Difficult residents affect the whole facility. I agree with the documentation point. That is critical. I also feel a family conference is in order. One that includes the resident, the Doc (if possible), a floor nurse, Soc worker, Activities person, the family and the DON. Discussion needs to include possible private duty aides, companions or sitters to help with the residents' needs. Resident and family both need to be made aware that the residents' many calls and needs pull staff away from other responsibilities they have. Bring the chart with you and point out the times/episodes that have occurred. Ask the family to come in weekly (or more often) and take her/him out for a few hours. Ask them to bring in the residents' favorite pics/mementos, foods, etc. You need to get her involved with other stuff, take her for rides, wear her out wiith love! Encourage teamwork! (lol)