Unmet needs
Scenario:
Resident is pacing and repeatedly asking to go home.
What is anxiety, confusion, or need for familiarity/reassurance?
Resident shouting at staff.
What is use calm voice and validate feelings?
Resident appears agitated and restless.
What is assess for unmet needs first?
Resident becomes aggressive during showering.
What is fear, pain, or vulnerability (unmet emotional/physical need)?
Resident refuses care.
What is offer choices and give control?
Resident verbally abusing staff.
What is stay calm, don’t argue, de-escalate?
Resident is yelling and refusing meals.
What is pain, dislike of food, or unmet preference need?
Resident becomes agitated in noisy dining room.
What is reduce environmental stimuli (move to quiet area)?
Resident attempts to leave facility.
What is ensure safety, redirect, and escalate if needed?
Resident wandering at night.
What is toileting need, discomfort, or disrupted sleep cycle?
Resident hitting staff during care.
What is step back, ensure safety, re-approach later?
Behaviour escalating and risk of harm.
What is ensure safety and escalate immediately to RN/manager?
Resident suddenly withdrawn and not engaging.
What is depression, fatigue, or emotional distress?
Resident highly distressed and confused.
What is reassure, validate, and redirect attention?
Unsure if behaviour is reportable.
What is report and escalate anyway