09-24 06:46:31 PM santonya yup!
2020-09-24 06:46:32 PM rachelordille me
2020-09-24 06:46:34 PM nealeyjones me
2020-09-24 06:46:36 PM sjackson or not use to a roommate
2020-09-24 06:46:36 PM angeldewitt many
2020-09-24 06:46:47 PM lisacomstock that isue can upset the whole building when it is bad
2020-09-24 06:46:57 PM thomasodougherty Having to deal with that person day in and day out, pretty upsetting, no?
2020-09-24 06:47:03 PM karenb oh, the screamers
2020-09-24 06:47:04 PM williamsmary22 yes
2020-09-24 06:47:06 PM sjackson yes
2020-09-24 06:47:07 PM lisacomstock yes
2020-09-24 06:47:08 PM santonya ye
2020-09-24 06:47:08 PM angeldewitt yes
2020-09-24 06:47:13 PM sbowles Yes
2020-09-24 06:47:20 PM nealeyjones yes
2020-09-24 06:47:40 PM laurieh yup
2020-09-24 06:48:08 PM angeldewitt we move people all the time
2020-09-24 06:48:13 PM lisacomstock did we lose ya
2020-09-24 06:48:18 PM williamsmary22 same
2020-09-24 06:48:19 PM laurieh That's not so easy though with a full place.
2020-09-24 06:48:21 PM thomasodougherty I would argue, the best way to avoid a behavior is to get to know your resident and what might trigger them. As we'll come back to again, not all those we work with are identical.
2020-09-24 06:48:25 PM sbowles That is always a challenge. Making sure you get the correct resident with someone the same.
2020-09-24 06:48:37 PM sjackson this is true
2020-09-24 06:48:44 PM santonya i agree
2020-09-24 06:48:47 PM rachelordille agreed
2020-09-24 06:48:55 PM angeldewitt agree
2020-09-24 06:48:55 PM sjackson learning their triggers would be very helpful
2020-09-24 06:48:57 PM williamsmary22 right
2020-09-24 06:49:00 PM kaylazoccole yes
2020-09-24 06:49:06 PM sbowles Yes.
2020-09-24 06:49:11 PM nealeyjones yes
2020-09-24 06:49:25 PM laurieh very true everybody is an individual
2020-09-24 06:49:40 PM thomasodougherty Now, we tried to prevent a behavior from taking place, but a Resident had one despite our best efforts. What are some questions we can ask ourself before addressing the behavior?
2020-09-24 06:49:52 PM diannareich We had one cuss out their dinig partner she's had for the last six months the other day. So she moved tables. Sofar, so good
2020-09-24 06:49:54 PM lisacomstock Many adjustments getting settled in and the the inevitable happens change
2020-09-24 06:50:11 PM williamsmary22 did I do all I could to prevent this?
2020-09-24 06:50:11 PM sjackson what has changed with this resident
2020-09-24 06:50:20 PM rachelordille what could we have done differently
2020-09-24 06:50:23 PM angeldewitt what is different
2020-09-24 06:50:28 PM sbowles Some of them just need time to get used to each other
2020-09-24 06:50:32 PM sjackson is the day a special occassion
2020-09-24 06:50:32 PM lisacomstock remove from situation even if temporary
2020-09-24 06:50:34 PM williamsmary22 Were they not feeling well or having an off day.
2020-09-24 06:50:40 PM sjackson are they in pain
2020-09-24 06:50:50 PM laurieh Is there something I can bring to keep them occupied
2020-09-24 06:51:11 PM nealeyjones if they had slept well or at all. or in pain. or sick
2020-09-24 06:51:28 PM thomasodougherty All fantastic answers!A question that I often turn to first is, "Has the individual had this behavior before?"
2020-09-24 06:51:31 PM lisacomstock refer to case manager if possible
2020-09-24 06:51:36 PM lisacomstock document
2020-09-24 06:51:51 PM sbowles Good one.
2020-09-24 06:52:02 PM lisacomstock looking back on their history
2020-09-24 06:52:04 PM thomasodougherty If so, what worked in the past?If not, what has changed?
2020-09-24 06:52:07 PM diannareich I hate that the docotors want to over medicate them.
2020-09-24 06:53:01 PM lisacomstock I read if an 80 year old is demanding they were likely to of been a demanding individual in their 30s also
2020-09-24 06:53:17 PM thomasodougherty Some other questions that I have found beneficial:- Does this behavior happen at the same time?- Where does the behavior take place?
