A Positive Approach - Duke University



Caring for Veteran’s with Challenging Behaviors

Toolkit for Case Analysis

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Putting your New Knowledge to Work!

Remember:

How You See IT

What You Know

&

How You Help

Makes a Difference!!!

How Can We Help With Challenging Behaviors?

|FIRST – Describe the Behavior |

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|What happens? Use OBJECTIVE words |

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|Description of Behavior |

|Classification: Dangerous? Annoying? Disruptive? Risky? |

|Priority for “fixing” |

|1 = highest |

|3 = lowest |

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|For your top priority behavior: -- Describe it using the ABC approach: |

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|When does it happen? |

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|Where does it happen? |

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|Who is involved? |

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|What is said? |

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|What is being done? |

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|How does it start? |

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|How does it stop? |

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|What happens afterwards? |

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|Consequences to date? |

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|Outcomes? |

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|Now…use the worksheets in your toolkit to do the detective work to find out what’s behind that behavior |

Then - Review what you know and don’t know. Fill in all the parts of the puzzle.

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Now, brainstorm and make your

plan as a team!

© 2002 All rights reserved. Adapted from Teepa Snow, MS, OTR, FAOTA Alzheimer’s Association-Eastern North Carolina Chapter

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BRAINSTORM –

Given all the pieces of the puzzle…

What do you think is going on?

□ Could the person’s level of cognitive function explain some of this behavior?

□ Could how the person was approached or helped have some impact?

□ Does the person have other medical or psychiatric conditions that might be active?

□ Could personal history (work, leisure, family religion, personality, or routines) play a role?

□ Could the environment or cues in it be causing some of the trouble?

□ Could the time of day or personal habits be a factor?

How would you explain the behavior of this person?

How would you explain the behavior of this person?

Now.. --- COME UP WITH AN ACTION PLAN!

• What will you try?

• Why/how do you think it might help?

• How will you know if it works?

• Who will be doing what?

• When will it be implemented?

• How will it be monitored?

• When will the impact be evaluated?

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