江苏悦达投资股份有限公司 章 程 7

1、Management of Challenging BehaviourMike HolliganNurse ManagerScottish Neurobehavioural Rehabilitation ServiceRobert Fergusson UnitFACTS AND FIGURESOpened in January 1992National UnitTreatment of head injured adults with associated challenging behaviourMulti disciplinary approach (51.60WTE Nurses, 3

2、psychologists, 1.5 SALT, 2.5 OT, Physio, Art Therapy, Associate Specialist, Dietitian, Neuropsychiatry, Social work)FACTS AND FIGURES19 BEDDED UNIT (12&7)TREATMENT APPROACH NON AVERSIVEIABA LaVIGNA & WILLISTREATMENT PHILOSOPHYRAID DAVIES APTAIMS OF THE ROBERT FERGUSSON UNITTO PROVIDE A NATIONAL SERV

3、ICE FOR THE MULTI-DISCIPLINARY ASSESSMENT AND REHABILITATION OF PATIENTS WITH BEHAVIOURAL AND PSYCHIATRIC COMPLICATIONS OF ACQUIRED BRAIN INJURYTO PROVIDE THERAPEUTIC PROGRAMMES WHICH PROMOTE MOBILITY, OPTIMUM PHYSICAL FUNCTIONING, INCREASE COGNITIVE AND SOCIAL SKILLS AND REDUCE PHYSICAL AND MENTAL

4、DISABILITY.TO PROVIDE OPPORTUNITIES FOR SOCIAL AND RECREATIONAL ACTIVITIES.TO PROVIDE SUPPORT AND ADVICE TO RELATIVES, CARERS AND RELEVANT PROFESSIONALS.TO PROVIDE A HIGH QUALITY AND STANDARD OF TREATMENT, CARE AND THERAPY.HOW MANY TREATED304 referrals (up to December 2002)114 patients admitted sinc

5、e January 1992Five patients have been re-admitted. Define the Challenging BehaviourClosely observe the behaviourDefine parametersAgree what is challenging behaviourPositive Programming StrategiesTeaching New BehaviourCommunication StrategiesTeaching more appropriate alternative behavioursAssuming a

6、meaningTHE RAID PHILOSOPHYTwo philosophies are fatally flawedPunishment: whereby you spot the things the person does wrong, and ask yourself “What can I do so s/he doesnt do that again?Extinction: whereby you work out what the person “gets out of their behaviour, and resolve that s/he wont get it an

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