Determine triggers to challenging behaviours and how to avoid the same. Enter triggers and appropriate interventions to minimise the incident of behaviours RN’s to be notified and evaluate interventions by RN every 3 months as per NCP evaluation STAR Health Care Behaviour Monitoring Outcome Chart Name Jo Surname Stan DOB May 29, 1935 MRN/CRN MRN: 12545626 23 | P a g e Star_CHCAGE005_Student_Assessment_Workbook_2019_v1.2
Date Identified Issues Triggers Interventions Sign/ Designation e. You might have to fill additional form to document the behaviours of Mr. Stan, Use the template below to document any new behaviours that has not been documented in behaviour monitoring Outcome chart used above. STAR Health Care Behaviour Monitoring Log Name: Jo Surname: Stan DOB: May 29, 1935 MRN/CRN: 12545626 DIAGNOSIS: LMO: Dr. Dre Purpose: To monitor challenging behaviour and identify triggers to problem Behaviour. Procedure: 1. RN to commence monitoring whenever staff reports challenging behaviour exhibited by resident that have not already been identified in the behaviour monitoring outcome form. 2. Determine new triggers to behaviour and implement interventions via the behaviour monitoring outcome form. 3. Continue monitoring the behaviour for up to 7 days to determine the effectiveness of interventions used. When What? Where? Who? Why? How? When did it happen What behaviour was observed? Be specific. Where did the behaviour occur? Who else was present? What else was happening? What may have caused or triggered the behaviour? How did others/staff respond to the behaviour? How did the resident react? date time 24 | P a g e Star_CHCAGE005_Student_Assessment_Workbook_2019_v1.2
e. If you have identified any behaviors of concern with Mr.Stan such as physical aggressive behavior and if you think the behavior might be a risk to staff/others, fill in the behavior of concern incident form. STAR Health Care Behaviour of Concern Incident Form NAME Jo Surname Stan Sex: Male DOB May 29, 1935 MRN/CRN MRN: 12545626 Diagnosis Dementia Date: Time: Name of the person completing the form Designation Does the resident/patient have a preexisting behavioural problem? Yes No 25 | P a g e Star_CHCAGE005_Student_Assessment_Workbook_2019_v1.2
Has the resident been aggressive before: Yes No Tick the most appropriate type of behaviour involved: Punch Hit Scratch Kick Spit Trip Yelling Racial Abuse Bite Grabing Pushing Throwing Objects Hair Pulling Bent Fingers Back Sexual Harassment Touching Unwelcomed Sexual Comments Abusive/offensive comments other. Tick what activity you were engaged in when the challenging behaviour occurred? Feeding Lifting Turning Dressing/Undressing Transfer/Transporting Bathing Grooming Awaken from Sleep Toileting Redirecting Other Activity __________________________________ Was there a trigger to this behaviour/ Incident? Yes No Did the resident appear anxious or agitated prior to incident? Is the resident on regular sedative/ psychotropic medication?
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