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How to effectively deal with challenging
situations
Prevention
 Try to learn what triggers the aggression & watch for
danger signs.
 Try not to give orders, make requests of the person.
 Possibly reduce the demands on the person if you feel
they are over - stressed.
 Calm the person down.
 Calm yourself down - if necessary remove yourself from
the situation.
 Always leave yourself a way out.
 Could an outsider get the person to do the action
 Talk to someone about how you feel.
Avoid
 Avoid situations known to provoke the behaviour
 Create a calm environment
 Respect personal space
 Be flexible and sensitive
 Offer reassurance, help to understand environment.
 Praise appropriate behaviour
 Utilise non-pharmacological interventions.
 Know your client.
To manage
 Decide whether to take action or not
 If action is required, try to appreciate how the client feels and
why.
 Divert the client’s attention onto something else.
 Speak calmly and try to defuse the situation.
 Offer reassurance and understanding.
 Utilise non-pharmacological interventions.
 Don’t get involved in the issue or try to ‘win’ the argument
 Never penalise anyone for challenging behaviour
 Remember that some problems are never solved.
 If you can’t help, try to find someone who can.
Three tiers of strategy
 Proactive – things we teach
 Active – things we introduce to calm or distract
 Reactive – planned interventions
Proactive Strategy
 Learning
 Delivered in optimum
learning conditions
 Positive outcomes
 Enabling
 Address the need
Active Strategy
 Palliative
 Temporary – not designed
for deep effect
 Portable
 Quick thinking
 Return to proactive state
Reactive Strategy
 Last resort
 Principles of least restriction
 Non-physical or physical
 BILD accredited physical
interventions
 Critiqued – something is
failing
 Recorded and evaluated

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Challenging Behaviour

  • 1. How to effectively deal with challenging situations
  • 2. Prevention  Try to learn what triggers the aggression & watch for danger signs.  Try not to give orders, make requests of the person.  Possibly reduce the demands on the person if you feel they are over - stressed.  Calm the person down.  Calm yourself down - if necessary remove yourself from the situation.  Always leave yourself a way out.  Could an outsider get the person to do the action  Talk to someone about how you feel.
  • 3. Avoid  Avoid situations known to provoke the behaviour  Create a calm environment  Respect personal space  Be flexible and sensitive  Offer reassurance, help to understand environment.  Praise appropriate behaviour  Utilise non-pharmacological interventions.  Know your client.
  • 4. To manage  Decide whether to take action or not  If action is required, try to appreciate how the client feels and why.  Divert the client’s attention onto something else.  Speak calmly and try to defuse the situation.  Offer reassurance and understanding.  Utilise non-pharmacological interventions.  Don’t get involved in the issue or try to ‘win’ the argument  Never penalise anyone for challenging behaviour  Remember that some problems are never solved.  If you can’t help, try to find someone who can.
  • 5. Three tiers of strategy  Proactive – things we teach  Active – things we introduce to calm or distract  Reactive – planned interventions
  • 6. Proactive Strategy  Learning  Delivered in optimum learning conditions  Positive outcomes  Enabling  Address the need
  • 7. Active Strategy  Palliative  Temporary – not designed for deep effect  Portable  Quick thinking  Return to proactive state
  • 8. Reactive Strategy  Last resort  Principles of least restriction  Non-physical or physical  BILD accredited physical interventions  Critiqued – something is failing  Recorded and evaluated