1. Dementia: Dealing with Problem Behaviors Betty Robison, MSN, RN-BC
Presented by:
Kelly Covone-Henning,MA,ACC Aging Educator and Community Resource Coordinator and Betty Robison,MA, Betty Robison, MSN, RN-BC Gerontology Educator

2. “I am Sylvia. I was Sylvia before I was diagnosed, and I am still Sylvia after being diagnosed. I'm still the same person — treat me the same way. Talk to me the same way. Include me in the conversation as you would before."
Alzheimer's blog Voices of people with early-stage Alzheimer's By Angela Lunde October 5, 2010

3. Challenging Behaviors
Resistance
Wandering
Repetitiveness
Accusatory/verbally abusive
Frustration/agitation/aggression
Withdrawal

4. Always remember…… All behavior has meaning so
How good are your skills?
Flexibility?
Teamwork?
Routines on unit?

5. Behaviors related to…..
Environment
Unmet needs
Personal Factors

6. Top 5 Strategies 1. Approach and Communication
3 C’s - Calm, Caring and Communication
Look friendly
Smile
Eye contact
Tone of voice
Reassure

7. Top 5 Strategies continued
2. Your ability to redirect (verbal/non-verbal)
Know their history
Change the subject discretely
The truth or not the truth
One step instructions
Cueing as needed: physical/verbal
Actions speak louder than words

8. Top 5 Strategies continued
3. Your ability to be flexible
Go with the flow
Re-approach later

9. Top 5 Strategies continued
4. Interpreting their verbal and nonverbal responses
Pain?
Hunger?
Bored?
Restlessness?
Distressed?
Lonely?

10. Top 5 Strategies continued
5. Entering their reality
What do you know about them?
Family
Occupation
Religion
Beliefs
Likes/dislikes

11. Motivational and Inspiring Videos: Tom Hussey

12. Motivational and Inspiring Videos: Tom Hussey

13. Motivational and Inspiring Videos: Tom Hussey

15. Resources Aging Institute of UPMC Referral Line: 1-866-430-8742
Website: aging.upmc.com
Disability Resource Center
VP/TTY:
Alzheimer’s Association
Help Line:
Website:
UPMC Geriatric Centers
Montefiore Hospital
Shadyside Hospital
St. Margaret Hospital

16. Questions?