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5 Things You Need to Keep in Mind to Manage Behaviors

Last week, CMS Compliance Group’s President, Linda Elizaitis, spoke on a LeadingAge New York audio conference, “Managing Behaviors and Unnecessary Drugs.” With the increased focus from CMS on decreasing the use of anti-psychotics, you should be focusing on non-pharmacological interventions, so this is an important topic for your skilled nursing facility to address. Here are 5 things you need to remember when thinking about the behavior management programs in your facility:

  1. Make sure your individual resident-center behavior management plan is development and implemented by an interdisciplinary team.  Revisions to and the effectiveness of the plan should be documented in the medical record – show what’s working and what isn’t.
  2. Families should be a part of the care team when possible. They need to be aware of behaviors being exhibited and what the resident’s program is for managing the behavior.
  3. Behavior modification isn’t just for residents – it’s pertinent to your staff, too. Ensure they are using non-threatening approaches when engaging residents and not issuing orders.
  4. Your facility’s medical practitioner must make sure there are no medical issues causing a behavior problem. Could the cause be a UTI or acute delirium or that the resident is simply hungry?
  5. Use the resident’s history to find out what he/she liked in the past and use it as part of the plan of care.
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