Responsive Behaviors: The Person-Centered Approach presented by Nurse Clinician Koh Hui Mien from KTPH.

1. Responsive behaviours
The Person-Centred Approach
GeriCare@North_8th July 2019

2. APPROXIMATE AGE ACQUIRED ABILITIES LOST ABILITIES ALZHEIMER STAGE
12+ years Hold a job Hold a job 3 - INCIPIENT
8 - 12 Years
Handle simple
finances
Handle simple
finances
4 - MILD
5 - 7 Years
Select proper
clothing
Select proper
clothing
5 - MODERATE
5 years Put on clothes unaided Put on clothes unaided
6 - MODERATELY
SEVERE
4 Years
Shower unaided
Toilet unaided
Shower unaided
Toilet unaided
"
3 - 4.5 Years Control urine Control Urine "
2 - 3 Years Control Bowels Control Bowels "
15 Months Speak 5 - 6 words Speak 5 - 6 words 7 - SEVERE
1 Year
Speak 1 word
Walk
Speak 1 word
Walk
"
6 - 10 Months Sit up Sit up "
2 - 4 Months Smile Smile "
1 -3 Months Hold up head Hold up head "
Functional Stages in Normal Human
Development & Alzheimer’s Disease

3. So where can good care begin?
Know
the person
What name does he
prefer you to use?
Who and what has
been important
in his life?
What kind of lifestyle has
he been accustomed to?
What kind of job
did he have?
What are his likes and dislikes
(e.g. food, clothing)?
What routines
does he have?
What opinions and
beliefs
does he hold?

4. Useful information

5. Functional Analysis
ABC Model
“A”
Antecedents
“B”
Behavior
“C”
Consequences

6. ABC Model: “B” Behaviour
“B”
Behavior
Describe the behavior
What does it look like?
Frequency
Duration
Intensity

7. ABC Model: “A” Behavior
“A”
Antecedent
B
•What factors preceded the behavior?
•People
•Places
•Objects
•Time of day
•Activities occurring

8. ABC Model: “C” Behaviuor
A B
“C”
Consequences
•What happened?
•How did people react?
•What did the person get?
•What did the person avoid?
•What else changed?