Gads!! Not Haldol! If you must try something try respirdol or
zyprexa first. I have never had anything but bad luck with Haldol even at a low
dose in anyone. Have even seen seizures. Nasty stuff!! Have you tried giving him
something to hold/carry when he walks the halls? How bout the magazines he
likes/ Could he push the med or treatment cart for you till he gets tired? What
about a broom or something to keep him busy. How about searching through old
records and seeing if there is any mention of this behavior from his mother when
they were first admitted? Does the family have any ideas about why? Or what to
do? When did this specific behavior start? Just since the room
move?
Another thing to think about--all persons, even persons with MR, could
get "sundowners'" syndrome--dementia with psychomotor agitation. POSSIBLY a
psych consult would clarify the issue--and a LOW dose of Haldol (like 0.25 mg
qpm) COULD help. Your local DDA or a local facility who works with MR clients
on a regular basis could also help...
On Thu, 15 Apr 2004 09:36:31 -0700 "Park Lane MDS" <[EMAIL PROTECTED]> writes:
He has had problems with this for the 6 years I have
been here. He does like to, and does look at magazines. I
don't believe this is due to the move. We moved him back to the room
he was originally in when his mother was here. When she died, the
administration had him moved to another room. That was 3 years
ago. I do know his mother kept a tight rope on him. I am just
not sure what to do with him, or how to care plan this. Is this
normal for someone with down syndrome. We are seeing some other
changes also with him. He stays up late at night, wanders the halls,
he used to stay in his room throughout the day, and look at his magazines,
but now he is up waundering the halls. Had blood work done on him,
came back fine.
Not sure what else to do. He does not communicate
verbally, so we are unable to an answer to our questions. Family
wants to keep him safe and comftorable, but nothing heroic. So I am
trying to find out info on down syndrome and learn how to deal with the
challenges with them,.
Is this a behavioral problem r/t the
move??? Has he displayed this behavior in the past or is it
new??
Sounds like anything you �put� on
isn�t going to work. Is there anything else he enjoys. We
have a resident with severe MR that likes to hold a picture of animals.
It helps calm him and he doesn�t grind his teeth like he usually
does when he�s tense.
Heidi
Ebertowski,R.N.
MDS
Care Coordinator
Valley
Memorial Homes
Grand
Forks, ND
(701)787-7937
fax (701)787-7901
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-----Original
Message----- From: Park
Lane MDS [mailto:[EMAIL PROTECTED] Sent: Thursday, April 15, 2004
10:36 AM To:[EMAIL PROTECTED] Subject: ideas
needed
I
have a question for the group. I am at wits end, and I am looking
for any suggestions. I have a male resident who is in his 60's, he
has downs syndrome, I recently inhearited his problem from the other mds
coordinator when a room swap was done. But I digress.
The problem we are having is he is constantly chewing on both of his
thumbs. He chews on them at the knuckle part, and he has them red,
sore, and the doctor would like something done. We have tried
different types of flavors, like tobacco, hot sauce, bitter tastes,
putting band aides on them. He is not fased by the tastes, and he
removes the band aides, and throws them in the trash. We thought
about biker gloves, but he would not leave them on. So I am in
need of help. Any ideas will be greatly appreciated. You can
email me privately if you want.
