Healthcare Report: Managing Behaviors of Concern in Patients

This report provides a comprehensive overview of behaviors of concern within the healthcare context. It explores various aspects, including the identification of concerning behaviors such as aggression, depression, and self-harm, along with their potential causes, which may be medical, psychiatric, or environmental. The report delves into effective management strategies, emphasizing the importance of a calm approach, active listening, and the use of techniques like social stories and ABC charts for behavioral observation. Furthermore, it addresses ethical and legal considerations, including duty of care, patient rights, and the role of advocacy, self-determination, and confidentiality. The report also examines organizational policies, mandatory reporting, and the significance of human rights treaties in ensuring patient well-being and outlines various communication strategies like reality orientation and validation. Finally, it covers the importance of work role boundaries and the application of negotiation, mediation, and facilitation in resolving conflicts, offering a holistic perspective on managing patient behaviors within healthcare settings.

Assessment

Table of Contents
MAIN BODY.............................................................................................................................2
REFERENCES.........................................................................................................................16

MAIN BODY
1.
 Fatigue
 Disruption of sleep pattern
 Loss of control over behavior
 Sense of failure
 Defensive behavior
 Misunderstanding
 Fear
 Anxiety and mood disorder
2.
 Stay calm and pay attention
 Be flexible
 Listen and try to understand
 Find a solution
 Adapt a non-threatening body posture
 Do not harm the client
3.
 Depression
 Hide away from people
 Stop enjoy the things
 Bipolar disorder
 Aggression
 Not sitting still
 Hitting out at others trying to help
 Act different from regular days
4.
Behavior of concern is any behavior which cause stress, worry, risk that affect the
regular life of an individual. Examples:

 Physical or verbal aggression
 Self- injury
 Property destruction
 Impulsive behavior
 Hyper-sexuality
 Impulsivity
 Aggressive behavior
 Depression
 Stress
 worry
5
 self-injury
 Aggressive nature
 Stressful
 Depressed
 Excessive worry
 Impulsive in nature
6
Medical and psychiatric are considered as a cause that influence behavior of concern
7
 Mental illness
 unable to understand the other’s view
 noise
 temperature
 Light
8.
 Stay calm and listen them first
 Show empathy

 Deliver a prompt reply
 Figure out the solution
 Review and never argue back
9.
 Try to understand the cause of repetitive behavior
 By isolating and addressing the cause that helps to reduce the cause
 Use social stories to help the child deal with social situation.
10.
ABC is acronym and a way of characterizing resultant behavior. Here A stands for
antecedent, while B is behavior and C is consequence. Overall, it is a chart which is used to
observe the overall situation of a patients.
11.
An organization should ensure that it comply with clear guidelines regarding to
management of behavior so that risk or any triggers may be identified. On the other hand,
workers should abide by all the policies and procedure that are put in an organization. Also,
company should also ensure that a comprehensive personal plan is also takes place which
assist to identify the need for a use of physical intervention (Schmidt, Faieta and Tanner,
2020). Hence in this way, both workers and employers ensure and adhere the policies.
12
 Through direct observation notes
 Structures record keeping
 Interview with key staff members regarding client management
 Staff questionnaire
13
 Worker’s ability and experience
 Established organization procedures
 Knowledge of individual client
 Underlying the employee’s causes of their behaviour

14
 Through internet
 Through website
 Records and documents
 Social media
 From owners and manager of a company
15
 Speak slowly
 Back off where possible
 Call for help
 Keep calm
 Leave a person to calm down, wherever possible
 Remove other from environment
 Be aware of body language and tone of voice.
 Show respect and treat people equally
16
There are seven core international human right treaties which Australia agreed to be
bound by:
 International Covenant on Civil and Political Rights- external site (ICCPR)
 International Covenant on Economic, Social and Cultural Rights- external
site (ICESCR)
 International Convention on the Elimination of All Forms of Racial Discrimination-
external site (CERD)
 Convention on the Elimination of All Forms of Discrimination against Women-
external site (CEDAW)
 Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or
Punishment- external site (CAT)
 Convention on the Rights of the Child- external site (CRC)
 Convention on the Rights of Persons with Disabilities- external site (CRPD).
17.

