Management of Challenging Behavior in Elderly People

The aim of this assignment is to explore challenging behaviour in the person with dementia. As it is outside the scope of this assignment to explore all the potential reasons for challenging behaviour, the focus of this assignment will be on challenging behaviour in the context of the communication of pain, using a case study to illustrate this. This assignment will describe challenging behaviours, the behaviours associated with pain, and the management strategies employed by nursing staff, using a person-centred approach to care. Finally, ways of improving the care provided will be explored and recommendations made. The rationale for choosing to discuss this issue is that I currently work as a staff nurse on an organic assessment†¦show more content†¦She exhibited frequent episodes of increased agitation of rapid escalation, with verbal and physical aggression, restlessness, disruptive and destructive behaviours evident. She also expressed beliefs that staff were keeping her against her will and were attempting to poison her, making frequent references to contacting the police. Ruth’s presentation was discussed in the initial multidisciplinary team meeting, which took place within the first week of her admission, and was expressed in terms of Ruth’s paranoid ideas and delusional beliefs. Gudgeon et al (2007) identify that the term challenging behaviour is often used interchangeably with the behavioural and psychological symptoms of dementia (BPSD), which suggests that challenging behaviour is linked to the disease process rather than any other cause. Consequently, as highlighted by McAuliffe et al (2008), the primary treatment for Ruth’s presenting behaviours was with antipsychotic medication, which is in keeping with the medical model of dementia. Ballard and Waite (2006) report that there is no evidence to support the efficacy of antipsychotic medication for treating dementia-related psychosis and behavioural problems. A recent study by Ballard et al (2009) indicates that there is an increased long-term risk of mortality in patients with Alzheimer’s disease who are prescribedShow MoreRelatedMulticultural Psychology Essay900 Words   |  4 PagesThe methodical study of human behavior in situations in which people from different cultural backgrounds interact defines multicultural psychology. Many consider multicultural psychology a fourth force in psychology study. Communication, interactions, research, and investigations into human behaviors give insight into how different cultures interact socially and how they live among the different ethnic groups. Many issues have emerged in multicultural psychology. 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