Patient Needs
Reduce distress and maintain safety when a resident becomes upset, agitated, or potentially aggressive.
What Should I Assess?
- Signs of agitation, fear, frustration, or escalating behavior.
- Possible triggers: pain, confusion, unmet needs, overstimulation, or communication difficulties.
- Immediate safety risks to the resident, staff, or others.
How Do I Provide Care?
- Stay Calm: Speak slowly and use a respectful tone.
- Listen Actively: Allow the resident to express concerns without interruption.
- One Speaker: Avoid multiple people speaking at once.
- Avoid Confrontation: Do not argue, blame, threaten, or make personal attacks.
- Offer Choices: Provide reasonable alternatives to restore a sense of control.
- Give Space: Maintain personal space and avoid unnecessary physical contact.
Safety & Precautions
- Prioritize personal and resident safety.
- Maintain access to an exit; avoid blocking the resident’s movement.
- Do not attempt physical restraint unless specifically authorized, trained, and acting under applicable emergency procedures.
- Request assistance when behavior escalates or safety is threatened.
What Should I Report?
- Threats, aggression, or unsafe behavior.
- New or worsening agitation or confusion.
- Suspected causes of distress.
- Actions taken and the resident’s response.
Related
Sources
- CNA Module 3 — Interpersonal Skills
- NICE — Dementia: Assessment, Management and Support
- Facility de-escalation, behavioral-response, and workplace-safety procedures (verify at clinical site)
Flashcards
What is an initial de-escalation priority?01-foundations / patient-care
Answer
Remain calm, listen, reduce stimulation, and maintain safety.