General
Acute confusional state is also referred to as what?
A delirium
Psychotropic medication should be used as a first line treatment
False
It is a legal requirement for RACS providers to use behaviour support plans
True
What does SQiD stand for?
Single question in Delirium
Dementia or delirium?
85 y/o M - Rapid onset of confusion over past 1/7.
3/7 history of fevers, productive cough
Agitated + inherent speech
Delirium
Any behaviour or mood that is distressing to the person with dementia is classed as what?
Changed behaviour
What is required to be obtained prior to the use of a restrictive practice?
Informed consent
What are the 2 mnemonics for assessment of changed behaviour?
A-E
PIECES
Delirium has a slow and insidious onset
False
Is this a restrictive practice?
Physically holding a resident in place to administer medication
Yes - this is a form of physical restraint
Name 3 types of dementia
Alzheimers disease
Vascular dementia
Lewy body dementia
Fronto-temporal lobe dementia
Can also occur in Parkinson's disease and Huntington's disease
What type of restrictive practice involves the solitary confinement of the consumer?
Seclusion
A changed behaviour may be the result of what?
Disease progression
unmet physical, social or psychological needs
What can cause a delirium?
Specific illnesses - eg: UTI, pneumonia, dehydration, flu
Drug use (including alcohol)
Withdrawal from drugs
Is this a restrictive practice, and if so what type?
The use of a PRN antipsychotic in a consumer who is exhibiting wandering behaviours?
Yes - this is a type of chemical restraint
Name 3 matters that must be set out in a behaviour support plan
information about the person
information about the behaviour
information about the care strategies
information about the restrictive practice being used
consultation and consent
Name the 5 types of restrictive practice
Chemical
Physical
Mechanical
Environmental
Seclusion
Name 3 things we should take note of when a changed behaviour occurs
Who was involved
What was happening in the environment before it occurred
What actually occurred
Who was affected by the behaviour
How you responded and whether is worked
What are the different types of delirium?
Hyperactive delirium
Hypoactive delirium
Mixed delirium
Is this a restrictive practice, and if so what type?
Placing an ambulant resident's bed in a lo-lo position to prevent them from falling.
Name all the legislations that cover the use of restrictive practice across residential aged care, acute services and NDIS providers
Aged Care Act
Quality Care Principles + Restrictive Practice Amendment
NDIS Act
Mental Health and Wellbeing Act
Name 4 things that must be documented in the emergency use of restrictive practice
The consumers behaviours that were relevant
Alternatives considered/used
Reasons the restrictive practice was necessary
The care to be provided in relation to the behaviour
Informing the NOK/substitute decision maker
All assessments, information and decisions relevant
Additional advice/support sought
There are 5 categories of possible causes for changes in behaviour, what are they?
Health
Communication
Personal History
Environment
Performing Tasks
Name 5 management strategies in the treatment of delirium?
Find and treat the cause
non-pharmacalogical management - communication, reorientation
hydration and nutrition
glasses and hearing aids
sleep relaxation strategies
calm, quiet environment
Pharmacological strategies
Is this a restrictive practice, and if so what type?
The use of diazepam to treat acute alcohol withdrawal
No this is not a form of chemical restraint