Welfare

Two part case study – headings may be used

Part 1 Provide an ABC Chart in a table format with no more than three entries

Part 2 Discuss in a holistic manner and take a biopsychosocial approach (including ecological / environmental) when considering the need for a comprehensive, holistic assessment to understand the many factors that may influence the behaviour of an elderly, former refugee Chinese, gentleman diagnosed with Dementia now residing in an Australian Nursing Home – he has lived in Australia for 10 years. Apply your understanding of how a biopsychosocial model supports a person with challenging or distressed behaviour, such as; distressed, aggressive, pushing, punching, and verbally abusive. On some occasions, he throws items, but then may become quiet and withdrawn. Also discuss how distressed behaviour is a form of communication, and the role the environment plays in challenging behaviours. Additionally, explore and understand the role staff, and family play in supporting a person with challenging or distressed behaviour.

RECOMMENDED READINGS:

Almvik, R., Rasmussen, K., & Woods, P. Challenging behaviour in the elderly-monitoring violent incidents. International Journal of Geriatric Psychiatry 1(4), 368-374

Andrews, G.J. (2006). Managing challenging behaviour in dementia. British Medial Journal, 332(7544), 741

Caltabiano, M.L., Sarafino, E. P. & Byrne, D. (2008). Health psychology-biopsychosocial interactions (2nd ed.). Australia: John Wiley & Sons Ltd.

Carr, E.G., & Levin, L. (1994). Communication-based intervention for problem behaviour: A user’s guide for producing positive change. America: P. H. Brookes.

Elliott, K. S., Di Minno, M., Lam, D., & Tu, A.M. (1996). Working with Chinese families in the context of dementia. In G. Yeo & D. Gallagher-Thompson, Ethnicity and dementia (pp. 89-108). Washington: Taylor & Francis

McVilly, K.R. (2002). Positive behaviour support for people with intellectual disability: Evidence-based practice, promoting quality of life. Putney, NSW: ASSID; Rerinted in 2012.

Moniz-Cook, E., Bird, M., & Rowe, J. (2003). Sensory stimulation in dementia. British Medical Journal, 326, 661-66.

Moniz-Cook, E., Woods, R. T., & Richards, K. (2001). Functional analysis of challenging behaviour in dementia: The role of superstition. International Journal Geriatric Psychiatry, 16, 45-56.

Scott, A., Lewis, D., Lougling, N., & Chambers, M. (2005). Dementia and challenging behaviour: The needs of family caregivers. Nursing Older People, 17(1), 26-31.

Repp, A., & Horner, R. (1999). Functional analysis of problem behaviour: From effective assessment to effective support. Canada. Wadsworth Publishing Company.

Rodney, V. (2000). Nurse stress associated with aggression in people with dementia: its relationship to hardiness, cognitive appraisal and coping. Journal of Advanced Nursing, 31(1), 172-180

Verkaik, R., Van Weert, J.C.M., & Franke, A.L. (2005). The effects of psychosocial methods on depressed, aggressive and apathetic behaviours of people with dementia: A systemic review. International Journal Of Geriatric Psychiatry, 20(4), 301-314.

-Weber Long, S. (2005). Finding solutions to difficult behaviour. In Caring for people with challenging behaviours: Essential strategies and successful strategies in long term care. Maryland: Health Professionals Press. (Explains use of ABCV behavioural assessments).

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