Appendix A: Responsive Behaviour Decision Tree

NEW CURRENT
ADMISSION RESIDENT

Review Face Sheet, Resident is displaying

behaviour different *TEAM LEADER IS
observations,
than their baseline RESPONSIBLE
discussion with
Documentation* & FOR OBJECTIVE,
family. INITIATE DESCRIPTIVE,
Monitoring
DOS AND CONSISTENT
Occurs INITIATE DOS
DOCUMENTA-
TL to work with staff to come up TION IN PCC
with interventions and strategies.
No
THROUGH THE
Yes PROCESS

Yes YES Interventions

Call MD and obtain orders** (See
effective? Legend), Use P.I.E.C.E.S to help **Rule out
NO identify triggers. Medical origin
of behaviour
-Send referral to BSL
- BSLs meet with RHA staff to brainstorm CAM and
interventions, facilitates assessments and IWATCHDEATH
documents all progress and findings*** ASSESSMENTS
for causes of
Delirium.
YES
Interventions
effective?
NO Ensure POA is
updated
through the
Resident has
process
diagnosis of
dementia?
Geriatric Mental Health Outreach
YES NO Team (GMHOT) ***BSL and
- Nurse on RHA calls SDM/POA to obtain Behavioural
verbal consent, documents in PCC, and Social Worker
obtains consent from physician, then
Behavioural Support Outreach Team advises NM + SW will initiate a
- Nurse on RHA calls SDM/POA to obtain verbal - BSL arranges initial assessment, Nurse comprehensive
consent, documents in PCC, advises SW completes Referral Form
- SW sends BSOT referral assessment for
- Initial assessment is completed by clinician
- BSOT RN completes initial assessment and is followed up by the Psychiatrist all referrals.
- if needed, RN arranges PSWs to do 5 day - Consultation reports shared with MD, staff This includes;
observation and SDM/POA for care.
- F/U visits with clinician and psychiatrist as
psycho-social,
needed AND/OR medication
review, and
Psychogeriatric Resource psychiatric
Interventions No
Consultant (PRC) history
effective? Available for individual case based consults
and staff education
Behavioural
Support
Specialist
YES Interventions Role is available
effective? for resident 65
Yes years or younger,
No based on a
GMHOT referral.
External referral
(CASS bed)

Upon return to KG

UPDATE
CARE PLAN
M2-965A
August 2017