Monday, December 05, 2016

Responsive Behaviour (Note from Peter Wiebe)

Psychosocial Models for BPSD (Behavioural & psychological Symptoms of Dementia)/Responsive Behaviour

  • Unmet needs model
  • Behavioural/learning model
  • Stress-threshold model


Common Stressors Leading to Challenging Behaviours

  • fatigue
  • change of environment, routine or caregiver
  • misleading stimuli or inappropriate stimulus levels
  • internal or external demands to achieve that exceed their functional capacity
  • physical stressors, such as pain, discomfort, infection, acute illness and depression
  • affective response to loss


Staff Perception and Attitude

  • Non-beneficial
    • attitude that sees this as interfering with our job
    • becoming defensive
    • power struggles
    • they are doing this "on purpose"
  • More beneficial
    • be aware of who and what "pushes your buttons"
    • be flexible
    • "self-talk"
    • say nothing when upset
    • acknowledge their feelings and don't deny your own

Person Centred Care by Dawn Brooker

  • V = a value base that asserts the absolute value of all human lives regardless of age or cognitive ability
  • I = an individualized approach, recognizing uniqueness
  • P = understanding the world from the perspective of the service user
  • S = providing a social environment that supports psychological needs.

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