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Total Adult Day Health Care
Sample: ActivitiesCare Plan Manual
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AGITATION
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Related to:
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Alzheimer’s disease |
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Anxiety (only place this on care plan if it is a diagnosed problem) |
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Dementia |
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Mental illness |
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Cognitive decline |
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As Evidenced by:
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Participant becomes agitated during _______ (lecture, complicated crafts, etc.) activities
_____x per_______ (day, week). |
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Participant becomes agitated in the ___________ (afternoon, morning, near door, near
another participant, etc.) ____x a (day, week). |
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Participant becomes agitated when he or she doesn’t get his or her way ______x per
(day, week). |
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Participant becomes agitated if he or she is not sitting near _______________ (spouse,
friend, staff member, etc.). |
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Participant becomes agitated _____x per day characterized by ____________ (wandering,
inability to sit still, easily distracted, touching others, disturbing others/activities). |
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INTERVENTION
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Provide alternative activities to those that appear to cause agitation in participant.* |
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Remove participant from object of agitation. |
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If participant appears to be over-stimulated, move participant to area that is less
stimulating. |
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Provide participant with structured, but simple activities.* |
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Encourage and praise appropriate interactions with others when they occur daily. |
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Ensure that participant is not in area which increases agitation. |
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Ensure that participant is placed near (spouse, friend, staff member if possible)
daily. |
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Assess triggers of agitated behavior and provide modification of activities if appropriate.*
(List modifications, i.e., ensure that participant sits near or within eyesight of
favorite person, Provide reassurance that favorite person will return, place participant
in area he or she feels most comfortable, Allow participant to wander for ___ minutes
per day following ________, have aide/volunteer sit with participant during time
of day when he or she is the most agitated, etc.) |
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Gently redirect attention and provide distraction if participant becomes agitated. |
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Provide participant with choice of one or two activities in which to be engaged. |
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Speak to participant in calm and reassuring voice, inquire of participant as to what
is creating agitation/discomfort and address issue immediately each time agitation
occurs. |
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*The asterisk indicates that you will need to indicate the actual activities that
the participant enjoys, and how often will you provide them, see page 14. |
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GOAL
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Participant’s agitation during _______________ (lecture, complicated crafts, etc.)
activities will decrease to _____x per (day, week). |
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Participant’s agitation ___________ (afternoon, morning, near door, near another
participant, etc.) ____x a (day, week) will decrease to ______x per (day, week). |
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Participant’s agitation which occurs when he or she doesn’t get his or her way will
decrease to ______x per (day, week). |
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Participant’s agitation if he or she is not sitting near _______________ (spouse,
friend, staff member, etc.) will decrease to ______x per day. |
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Participant’s agitation characterized by _________ (wandering, inability to sit still,
easily distracted, touching others, disturbing others/activities) will decrease to
________x per day. |
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