Dementia Behaviour Management Advisory Service

1800 699799

Environmental context of behaviour? What are the triggers and factors?

What was happening around the person? What happened before the incident? OR
What are the causal factors?
Was another person involved?
What do we know about the person to
Is behaviour consistent with: explain the behaviour?
= Antecedents or Activating Events Culture / Age / Family / Work / Interests /
•the person (their personality)?
& Analyse Fears / Lived Experiences / etc
•their type of dementia
•their recent behaviour?

Duration of behaviour:
Exact description of events: Be specific What is being communicated? How long did it last?
What happened? What was said? To whom?

Pattern & Timing:

Frequency: Is there any pattern to the behaviour?
•How often does behaviour occur: Hourly/Daily/Weekly Does it occur at the same time every day or week?
•Use a Behaviour Monitoring Log to demonstrate the Does it occur during certain activities, places or
facts of the frequency = Recognize Behaviours around visiting times?
Or different?
What reactions from observers!
Shock? Fear? Disgust? Anger? What are the effects of the During behaviour: Consider Safety Issues
behaviour? •to staff
•to the person with dementia
Reaction of the person with behaviour: • to other people nearby
Any insight? Remorse ? Ability to change? What to do immediately?
First Aid!
First Aid Strategies: = Consequences
•Self control After behaviour: Reflect on interactions
•Step back between the person with behaviour, carers and
•Maintain safe distance other persons
•Don’t confront How to keep safe?

Implement Intensive Behaviour Monitoring? More First Aid Strategies:

Implement Care Modelling? •Don’t argue
•Assess and ensure safety of others
•Use de-escalating communication techniques
= De-escalate & First Aid
•Get help

Staff brainstorming session

case conference /team meeting Define GOALS / Whose GOALS
Family conference How to Respond? Are they reasonable?
Use cultural experts, Life Book and Best Are they achievable?
Practice information . Do they enhance quality of life for person
with dementia and others?
Psycho-social/behavioural or
Pharmacological Response?
= Decide Create Individual Person-Centred-Care Plan

Engage the person with Meaningful

What next?
Activities
that relate uniquely to them Evaluate for success
(roles / tasks / hobbies / skills / interests) OR
Re-evaluate to fine tune
OR
= Engage: Educate : Evaluate Start again!
Education for Carers

Helping Australians with dementia, and their carers