challenging behaviour nursing care plans

Challenging behaviour nursing care plans

Challenging behaviour nursing care plans are used by Care providers to ensure they can provide the best care possible to the people they support. We have put together this short insight in preparation of the full challenging behaviour nursing care plans we will be providing for free on our website.

What you need to consider when creating a plan:

Assessment and Diagnosis

  1. Comprehensive Assessment:

i. Conduct detailed assessments to identify triggers, frequency, and types of challenging behaviors. Use tools such as direct observation, ABC analysis (Antecedent, Behavior, Consequence), and Functional Behavior Assessment (FBA) to gather data​ (+ProActive Approaches)​​ (BioMed Central)​.

ii. Evaluate the patient’s medical history, current medications, and any underlying conditions such as dementia, psychotic disorders, or substance abuse that may contribute to the behavior​ (British Journal of Nursing)​​ (BioMed Central)​.

2. Nursing Diagnosis

i. Risk for Violence: Self-directed or other-directed due to aggressive behavior.

ii. Impaired Coping: Related to difficulty managing anger and frustration.

iii. Ineffective Communication: Due to limited verbal or non-verbal skills during episodes of aggression.

iii. Risk for Injury: Related to aggressive outbursts​ (Made For Medical)​.

Planning and Outcomes when creating a Challenging Behaviour Nursing Care Plan

  1. Setting Goals

  • Short-term goals: Patient will demonstrate decreased aggressive behavior within 48 hours. Patient will participate in therapeutic activities and interact with staff for at least 15 minutes, four times a day.Long-term goals: Patient will maintain reduced levels of aggression, effectively use coping strategies, and participate in ongoing therapy or community support​ (Made For Medical)​​ (British Journal of Nursing)​.
  • 2. Person Centered

    Incorporate patient’s values, preferences, and cultural background into the care plan. Ensure that the patient and their family are involved in the decision-making process​ (Nursing Process)​.


    Safety Measures:

    • Implement crisis management plans and ensure the physical safety of the patient, staff, and others. Use de-escalation techniques and have a secure area for isolation if necessary​ (Made For Medical)​​ (HealthTimes)​.

    Therapeutic Communication:

    • Build trust through consistent, non-judgmental, and empathetic communication. Use clear and simple language, and incorporate non-verbal communication techniques such as visual aids​ (+ProActive Approaches)​.

    Behavior Management:

    • Teach coping strategies like deep breathing, relaxation techniques, and journaling. Encourage positive outlets for emotions such as physical activities or creative expression. Utilize behavior modification techniques, including positive reinforcement for appropriate behavior​ (+ProActive Approaches)​​ (Made For Medical)​.

    Environmental Modifications:

    • Adjust the physical environment to reduce triggers for challenging behavior. Create structured routines and provide visual supports to help manage behavior​ (+ProActive Approaches)​.

    Social Skills Training:

    • Teach appropriate social skills to enhance the patient’s ability to interact positively with others and manage social situations effectively​ (+ProActive Approaches)​.

    Pharmacological Interventions:

    • Collaborate with healthcare providers to assess the need for medications to manage aggression. Monitor for therapeutic effects and side effects of prescribed medications like antipsychotics or mood stabilizers​ (Made For Medical)​.

    Evaluation of Challenging Behaviour Nursing Care Plans

    Monitoring and Adjusting:

    • Regularly monitor the patient’s behavior and the effectiveness of the interventions. Collect and analyze data to determine if the strategies are working or if adjustments are needed. Evaluate the patient’s progress towards the set goals​ (+ProActive Approaches)​.

    Collaborative Approach:

    • Involve a multidisciplinary team, including psychiatrists, psychologists, social workers, and occupational therapists, to provide a comprehensive approach to care. Regularly communicate and coordinate with team members to ensure cohesive management of the patient’s behavior​ (Made For Medical)​​ (+ProActive Approaches)​.
    What is apie in nnursing care plans?

    APIE (assessment, plan, intervention, evaluation) SOAP (subjective, objective, assessment, plan) and its derivatives including. SOAPIE (subjective, objective, assessment, plan, intervention, evaluation).

    Our full care plan will be available from our website for free here

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