Different Challenging behavior Behaviors

this is for educational purposes

1. Statue Game

2. A classmate keeps interrupting

3. A group member refuses to do their part in a project.

4. A friend is shouting at you in anger.

5. A co-worker ignores instructions.

6. A classmate is teasing you.

7. Someone is refusing to follow group work instructions.

8. A friend is ignoring you after a disagreement.

9. Responding effectively to difficult or challenging behavior Lesson 17

10. definitions Difficult and challenging behaviors are define as actions that detract the well-being of individuals due to physical or psychological distress. The patients affected can be either the initiator of the acts or those in the immediate surroundings.

11. Identify difficult or challenging behavior Due to illness, injury, or disability, a patient’s behavior becomes difficult to handle. Due to unfavorable conditions, a patient may become sensitive, get easily irritated, may often complain, and make unnecessary demands. There are patients who have chronic illness or disabilities and are more anxious than usual.

12. Common challenging / difficult behaviors Aggressive Forms of Challenging behaviors Non-Aggressive Forms of Challenging Behaviors Hitting Apathy Screaming Depression Kicking Repetitive noise Grabbing Repetitive questions

13. Aggressive Forms of Challenging behaviors Non-Aggressive Forms of Challenging Behaviors Nipping Making strange noise Scratching Constant request for help Biting Eating/drinking excessively Spitting Over – acting Choking Pacing Hair pulling General agitation Throwing objects Trailing Stabbing Inappropriate exposure of body parts Swearing Masturbating in public parts

14. Aggressive Forms of Challenging behaviors Non-Aggressive Forms of Challenging Behaviors Screaming Urinating in inappropriate Shouting Hoarding things Physical sexual assault Hiding items Verbal sexual advances Falling intentionally Acts of self-harm Eating in appropriate substances Noncompliance Misidentify

15. Applying response to difficult or challenging behavior Stay Calm & Non-Reactive – Remain composed to avoid escalating the situation. Listen Actively – Understand the root cause of the behavior (e.g., stress, frustration). Set Boundaries – Clearly communicate acceptable behaviors and consequences. Provide Positive Reinforcement – Reinforce good behavior when it occurs. Offer Solutions – Help the person find constructive ways to express their feelings.

16. Procedures in dealing with difficult or challenging behavior Always remain calm and balanced. Be patient Focus on difficult behavior, not on the patient. Ask the patient for request and politeness in a nice way Practice gentle assertiveness and stand up for oneself to avoid resentment, hurt, and angry feelings.

17. Apply Strategies in dealing with the difficult or challenging behavior 1. If a caregiver feels that he/she is being abused emotionally, verbally, or physically, he/she should get help immediately. He/she should call the attending physician and ask what the medical reason for the difficult behavior of the patient might be.

18. 2. A caregiver should be patient and understanding when a patient who needs help refuses to accept it. When establishing the patients own care plan, he/she should try to involve the patient to understand how and when he/she wants things to be done. The caregiver should tell the patient that he/she has the final say in deciding about his/her care. 3. If the patient becomes easily irritated, angry, demanding, and always complaining, a caregiver should not take it personally. The caregiver may ask the patient why he/she feels so bad and offer his/her help to make the patient feel better. A caregiver should always respect the patients demands even if they are pretty demands but are very important to him/her.

19. 4. A patient with anxious behavior may worry about the small details of his/her condition and medications. A caregiver may use gentle touch to calm the patient and assure him/her that things are under control. The caregiver may also give the patient some positive statements that he/she can mention repeatedly. A caregiver should distract the patients attention, so he/she can focus on something else to stop the thoughts that cause anxiety. 5. If the patient has disrespectful behavior, the caregiver should calm himself/herself. The caregiver may take a deep and relaxing breath and let the patient know what he/she had done and how the caregiver felt. The caregiver should set clear boundaries and tell the patient how he/she wishes to be treated. He/She should ask the patient what is wrong and listen to what the patient will say behind the disrespectful actions or words.

20. Planning safety and preparing the self and others when responding to difficult or challenging behavior Maintain a wide base of support. Stand with your feet comfortably apart and with one foot forward. Wear shoes that give your feet adequate support. Maintain good posture; chest up, head erect, and muscles of the abdomen and buttocks tightened.

21. 4. Use the muscle of your arms and legs and not your back when moving and lifting a heavy object 5. Carry heavy objects close to your body to minimize strain 6. Raise work surface to a sufficient height to reduce the need to stoop and bend. Stand as possible to the work area. 7. When possible, try to push, pull, roll, or slide the patient (heavy object) rather than lifting him/her (or it) 8. Get enough rest after exertion to prevent over fatigue or overstress.