I'm just wondering if the social worker can, of course, do an evaluation including seeing if the doctor feels a psychiatric consult is appropriate. But I would also speak to the social worker about how disruptive this resident is to the whole facility and see if there's any family to help get involved. In this case, I would keep the family updated, so if something did happen to a nurse or another resident (another resident or resident's family can report it as verbal abuse and/or hostile environment to live in and take action legally) they would have been informed of this behavior prior. In our facility, our social worker would go through the whole medical/psychological work-up with the doctor, then approach the family/resident in a meeting and inform them that the resident could be asked to leave/find another facility if she/he continues to be abusive/disruptive. Even if there's a psychiatric or medical reason or if that it "just how she is" for the behavior it needs to be addressed/taken care of involving the social worker, physician. resident and/or family if she has any.
Would you like to comment?