2020-09-24 06:53:17 PM nealeyjones ok
2020-09-24 06:53:21 PM sjackson we all have behaiors at times the difference is we can usually let someone know why
2020-09-24 06:53:31 PM karenb Sun downers
2020-09-24 06:53:33 PM lisacomstock like sundowners
2020-09-24 06:53:38 PM thomasodougherty - What preceeded the behavior?
2020-09-24 06:53:40 PM sjackson someone with dementia dont exactly know whats going on
2020-09-24 06:53:49 PM thomasodougherty - What happened after the behavior?
2020-09-24 06:54:05 PM sjackson what do you mean?
2020-09-24 06:54:13 PM lisacomstock medication has not kicked in or after or before a therapy session dr. appt. family visit
2020-09-24 06:54:20 PM williamsmary22 Yes all great questions
2020-09-24 06:54:21 PM sjackson what steps did we take after they had the behavior?
2020-09-24 06:54:43 PM thomasodougherty I mean, was there a trigger the provoked the behavior? And once the behavior was concluded, why and/or what happened next?
2020-09-24 06:54:57 PM laurieh this helps us figure out what to do for them
2020-09-24 06:55:04 PM sjackson oh ok
2020-09-24 06:55:18 PM sjackson so maybe you gave them a snack and they calmed down after eating
2020-09-24 06:55:21 PM thomasodougherty I likened this line of questioning to being a detective. The more information we have at our disposal, the more likely we can positively address the situation.
2020-09-24 06:55:26 PM sbowles Medication is an important one. Sometimes they do get over medicated
2020-09-24 06:55:34 PM lisacomstock they usually stay persistant till they get what they want or plum tucker out
2020-09-24 06:55:46 PM rachelordille yes i agree
2020-09-24 06:56:05 PM williamsmary22 yes
2020-09-24 06:56:08 PM karenb my problem residents, are the same every day. I wish I could figure it out.
2020-09-24 06:56:12 PM nealeyjones agree
2020-09-24 06:56:15 PM lisacomstock and other staff sometimes have a certain trick that works
2020-09-24 06:56:42 PM angeldewitt communication with other staff is helpful
2020-09-24 06:56:50 PM thomasodougherty Continuing our scenario:Say this isn't the first time we've seen this behavior from the individual. Last time offering a snack helped. Should we expect that to work again without issue?
2020-09-24 06:57:00 PM williamsmary22 no
2020-09-24 06:57:01 PM sjackson no
2020-09-24 06:57:06 PM diannareich no
2020-09-24 06:57:10 PM rachelordille no
2020-09-24 06:57:12 PM angeldewitt no but worth a try
2020-09-24 06:57:15 PM sjackson it could be sun downers
2020-09-24 06:57:16 PM sbowles Snacks don't aways workd
2020-09-24 06:57:18 PM lisacomstock it might start with it and go from there
2020-09-24 06:57:19 PM nealeyjones no but its worth a shot
2020-09-24 06:57:22 PM laurieh not neccessarily
2020-09-24 06:57:32 PM thomasodougherty Definitely worth a shot!
2020-09-24 06:57:52 PM sbowles Sometimes offering to zoom with their family helps.
2020-09-24 06:57:52 PM sjackson true
2020-09-24 06:57:54 PM thomasodougherty However, you're all correct. Just because it worked in the past, does not mean it will work again.
2020-09-24 06:57:55 PM laurieh should try it first
2020-09-24 06:58:03 PM karenb My residents just want to go back to bed'
2020-09-24 06:58:19 PM sjackson keep trying to help figure out what is going on with that individual
2020-09-24 06:58:38 PM sjackson there could be some under lining medical issue going on
2020-09-24 06:58:59 PM diannareich We have a preacher's wife of 60 years who goes into other residents rooms to pray for them and steals their candy as she's leaving their rooms.
2020-09-24 06:59:01 PM thomasodougherty Now let's say that another Resident is having a very similar behavior to the one in our previous scenario. Should we expect the previous intervention to work with them as well as with the other individual.
2020-09-24 06:59:04 PM sbowles I notice some of the behavior people act up at the same time. I always say it must be a full moon tonight.
2020-09-24 06:59:04 PM laurieh Thats a tough one karen the same for me but when they are a fall risk they can't
2020-09-24 06:59:17 PM williamsmary22 no
2020-09-24 06:59:20 PM sjackson no
2020-09-24 06:59:21 PM angeldewitt no
2020-09-24 06:59:31 PM sbowles No. Each resident is different.
