So here's the deal. I am an RN supervisor in a skilled nursing facility. We take a lot of rehabilitation stuff but we also have a good chunk of long term patients with dementia. We have had some issues with nurses just giving PRN's withoug trying other interventions first. This doesnt look good when the state comes in, the patient falls, or the family see's them all snowed. The DON has asked me to do an inservice for the nurses on behavioral interventions and proper documentation prior to med administration. Any suggestions?
Try the Alzheimer's Association website for ideas. When it comes down to it though, behaviors in the dementia population are usually driven by the basics.
Cold, thirsty, pain, hunger, toileting needs, boredom, lonely. Pain will be the biggest trigger. Are your resident's pain being adequately evaluated and treated?
Are they being stimulated too much, or not enough? Get your activity department to do more with them.
Also research validation techniques and distraction techniques. They really do work.
Last edit by ClearBlueOctoberSky on Sep 7, '13
: Reason: Grrr. Misspelling.