Identifying behavior triggers tells you the 'rest of the story.' Prevention is the best medicine - and figuring out what triggers a resident's behaviors can help you implement simple environmental and interpersonal strategies to help residents with dementia or psychiatric issues feel more comfortable and in control. Environment Report (RN, LPN, CNA) 1. Does noise seem to trigger resident's behaviors? 2. If the resident's area is too congested or if he/she is in a crowded area, does this trigger behaviors? 3. Does lighting seem to trigger resident's behaviors? 4. Do cares seem to upset the resident? 5. Other Factors: 6. Please rate overall behaviors: 7. Are there approaches on the care plan that no longer work? Explain: ______________________________________________________ Suggestions:___________________________________________________ Staff Signature ____________________________________ Date________ Source: Good Shepherd Services.
Good Shepherd Nursing Home caregivers use the assessment tool on the right to gather information for psychosocial careplanning.
Resident ______________ Resident #________________ Room #________
(Please answer the questions below explaining any "yes" answer)
No____ Yes____
_____Music ____Intercom ___Other Residents
_____Alarm ____Phones ___Shift Change
_____TV ____Other___________________________________________
No_____Yes____
____Hallway ____Intruder
____Lounges ____Dining Room
____Other_________________________________________________
No____Yes_____
____Windows at end of hall ____Too little lighting
____Too much light ____Other________________________
No____ Yes_____
____Bathing (___Shower___Tub)
____ADL Cares __________Toileting
____Other__________________________________________________
______Time of day ______Better or worse with certain staff
______Shift change ______Roommate problems
______Sensory
____Poor vision
____Poor hearing
____Dislikes being touched
____Likes being touched
______Other_________________________________
_______Improved _______No change ________Deteriorated
No___ Yes___