2020-09-24 06:59:48 PM nealeyjones no
2020-09-24 06:59:54 PM lisacomstock give it a try. hard to tell with out other insights
2020-09-24 07:00:03 PM thomasodougherty Exactly. Each Resident is just as different as each of us are.
2020-09-24 07:00:09 PM laurieh it might. they may be copying so they get sometning too
2020-09-24 07:00:14 PM rachelordille you could try it but no each resident is different
2020-09-24 07:00:18 PM thomasodougherty Again, it might work, but can't be a guarantee.
2020-09-24 07:00:54 PM lisacomstock monkey see monkey do does go on! esoecially in the dining room at meal time!
2020-09-24 07:01:04 PM angeldewitt nothing is ever a guarantee
2020-09-24 07:01:15 PM diannareich trial and error
2020-09-24 07:01:20 PM nealeyjones and sometimes i have seen them calm eachother down by just talking about whats going on
2020-09-24 07:01:41 PM thomasodougherty An important take away here, as with many aspects of our jobs, is to be patient. Our intervention might not work the first time. What we try next might not work. However, if we are able to be patient we'll often get there eventually.
2020-09-24 07:01:44 PM lisacomstock yes
2020-09-24 07:02:03 PM nealeyjones yes
2020-09-24 07:02:06 PM sjackson very true and well said
2020-09-24 07:02:07 PM williamsmary22 yes
2020-09-24 07:02:11 PM santonya yes
2020-09-24 07:02:13 PM thomasodougherty We discussed how to avoid behaviors.But, why might someone have a behavior?
2020-09-24 07:02:14 PM angeldewitt yes
2020-09-24 07:02:15 PM rachelordille yes
2020-09-24 07:02:18 PM sbowles Patience, yes.
2020-09-24 07:02:28 PM laurieh true
2020-09-24 07:02:29 PM williamsmary22 ill,mad;pain
2020-09-24 07:02:30 PM angeldewitt need attention
2020-09-24 07:02:37 PM angeldewitt pain
2020-09-24 07:02:38 PM sbowles In pain.
2020-09-24 07:02:41 PM diannareich infection thst hsn't been detected yet
2020-09-24 07:02:43 PM rachelordille they may be triggered by something
2020-09-24 07:02:46 PM sjackson angry for being moved in a different enviroment
2020-09-24 07:02:58 PM santonya want to use the bath and not be able to express it
2020-09-24 07:03:00 PM angeldewitt hungry
2020-09-24 07:03:03 PM lisacomstock disease, illness, mood, agitation, hallucinations
2020-09-24 07:03:12 PM diannareich right now they're tired of being cooped up
2020-09-24 07:03:13 PM laurieh they often don't know what is going on
2020-09-24 07:03:14 PM nealeyjones pain ,no sleep .lonley
2020-09-24 07:03:21 PM lisacomstock mistrust
2020-09-24 07:03:51 PM nealeyjones and maybe just because they can?
2020-09-24 07:03:52 PM angeldewitt want to go to bed
2020-09-24 07:04:00 PM sbowles Tired of eating in their rooms.
2020-09-24 07:04:14 PM thomasodougherty Great answers!
2020-09-24 07:04:22 PM thomasodougherty There are a plethora of reasons.
2020-09-24 07:04:30 PM lisacomstock they r tired of eating in their rooms!lol
2020-09-24 07:04:39 PM laurieh they need people around
2020-09-24 07:04:41 PM santonya lol
2020-09-24 07:04:58 PM thomasodougherty An unment need: thirst, hunger, needing to use the toilet, etc.
2020-09-24 07:05:09 PM sbowles Need group activities
2020-09-24 07:05:09 PM sjackson this pandemic has a line of behaviors in its self
2020-09-24 07:05:22 PM thomasodougherty An environmental trigger: noise, temp., light, etc.
2020-09-24 07:05:27 PM nealeyjones yes it does
2020-09-24 07:05:41 PM thomasodougherty Medical Problem: UTI, pain, COPD, medication change, etc.
2020-09-24 07:05:44 PM karenb we need to get this covid thing under control so we can do our jobs again.
2020-09-24 07:05:56 PM thomasodougherty Psychosis: Bipolar, Anxiety, Depression, etc.
2020-09-24 07:06:00 PM laurieh needing the toilet is a big thing. That might be our #1 reason
2020-09-24 07:06:13 PM thomasodougherty Or, as some of you have mentioned: covid-19 being a thorn in all of our sides!
2020-09-24 07:06:20 PM sjackson this is why learning the residents diagnosis is important
2020-09-24 07:06:23 PM sbowles No one is answering the call light.
