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Quality Framework Responsible Care - BioMed Central

Quality Framework Responsible Care - BioMed Central

4.9 Problem behaviour

4.9 Problem behaviour Indicator The percentage of clients that has shown problem behaviour towards staff and/or other clients V&V / ZT Nursing Home Care & Care Institution Care Enumerator The number of clients that has shown one or more symptoms of problem behaviour towards staff and/or other clients over the past 7 days Denominator The number of clients with whom measurements were carried out on the day/in the week of measuring Not to be • Clients who wish not to be or cannot be tested for problem behaviour on measured with the day/in the week of measuring • Clients with whom it has been agreed (and put down in writing) in the care contract or the care (treatment)/ life plan that systematic testing for problem behaviour is not to be carried out for the benefit of the Quality Framework Example of Registration Questions Has the client shown the following behavioural symptoms over the past 7 days? Yes, s/he has, namely: Verbal problem behaviour, description: the client shows threatening behaviour towards others, shouts at them and uses swear words Physical problem behaviour, description: the client hits, pushes, scratches or (sexually) intimidates others Anti-social or disruptive behaviour, description: the client makes upsetting noises, is loud, shouts, abuses him/herself, shows sexual or exhibitionistic behaviour, covers him/herself or throws food or faeces, hoards or rummages in other people’s belongings Refusing to accept care, description: the client refuses to take medication or accept injections, refuse to accept help at meal times or with day-to-day activities No, s/he has not. Unknown: The client wishes not to be tested for problem behaviour Unknown for other reasons Explanation This indicator is in line with the Minimum Data Set Resident Assessment Instrument (RAI), version intramural and extramural 48

4.10 Fixation Indicator The percentage of clients to whom fixation was applied V&V / ZT Nursing Home Care & Care Institution Care Enumerator The number of clients to whom fixation has been applied over the past 7 days by means of a restraint (for example the Swedish belt) or by having them chair-bound or by means of a restraining table-top. Denominator The number of clients with whom measurements were carried out on the day/in the week of measuring Not to be - measured with Example of Registration Questions Has fixation been applied to the client overt the past 7 days by means means of a restraint (Swedish belt), by means of having the client chair-bound or by means of a restraining table-top? Yes, it has. No, it has not. Unknown Explanation This indicator is in line with the IGZ Forms 2003-2006 49 Quality Framework Responsible Care - Nursing, Care and Home Care Bijlage II

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