Dementia
Communication
Agitation
De-escalation/Conflict
Behavioral Triggers
100

A general term for loss of memory and other mental abilities severe enough to interfere with daily life.

What is Dementia?

100

What percentage of communication is nonverbal? (20%, 40%, 60% or 80%)

What is 80%?

100

A raised voice is a sign of agitation. True or False?

What is TRUE

100

Yelling and screaming will help de-escalate the situation? True or false.

What is FALSE

100

This trigger may include: Being too hot or cold; needing to go to the bathroom; thirst; hunger; pain. (Physical, emotional, environmental, task, communicative)

What are Physical Triggers?

200

People with dementia always understand what you are saying to them, even if they cannot express themselves? (True or False)

What is False?

200

How would you position your body when approaching and communicating with a resident with dementia?

Approach from the front, get down to eye level, close but not too close.
200

Anger is always due to the situation occurring in the moment, in real time. True or false

What is FALSE.

Anger may be about something other than the situation at hand. 

200

To de-escalate, you must answer ALL of the agitated residents questions.

FALSE. Answering informational question is helpful. Do not answer/respond to abusive/accusatory questions.

200

These triggers may include: isolation; verbal outburst; repetitive questions; physical outbursts when not understanding personal care. (Physical, emotional, environmental, task, communicative)

What are emotional triggers?

300

Symptoms of this type of dementia include personality changes, socially and/or sexually inappropriate behavior. (Alzheimers, Frontal Lobe Dementia, Korsakoffs) 

What is Frontal Lobe Dementia or Frontotemporal Lobe dementia?

300

This form of communication has the most influence

What is non-verbal communication?

300

When it comes to hands, agitation can show in at least 3 ways, including:

What is balled fists, excessive hand gestures, and fidgeting

300

What are two things you should be aware of before beginning a de-escalation?

How are YOU feeling and is the environment safe?

300

These triggers may include: overstimulation to sounds, smells, sights; too much/too little light, a crowded place. (Physical, emotional, environmental, task, communicative)

What is environmental triggers?

400

Symptoms of this type of dementia include balance problems and frequent falls. (Alzheimers, Korsahoffs, or Lewy Body)

What is Lewy Body Dementia?

400

In order to effectively communicate, you must do this two times better than talking.

What is listening?

400

Where in the EHR would you look to identify a residents traumas?

Trauma Assessment (UDA) and Trauma Care Plan

400

Identify 2 negative impacts of conflict

Loss of trust

Loss of relationship

Resentment

400

These triggers may include: doing anything with too many steps, doing something that is unfamiliar or new, asking the resident to do something they are afraid to do. (Physical, emotional, environmental, task communicative)

What are task triggers?

500

This specific disease accounts for 50% to 70% of dementia cases. (Alzheimers, Vascular, or Lewy Body)

What is Alzheimers?

500

Nonverbal communication consists of what 3 things?

What is body language, facial expressions, and tone of voice?

500

How do you receive abusive words and curses from an agitated person?

Do not take them personally, do not become defensive.

Reflect that what they are going through is difficult and that you are here to help.

500

Identify 2 positive impacts of conflict when handled in a healthy way

Increasing understanding of the other person

Builds trust

Strengthens relationship/builds rapport

500

These triggers may include: inability to express wants, thoughts or needs; inability to understand. (Physical, emotional, environmental, task, communicative)

What are communicative triggers?