2020-09-24 07:06:28 PM angeldewitt truley
2020-09-24 07:06:46 PM williamsmary22 Yes
2020-09-24 07:06:50 PM nealeyjones yes
2020-09-24 07:06:54 PM thomasodougherty Some of you have mentioned medications. Can any of you expand on the benefits and fall backs of medications?This is out of our scope, but still useful knowledge.
2020-09-24 07:07:00 PM angeldewitt left the chat room
2020-09-24 07:07:22 PM williamsmary22 make them sleepy not wanting to participate
2020-09-24 07:07:28 PM lisacomstock same time everyday is helpful
2020-09-24 07:07:34 PM sbowles Benefits might be to calm someone down and on the other side too much can aggravate them.
2020-09-24 07:07:35 PM sjackson over medicating can cause fall risks, lethargia
2020-09-24 07:07:36 PM williamsmary22 make them feel ill
2020-09-24 07:07:37 PM karenb its abuse if not used properly
2020-09-24 07:07:51 PM lisacomstock before or after therapy can decrease pain level
2020-09-24 07:07:56 PM angeldewitt enter the chat room
2020-09-24 07:08:08 PM sjackson have the right medication is needed for some of the things like anxiety, bipolar you said earlier
2020-09-24 07:08:21 PM lisacomstock adjustments are needed sometimes especially psych meds
2020-09-24 07:08:34 PM sjackson you dont want to medically restrain anyone
2020-09-24 07:09:07 PM angeldewitt I'm a med tech also and I have been instructed to give ativan for a behavior before
2020-09-24 07:09:08 PM nealeyjones i think prn meds are great to have but only if used right not abused
2020-09-24 07:09:10 PM diannareich overuse of pain meds is a big issue , therapy would help
2020-09-24 07:09:21 PM thomasodougherty Medicine can be one of the best interventions available, but it can also be a restraint.
2020-09-24 07:09:32 PM williamsmary22 yes
2020-09-24 07:09:34 PM rachelordille yes
2020-09-24 07:09:34 PM sjackson yes
2020-09-24 07:09:58 PM sbowles Yes, that is true.
2020-09-24 07:10:00 PM sjackson sometimes it can have to opposite reaction
2020-09-24 07:10:03 PM thomasodougherty Pain is a huge factor when it comes to behavior. I have had an individual in the past who used his pain
2020-09-24 07:10:07 PM angeldewitt residents should be allowed to have their feeling even if it is a behavior
2020-09-24 07:10:12 PM thomasodougherty as a tool for manipulation.
2020-09-24 07:10:18 PM williamsmary22 yes sir
2020-09-24 07:10:19 PM lisacomstock sometimes bp meds are off or sugar aint right they sneak extra sugar and nurse dont know
2020-09-24 07:10:30 PM sbowles Haven't come across that yet.
2020-09-24 07:10:32 PM thomasodougherty All he needed was some 1:1 attention.
2020-09-24 07:10:38 PM williamsmary22 yes
2020-09-24 07:10:39 PM sjackson some manipulate well
2020-09-24 07:10:47 PM angeldewitt most do
2020-09-24 07:10:59 PM angeldewitt 1:1 works great
2020-09-24 07:11:00 PM lisacomstock 1:1 helps
2020-09-24 07:11:23 PM thomasodougherty Someone mentioned Ativan as a tool to address behavior. That is distrubingly common.
2020-09-24 07:11:37 PM williamsmary22 yes
2020-09-24 07:11:38 PM thomasodougherty Masking the behavior will do little to address the behavior.
2020-09-24 07:11:41 PM angeldewitt When all they have to think about ia what is going on with them they need distraction
2020-09-24 07:11:43 PM laurieh too common
2020-09-24 07:11:54 PM sjackson true
2020-09-24 07:12:11 PM thomasodougherty When is a restrain an acceptable option?
2020-09-24 07:12:12 PM sbowles We have two residents that are roommates and every time I try to do 1:1 with one she tries to get me to switch to her. I think she gets jealous.
2020-09-24 07:12:18 PM williamsmary22 never
2020-09-24 07:12:26 PM nealeyjones never
2020-09-24 07:12:27 PM laurieh never
2020-09-24 07:12:30 PM santonya not at all.
2020-09-24 07:12:34 PM sjackson if the resident is in harm of them selves
2020-09-24 07:12:40 PM diannareich When they are a risk to themselves or others
2020-09-24 07:12:50 PM lisacomstock it is what is orddered that prn ativan sometimes unfortunately it works document and dont make habit