Try: #striking out may be related to extreme pain stress fear or anxiety it may reflect changes to the brain caused by trans-ischemic attacks dementia or other conditions when a cr begins striking out it is important to look for possible medical causes for the behavior particularly if it is unusual or new behavior for the cr #striking out puts the cr and any caregivers at risk once a cr strikes out whether or not a caregiver is hit it is important to pay closer attention to any possible signs of distress leading up to the event such as raised tone or defensive body language #whether evaluating one incident or several it is useful to consider what was happening at the time what was the noise level how calm chaotic cluttered or busy was the environment #slow down and stabilize any care process that causes the cr significant anxiety such as bathing transferring or wound care #at the time an incident of striking out occurs see to the immediate safety of the cr and separate the people involved to make sure that both are safe and receive any needed care or counseling #make a plan to prevent or address future incidents consider who you will call for help or how you will change the care provided to try and avoid future incidents #if necessary discuss with the cr’s doctor whether medication may help treating an underlying physical cause or alleviating intense anxiety with medication may be useful

Materials: Physician visit safety plan

Categories: Behavior Challenging, Emotional Psychological, Mobility, Needs Much Assistance, Independence, Maximum Supervision, Cognitive Awareness, Somewhat Aware, Long-Term Memory, So-So L T Memory, Short-Term Memory, So-So S T Memory

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*This information is listed as a Tip and is not explicitly medically licensed