Duty of care is an obligation to avoid the acts which could be foreseen to injure of
harm other people and if such situation found then it is consider as a breach.
18
Reality orientation is a communication strategy which helps to keep engage people
with the work and connect with surroundings. Through the people behaviour changes and
they understand the people in better manner (Michael and Zidan, 2018).
Validation is a way of communication through which recognition and acceptance of
another person’s thought, feelings and sensation are easily understood. Hence, it is a way that
helps to understand each other feeling and provide the solution as well.
Frequent reminiscence to connect with person: by analysing past behaviour of a
person and rewarding them will help to meet them and provide best solution as well.
19
 Medical record
 History and background
 An account of assault
 Result of physical examination
 Test and their results
 Treatment plan
 Patient education
 Referral given
20
 Tone
 Vocabulary
 Perspective
 Sentence structure
 Storytelling
 Imagenry
21

Likelihood of challenging behaviour is reduce by implementing behavioural plan
such that it will assist to reduce the chances of implementing the issue and this is somehow
affect the results in positive manner as well.
22
Self- determination is a right of a people that helps to determine its own destiny.
Hence, it assist a people to choose their own political status and determine own form of
economic and social development.
23.
The self-advocacy movement is began in Sweden which is spread across the North
America. Also, it means that individually or group of people with intellectual disabilities
speak or act on behalf of themselves so that it will affect other directly. Through this
movement, people speak for themselves and for others with disability and also taking control
over their lives as well (Kimball and et.al., 2016). The term also have three parts such that
knowing yourself, determine own needs and identify how to get what a person need. Hence,
with the help of self-advocacy, a person may able to make own decision and gaining self-
confidence as well as self- respect.
Values:
 People are not define by their mental illness or disability
 They can take their own decision
 Consumer are valued as individual
 They must be treated equal even they are disable.
Philosophies:
 Understand own rights
 Lean about own disability, needs, strength and weakness that helps to describe them
easily.
 May ask question whenever they need clarification
 Candidate have an equal partner within education
 Let other know that they intend to resolve the issue.
24.

Work role boundaries is the term used to identify own duties, rights and limitation of
facilitators. So in an organization, every employee have their own role and responsibility
which assist to meet the set target of a company. It is essential to know work role boundaries
because a blurred line with management expectation may lead to stressful and frustrating
environment and that is why, a work boundaries need to be set.
25.
i.) Employees rights are to know about health and safety matters, right to participate in
decision and right to refuse the work that may affect their health and safety. On the other
side, employee responsibility is to take reasonable care of their own health, cooperate with
employers in order to comply with OHS requirement and last is take care for others who may
affected by any hazard (Fernet and et.al., 2020).
ii) Employer have a main responsibility such as provide a workplace that is free from serious
hazard to employees. Further their right is to select the best candidate who is fit for job
profile without any discrimination.
iii) Right of individual includes, live the life easily without any interference, free to move and
have freedom of speech. Whereas, the responsibilities are to participate in local community,
respect and obey federal, state and local laws, always stay informed of the issue that affect
the community.
26
The aim of National Framework for Recovery-oriented Mental Health Services is to
provide guidance on tailoring recovery services that respond to diversity of people within
mental health issues. Through this, an individual describe recovery and lived experience
which describe practice domains and key capabilities which are necessary for mental health.
In Australia, the framework is developed by foreseeing the situation of the mental health
disable person and this provoke government to make a law of policies for the safeguarding of
disable person.
27
Self-advocacy is an ability to speak up for own and tell people about own need,
thoughts (Mills and Allen, 2020). Whereas, group advocacy are the organization which form

