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Behavioral Management 
Example Interventions 
The following is a list of sample interventions to use when helping a resident manage their inappropriate behaviors. These are suggestions, and you are encouraged to develop other interventions that may also be successful for your residents: 

	• 	Maintain the usual routine 		• 	Use a calm approach 	
	• 	Take the time to listen 		• 	Lower your voice volume 	
	• 	Look at photo albums 		• 	Change your voice tone 	
	• 	Provide a stuffed animal, pet or 	• 	Help them make a memory box 	
		doll for the resident to carry 			or scrapbook 	
	• 	Offer positive reassurance 	• 	Provide a bucket of items for 	
	• 	Reminisce or talk about old 			them to sort, etc. 	
		times 	• 	Provide tools of their former 	
	• 	Play music 			trade 	
	• 	Change the subject or topic of 	• 	Acknowledge any sense of loss 	
		conversation 	• 	Encourage them to take a nap 	
• 	Give them magazines to look at 	• 	Allow them to pace in a safe 	
• 	Allow them to smoke 			place 	
• 	Ask a family member to visit 	• 	Offer a journal for them to write 	
• 	Keep a toileting schedule 			in, if they are able 	
• 		Have them do gardening 	• 	Have them fold towels 	
• 		Offer a quiet place 	• 	Encourage independence, as 	
• 		Explore resources in community 			they are able 	
• 		Give as needed (PRN) 	• 	Read to them 	
		medications 	• 		Provide a shopping area 	
• 		Have them do sewing 	• 		Provide them with paper to rip 	
• 		Playa board game they are able 	• 		Have them sweep the floor 	
		to do 	• 		Allow them to carry some of 	
• 		Have them do puzzles 			their own money, or play money 	
• 		Offer snacks or fluids 	• 		Offer carefully planned outings 	
• 		Spend time one to one with the 	• 		Maintain privacy 	
		resident 	• 		Use support systems, like 	
• 		Provide a calming environment 			family, church, community or 	
					friends 	

BehaVioral Management 
Common Causes of Inappropriate Behaviors 

~ Medical Conditions 
•	Pain 
•	Bladder infection 
•	Feeling thirsty or hungry 
•	Constipation 
•	Confusion 
•	Over medication 
•	Bladder or bowel incontinence 
•	Brain Injury 
•	Fatigue 
•	Depression 
•	High or low blood glucose levels 
•	High or low blood pressure 
•	Medication interaction or reaction 
•	History of abuse, neglect, or Exploitation 
~ Staff interactlons with residents 
- • 'Being impatient with -the resident Qf---, others 
• Yelling or using a raised voice 
.•.. Impaired communication ability 
•	Feeling suspicious or worried 
•	Anxiety 
•	Confusion 
•	Depression 
•	Blindness 
•	Dementia 
•	Hearing impaired 
•.•.. Environmental Factors 
•	Too hot or too cold 
•	Noise or commotion in the facility 
•	Unfamiliar environment 
•	A resident who needs extra care 
•	Turn over of staff 
•	Not enough staff 
•	Staff tired or overwhelmed 
•.. Boredom 
•	Decrease in resident's usual activity 
•	Not having someone to talk with 
•	The resident is not able to do the activity 
~ Grief and Loss 
•	Loss of a sense of control 
•	Loss ofprivacy 
•	A loved-one recently passing away 
•	Having to move away from a loved one 
• Having to move away from their private home 
~ Fear or Anger 
•	New situation 
•	New surroundings 
•	New staff 
•	About growing older 
•	Being sick