SHARE/Document
The SBOR system is an effective way to _____ information.
What is Share or communicate?
When a patient can understand or verbalize, this is the best indicator of pain.
What is a self-report? Ask them
Medication is the only intervention for responsive behaviours. True or false
What is False
Engagement in activities provides meaning and purpose in a person's day and diminishes this leading cause of responsive behaviour.
What is Boredom
The P in PIECES stands for _______
What is physical?
The resident is at risk for not receiving consistant person centered care when information sharing is not in place. T/F
What is TRUE?
Residents with this diagnosis are at higher risk of untreated or unmanaged pain.
What is Dementia?
Gerald is assessed for several behaviours and an oral pain medication is given. When should Gerald be reassessed using the same tool.
What is 1 hour
Stopping to say hello, hand holding, chatting, making eye contact and listening are all examples of ways to combat this frequent feeling amongst persons living with dementia.
What is loneliness?
Using the DOS tool, behaviours and context are charted at this time interval.
what is every 1/2 hour or 30 minutes
The tool titled DOS stands for _____________
What is Dementia Observational System
This pain assessment tool has more behaviours than PAINAD. It has 31 behaviours.
What is PACSLAC II
Mrs. Vine has dementia but is still able to consent to pain medication and verbalize when she is in pain. Her daughter Pauline is her SDM. Who will you ask about Mrs. Vines pain? Who will you get consent from for pain medication already ordered as PRN on Mrs. Vines Chart.
What is ask Mrs. Vine?
Persons living with dementia may feel overwhelmed or outpaced during care. This GPA strategy encourages care providers to take a momentary step back, allowing the person a moment to breathe and calm down and the care provider a moment to change their approach.
What is Stop & Go?
These are two not for profit organizations represented by the facilitators for this session.
What are Hospice Niagara and Alzheimer Society Niagara Region?
When documenting a behaviour/symptom you should also chart your interventions and the residents _____
what is response?
Pain and suffering that encompasses all of a person's physical, psychological, social, spiritual, and practical struggles.
What is TOTAL PAIN?
Attempt an analgesic trial & observe for changes is this step in identifying pain.
What is the last step or Step 5?
List three environmental changes that may reduce responsive behaviours.
What are sounds, smells, lighting, business, wayfinding signs, availability of items available to engage with etc?
Frank Dean is a new resident living with Dementia and no established pain baseline. He is observed for increased behaviour but you are not sure if his behaviours are new. Where can you get this information?
HINT use steps
What is ask family or usual caregiver?
It is important to document the effectiveness when trialing an antidepressant or antipsychotic for ______ months to _______ weeks.
What is 1 month to 6 weeks?
On the PAINAD assessment tool, under the category facial expression; sad, frightened, frown gives a score of ______
What is 1?
Shirly lives with end stage dementia and resists care supports every morning when her clothing is being changed. Different non-pharmacological approaches have been trialed and she is now crying and striking out during care. This is the next step.
What is assess for pain and/or trial pain medication?
Knowing a person's behavioural expression helps us to understand how and when to offer supportive strategies. Gentle Persuasive Approaches refers to these as the five stages of Behavioural Escalation.
What is Baseline, Anxious, Verbal, Physical, and Recovery?
An hour after a yelling match and physical altercation you observe Diane (a resident) return to having a normalized speech pattern, relaxed body language, and she was now willing to re-engage in routine activities. Diane seems subdued or reflective and you are aware that at this critical time or stage you should implement supportive strategies that promote stability and prevent re-escalation. What phase of the Escalation scale is Diane demonstrating?
What is the RECOVERY PHASE?