Nursing Management of Disturbed Behaviour in Aged Care Facilities
Nursing Management of Disturbed Behaviour in Aged Care Facilities
Nursing Management of Disturbed Behaviour in Aged Care Facilities
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<strong>Nurs<strong>in</strong>g</strong> <strong>Management</strong> <strong>Aged</strong> <strong>Care</strong><br />
Figure : Poole’s Algorithm:<br />
<strong>Nurs<strong>in</strong>g</strong> <strong>Management</strong> <strong>of</strong> <strong>Disturbed</strong> <strong>Behaviour</strong> <strong>in</strong> Older People<br />
Aggressive, Confused or<br />
Inappropriate <strong>Behaviour</strong><br />
Is the<br />
person<br />
Aggressive?<br />
No<br />
Could the<br />
person have<br />
a Delirium?<br />
No<br />
Could the<br />
person have<br />
Depression or a<br />
Mental Disorder?<br />
No<br />
Could the<br />
person have<br />
Dementia?<br />
Yes<br />
Yes<br />
Yes<br />
Yes<br />
AGGRESSION<br />
Aim for safety -<br />
look for a stressor<br />
and remedy<br />
DELIRIUM<br />
Assess and<br />
treat cause<br />
DEPRESSION<br />
or other mental disorder<br />
Assess and treat<br />
problem<br />
DEMENTIA<br />
Assess and plan<br />
management<br />
Instigate a Supportive<br />
Communication and<br />
<strong>Care</strong> Techniques<br />
Could there<br />
be medical<br />
problems?<br />
Yes<br />
Could there<br />
be other medical<br />
problems?<br />
Yes<br />
Could there<br />
be other medical<br />
problems?<br />
Yes<br />
Plan<br />
ongo<strong>in</strong>g<br />
care<br />
No<br />
No<br />
No<br />
Yes<br />
(c) Julia Poole RNSH & CHS
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