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Clinically managing disruptive behavior on the ward.
Journal of Gerontological Nursing
|August 1, 1991
Summary
Managing disruptive yelling in patients requires a behavioral analysis approach. Caregivers can improve care quality by modifying environments, monitoring behavior, and understanding their own roles in creating positive client responses.
Area of Science:
- Gerontology
- Psychiatry
- Nursing
Background:
- Disruptive yelling in patients often leads to negative outcomes such as physical restraints and psychotropic medication overuse.
- Caregiver frustration and feelings of powerlessness can negatively impact the quality of care provided.
Observation:
- Behavioral analysis offers a structured method for caregivers to identify, modify, and manage challenging behaviors.
- A multi-faceted approach combining environmental improvements, continuous monitoring, medication management, and individualized care is key.
Findings:
- Implementing behavioral analysis strategies can make noisy behavior more manageable.
- Caregivers' self-awareness and proactive role in creating a positive environment are crucial for client response.
Implications:
- Effective management of disruptive behaviors can reduce the need for restrictive interventions.
- Improved caregiver strategies can enhance the overall quality of care and patient well-being.