around a shared interest that further influence the public opinion and policy. The group may
involve government and litigate a law that is related to their issue.
28
Confidentiality is about the privacy and respecting someone’s wishes and in the
company, they also maintain the same in order to protect the personal information from the
third party. Hence, there are professionals hire who shouldn’t share the personal details about
someone with other.
29
Discrimination: A person cannot discriminate an individual on any basis of caste, religion
and gender. Hence treating a person less favourably include the harassing and bullying a
person.
Duty of Care: Through this, it is ensure that all the people work with are safe and also abide
by relevant legislation. Hence it is a legal duty to take reasonable care so that it involves to
determine the risk and take care of response.
Dignity of risk: Through this it outline how freely people make decision and choices which
may expose themselves to a level of risk. Therefore, it is a fundamental principle of duty of
care
Mandatory reporting: The nurses have an ethical duty to act within a professional
guidelines and also make sure that their decision are not influenced by any beliefs and values
of an accused (Scobie, Lee and Smyth, 2020). Hence, registered nurses are mandated to
report child abuse.
30.
 Rights and responsibilities
 Safety
 Consumer and carer participation
 Diversity responsiveness
 Promotion and prevention
 Consumers
 Carers

 Governance, leadership and management
 Integration
 Delivery of care
31
 Open and transparent management of personal information
 Anonymity and Pseudonymity
 Collection of solicited personal information
 Dealing with unsolicited personal data
 Notification of the collection of personal information
 Use or disclosure of personal data (Vasconcellos and et.al., 2020)
 Direct marketing
 Cross border disclosure of personal information
 Adoption i.e. use of government related identifiers
 Quality of personal information
 Security of an information
 Access to personal information
 Correction
32
 Secondary purpose is related to primary aim of collection in which information is
sensitive
 When individual expect the organization to use the information for secondary purpose
 Share the information about the client when client is at risk of a serious harm by
taking permission in written format (Rauf, Gunce and Ozersay, 2020).
 A patient is at risk and care worker may share the information to third party for the
safe of their live.
33.
 Provide proper working environment to the workers
 Ensure all the materials and equipment’s are easily available
 Provide a safe place of employment
 Look after the organization comply with the health and safety act

34
Negotiation: It is a method through which a people settles differences and
compromise to an agreement.
Mediation: It is a procedure through which the parties discuss disputes by taking help
of third party in order to reach final settlement (Kartovicky, 2020).
Advocacy: It is define as an action which speaks in favour and argue on behalf of
others.
Facilitation: It is an act that assist people to deal with a problem and also reach an
agreement or solution without involving directly to a process.
Conciliation: It is a process of setting disputes with an aim to reach final settlement.
35
Advocacy is differ from mediation because it only focus on one voice, whereas
mediation is a process through which different people are involved in a dispute come together
without advocates who tries to find a solution.
36  Human Right: To protect individual’s liberties to information and take their decision
freely without any unfair treatment. Self-determination: Ability to speak for themselves. Access and equity: Make sure that all the people are easily access to goods & services
without any discrimination (Ne’Eman and Bascom, 2020). Whereas, equity is to make
sure that there is a fair distribution of available resources within society Empowerment: Helps people to participate in decision which creates direct impact
upon their lives.
37
There should not be any discrimination and recognize the needs which is necessary.
38
Physical resource: Building and land

Financial resource: Money and property
Human Resource: employees and their benefits or compensation
Professional expertise: Experts
Information: Notes, register
39
The impact of stigma includes the feeling of shame, hopelessness and isolation. On
the other side, discrimination within a society leads a person towards depression and reduce
the person overall performance. Whereas, prejudice has a direct impact upon individual such
that it makes a person feel less than a human being. Hence, if a candidate is undervalued then
their self-esteem suffers and as a result, they stop trying to improve themselves.
40
 Low self-esteem
 Difficult situation
 Lack of opportunity
 Lack of training
 Lack of service and support
 Lack of money
41
 Talk about own strength and weakness
 Perform ongoing conversation about learning
 Praise other’s efforts (Schmidt, Faieta and Tanner, 2020).
 Encourage to take participate in activities
42
 Name and contact detail
 Case history of background
 Person’s progress against self-advocacy strategy
 Interaction with service
 Person’s concern and difficulties

