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 On some occasions, he throws items, but then may become quiet and withdrawn.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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