Hey All,
I need some help care planning a resident who randomly sits down on the floor. She
has Alz. dementia, is on meds and seen by psyche services for her symptoms of the
dementia. She's been observed sitting down on the floor verses falling by staff.
It's a potential problem for her if she does so unsafely, but we can't curb the
behavior. Best thought is to care plan it as a behavior disturbance with a goal of
her sitting down without injury. We looked at monitoring her location to keep her in
view, monitored her for signs she was going to sit down so we could assist her, gave
her a length of time to be on the floor with supervision, provided for rest periods to
prevent fatigue with unsafe sitting, asked our psyche folks to help interventions and
follow-up, encouraged her to participate in Activity programs to distract her from the
behavior and documenting it when it occurs. Do you all have any other ideas to
contribute or insights/experiences that would be helpful?
Thanks muchly!
Susann Irwin, RN
MDS Coordinator
North Carolina
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