43
 Policy should Encourage progress
 Encourage a culture of self- advocacy
 Quality and safety of person
 Monitor the body
Case study 1
Tom come into an organization in an intoxicated and aggressive condition and there are some
strategies which needs to be used by community service workers in order to respond the
Tom’s challenging behaviour. Such that:
 Listen Tom’s word properly and then tries to be calm before responding
 Try to understand what he is trying to say
 Make sure that the tone of voice is normal
 Do not use the bad words against Tom
 Provide him proper care
 Try to provide solution of his problem instead of arguing (Fenn and Scior, 2019).
 Make sure that the structure of working environment is safe
 Do not harm the Tom
 Be flexible
 Ask open ended questions.
Case study 2
1. The condition of Laszlo is getting worse after the World war II and he is more abusive and
critical. Such that his son explain all the condition which clearly reflected that he is suffering
from serious disease.
2. When the condition of Laszlo is good, then his family is happy and enjoy their routine life.
But after the condition become worse, family getting concern and at last his son took a
decision to organized a ACAT assessment and admitted to aged care facility as well.

3. In order to ease their feeling it is advised them to do not panic in any situation and also
understand the situation of doctor. Further be calm and make decision calmly so that it will
not affect the life of Laszlo.
4. Nurses should ask an open ended questions and in the aged care, Laszlo should be keep
with other people so that he will easily share his views and make himself comfortable. This in
turn helps him to be comfortable and change his behaviour as well. Apart from this, books
should also be offered to him in order to improve the condition and minimize the boredom.
5. This activities helps a person to come out of their unnecessary routine life and change their
behaviour. Such that involving and interacting with new people will help to share own views
and also understand others problem (Michael and Zidan, 2018). In the same way, by reading
books will help to distract the things and eliminate behavioural and psychological symptoms
as well. This in turn improve the problem of a patients and gain consciousness as well.
Case study 3
1. Yes, Tracey is able to advocate for herself such that she is easily share their thoughts and
feelings in front of other and advocacy means how freely a person share their thoughts and
feeling with others.
2. yes, Tracey is impacted by the stigma and prejudice because she think that community
service do not want to let her have children back and that is why, she feel depressed and feel
like discriminate in every situation. As a result, she is impacted in opposite manner and that is
why, she is so stressful and worry to have her children back
3. Tries to solve the problem by identify the barrier which might affect her and this in turn
affect the results in negative manner. Further, try to advocate for themselves is another
strategy which help to get rid from the problem.
4. Tracey own fear, lack of services and supports are consider some of the barrier which
Tracey face during the current situation (Kimball and et.al., 2016).
5. Tracey required experience based referrals which help her to get out of the problem and for
that she required financial sources which in turn assist to improve the problem up to some
level and helps to get back her children too.

6. The national framework for recovery oriented mental health service provides a direction to
Tracey in order to enhance the mental health situation. Through this policy, she get an advice
or consulting others which involves individual and organization across Australia and provide
a live experience that help individual to get rid of many self- advocacy problem immediately.

REFERENCES
Books and Journals
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membership on people with intellectual disabilities: A literature review. Journal of
Applied Research in Intellectual Disabilities. 32(6). pp.1349-1358.
Fernet, C. and et.al., 2020. Self-determination trajectories at work: A growth mixture
analysis. Journal of Vocational Behavior. 121. p.103473.
Kartovicky, L., 2020. Improving Self-Advocacy Skills for Students With Disabilities in
Postsecondary Educational Settings. Journal of Applied Rehabilitation Counseling.
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advocacy, storytelling, and collective action. Journal of Diversity in Higher
Education. 9(3). p.245.
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movement. The American Journal of Bioethics. 20(4). pp.25-27.
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interior architecture design studios. Open House International.
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interventions to improve care. OTJR: Occupation, Participation and Health. 40(1).
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Scobie, M., Lee, B. and Smyth, S., 2020. Grounded accountability and Indigenous self-
determination. Critical Perspectives on Accounting, p.102198.
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