Hi Susann Irwin,
I use care plans from a book called Interdisciplinary Care Plans for
Long-Term Care written by Janie L. Krechting and Victoria E. Koper and
published by Aspen. They have care planning from the RAP's as well as
others. This one might be of help, it's basing the problem as a nerological
functional disturbance with behavior problems. Hope it's useful to you:
Problem: Behavior Problem r/t Alzheimer's Disease AEB (symptoms you say
she's having).
Goal: Will function at optimal level within her limitations imposed by
Alzheimer's disease AEB__________ by/through ______.
Interventions: assess resident's Alzheimer's s/s(agitation, cognitive
impairment(forgetful, poor judgement), gait problems, mood problems, motor
skills, self-care deficit, complications specific to this resident's
manifestation of Alzheimer's and the things you're doing to make her
safe,etc. Also include avoidance of stimulants such as chocolate, coffee,
tea. repositioning needs, and adaptive equip./devices. PT/OT/SLP eval,
balance rest and act., address any self image problems. Labs, CT scan.
ColleenW.RN
----- Original Message -----
From: <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, February 23, 2004 2:46 PM
Subject: Behavior Disturbance CP Help Needed
> 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
> �8^ � 2,CS�.�Ȩoj�~�i��zǫ�' ��ax z�'
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