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CNA-NIC F25 Ch4.9
Identifying Communication Guidelines for Combative Behavior
| Question | Answer |
|---|---|
| What may happen when anger increases | a person may become combative |
| COMBATIVE | means violent or hostile |
| what is considered combative behavior | raising one's voice, yelling, hitting, shoving, kicking, throwing things, biting, spitting, insulting others and resisting care |
| what can combative behavior be the result of | a disease affecting the brain |
| what is a disease that affects the brain and can sometimes result in combative behavior | dementia |
| what can cause combative behavior | it may be due to worsening anger or frustration |
| what are some other causes of combative behavior | medication, pain, illness, or changes in health |
| what can be linked to behaviors seen or practiced in a persons childhood | combative behavior |
| combative behavior is generally not | a reaction to the caregiver |
| what should the caregiver keep in mind about combative behavior | should not be taken personally (generally not a reaction to the caregiver) |
| even though the combative behavior is not personal a resident who is combative may be | a threat to staff members, other residents and visitors |
| how can a nursing assistant promote safety | can observe for early signs of possible combativeness |
| what are some of the early signs of possible combativeness | pacing, tensing the body, a flushed face, and an angry look |
| if a nursing assistant sees that a resident is becoming combative they should | report it to the nurse immediately. |
| combative behavior may require | special techniques to manage it |
| Combative Behavior Guideline #1 | Call for the nurse immediately or get someone to call the nurse. Use the call light if you need to contact someone. Try not to leave the resident alone |
| Combative Behavior Guideline #2 | Keep yourself and other people at a safe distance from the resident. If a resident tries to hit you or does hit you, never hit back |
| when dealing with combative patients NAs should | step out of the way but never hit back |
| Combative Behavior Guideline #3 | Stay calm. Try not to appear threatening to the resident |
| Combative Behavior Guidelines #4 | Be reassuring. Consider what might have triggered the behavior and remove triggers when possible |
| Combative Behavior Guidelines #5 | Stay neutral. Do not respond to insults and do not argue with the resident |
| Combative Behavior Guidelines #6 | Follow the nurses instructions |
| Combative Behavior Guidelines #7 | Report facts you observed |
| Combative Behavior Guidelines #8 | When the resident has calmed down stay with her if she wishes to talk |
| Residents are sometimes abused by | their caregivers |
| when a resident is abused by their caregiver what is it generally a result of | often the result of a stressful situation such as the resident being combative |
| no matter how angry, hurt, or afraid nursing assistants are they can never | hit a resident |
| NAs should | remain calm and professional and report this behavior to the nurse |
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