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Managing Behavioral Challenges

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Managing Behavioral Challenges

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Course Number:

This course is not approved by the California Department of Social Services (CDSS).

In your experience as a caregiver you will encounter challenging behaviors and will need to learn techniques to help managing these behaviors.

Course Information:
  • Online Training Course
  • Credit Hours: 1
  • How to Manage Disruptive Behaviors
  • How to Obtain a Behavioral History and Social Assessment
Helpful Instructions
 Purchasing Courses for Yourself Purchasing Courses for Yourself:

This Training course is delivered 100% online through our Online Campus. In order to enroll you in a course we will need to collect your First Name, Last Name and Email Address.

When you place your order we will create an account for you, or add the courses to your existing account if you are a return customer. Access to the Online Campus is based on your email address. If you are a return customer, please purchase using the same email address used previously to avoid creating a duplicate account.

The course(s) you purchase will be available within 10 minutes of purchase and your login information will be sent to the email address you provide.
 Purchasing Courses for Others Purchasing Courses for Others:

This Training course is delivered 100% online through our Online Campus. If you are purchasing for others or your employees, please make sure to provide the First Name, Last Name, and Email Address of the person who you are purchasing for.

IMPORTANT: Access to the Online Campus is based on email addresses. If you are purchasing for multiple people, each person must have a unique email address to access the Online Campus. DO NOT USE THE SAME EMAIL ADDRESS FOR DIFFERENT INDIVIDUALS!

When you place your order we will create accounts for each individual you are purchasing for. If you are a return customer, please purchase using the same email address used previously to avoid creating duplicate accounts.

Example: Jim is buying a course for Bob. Jim will provide Bob’s First, Last and Email before the course is added to cart. Jim then uses his personal information for the checkout process.

We understand no one likes to give out their information and that’s why we only require the course attendee’s First Name, Last Name and Email to add the course to your shopping cart.

The course(s) you purchase will be available within 10 minutes of purchase and each person’s login information will be sent to the email address you provide.


Course Description

This course is designed for you to learn how to obtain a behavioral history and social assessment, how to manage disruptive behaviors, activities for resident with dementia and medication used in dementia care.

Course Objectives

By the end of this course participants will be able to:
  • 1. Define the “Three D’s” in assisted living and residential care.
  • 2. Discuss important questions to ask when conducting a behavior and social assessment of a resident.
  • 3. Identify five key factors to consider determining the appropriateness of a resident placement in your Community.
  • 4. Explain the Solution Focused Model.
  • 5. Describe appropriate changes in the focus of activities for each of the three stages of dementia.
  • 6. Explain the core activity programs that should be offered.
  • 7. Define Resident Centered Care.
  • 8. Discuss the medications used for the treatment of dementia and the symptoms of dementia.

Course Outcomes

Hour One
  • I. The Three D’s (Dementia, Delirium, and Depression)
  • a. Sorting Through The Three D’s
  • I. Need to know what the resident is really experiencing in order to know how to properly manage any challenges
  • II. Behavioral History and Social Assessment
  • a. Obtaining Behavioral History of a resident can provide important information about the resident.
  • i. Prone to wander, Agitation, Aggression, Etc.
  • b. Social Assessments provide valuable information about the resident in a social context.
  • I. Customs, Practices, Fears, Joys, Attachments, Family Availability, Etc.
  • c. Questions to ask during Social Assessment
  • d. Assessment – Determine Fit
  • i. Key considerations during assessments to determine if a resident will be appropriate fit for your Community
  • III. Managing Behavior
  • a. Physical
  • I. Behavioral challenges can occur as a result of physical or physiological reasons. Examples: Pain, discomfort, medical problems, etc.
  • b. Emotional Health
  • i. Emotional problems can occur due to emotional or psychological reasons. Examples: Depression, hallucinations, fears, loss of loved one, etc.
  • c. Environment
  • I. Environmental issues can create behavioral challenges in a resident with dementia. Examples: Sensory overload, noise, lighting, etc.
  • d. Tasks
  • i. Tasks presented to a resident with dementia can create behavioral challenges.
  • ii. Examples of Issues and Solutions for Task Related Conditions
  • e. Communication
  • I. Communication can also contribute to a resident’s behavioral challenges.
  • ii. Communication is verbal, non-verbal, or both.
  • iii. Effective communication is key to working with residents with dementia.
  • f. Solution Focused Model
  • I. The 13 R’s to managing challenging behaviors
  • g. Modifying Behaviors
  • i. Anger and Agitation
  • ii. Aggression
  • iii. Anxiety/Restlessness
  • iv. Sundowning
  • v. Disruptiveness
  • vi. Sleep Disturbances
  • IV. Activities
  • a. Activities For Dementia Residents
  • I. Physically Stimulating
  • ii. Mentally Challenging
  • iii. Organized or Spontaneous
  • b. Core Programs For Dementia Care
  • i. Cognitive/Mental
  • ii. Physical – large and fine motor skills
  • iii. Life Skills/Work Activities
  • iv. Cultural and Religious
  • v. Sensory and Perceptual
  • vi. Pet Care
  • vii. Individual and Group Activities
  • viii. Outdoor Activities
  • c. Normalizing A Resident’s Day
  • I. A typical schedule for a resident’s daily activities
  • d. Raising The Bar
  • i. Resident Centered Care
  • 1. Is individual to each resident
  • 2. Centered around the resident’s time
  • ii. Three Keys To Doing Resident Centered Care:
  • 1. Obtain and maintain a thorough knowledge of the resident
  • 2. Observe the resident’s behavior and responses
  • 3. Listen and communicate with the resident to individualize care according to the resident’s needs
  • e. Working With Different Levels of Dementia
  • I. Stage I: Characteristics and Familiar Activities
  • ii. Stage II: Characteristics and Familiar Activities
  • iii. Stage III: Characteristics and Familiar Activities
  • f. Tips For Specific Behaviors
  • i. Yelling Out
  • ii. Wandering
  • iii. Sundowning
  • iv. Crying
  • v. Stripping
  • vi. Hallucinations/delusions/paranoia
  • vii. Physically disruptive behavior/aggression
  • V. Medications In Dementia Care
  • a. Agitation and Psychosis
  • I. Persons with dementia may experience a range of challenging behaviors associated with agitation and psychosis.
  • b. Medications That May Exacerbate Agitation and Psychosis
  • i. Theo-Dur
  • ii. Synthroid
  • iii. Anticholinergics
  • iv. Caffeine
  • v. Benzodiazepines
  • c. Pharmacologic Approaches to Problem Behaviors
  • I. Resident’s condition and medication should be periodically reviewed to determine the need for continued therapy.

Instructor: Josh Allen, RN

Josh Allen is a Registered Nurse with over 20 years of experience in senior living. As the Director of InTouch at Home, Josh oversees all aspects of business development, care, services, and operations for the organization. As a part of the SRG Senior Living family of companies, InTouch at Home delivers personalized care and services to clients living in senior living communities as well as private residences across three states.

Josh also serves on the board of the American Assisted Living Nurses Association, and represents AALNA on the boards of the Center for Excellence in Assisted Living and Coalition of Geriatric Nursing Organizations. Josh has previously served as President and CEO of Care and Compliance Group, a leading training solutions provider.

Additional Information

Canonical Link No
Course Type Online Course

Managing Behavioral Challenges