What is the priority in managing sudden, intense, or out-of-control behavior of residents?

The priority in managing sudden, intense, or out-of-control behavior of residents is to prevent harm to the resident or others. When a resident exhibits such behavior, the primary concern is ensuring the safety of everyone involved, including the individual displaying the behavior, other residents, staff members, and visitors.

This is aligned with the principles of person-centered care and the ethical obligation of healthcare providers to protect and promote the well-being of residents. Priority actions typically include de-escalation techniques, providing a calm environment, and employing verbal communication strategies to address the resident's needs and emotions. By focusing on harm prevention, staff can address underlying issues without escalating the situation further or resorting to more extreme measures.

Restraint, immediate medication adjustments, or evacuation may be necessary in certain situations, but these should not be the first line of action. Restraints can pose serious risks and should only be utilized when absolutely necessary and in accordance with state and federal regulations. Medication adjustments should also be approached cautiously and typically involve assessments before any changes are made. Evacuation could create panic and potentially lead to a greater risk of harm. Therefore, the emphasis on preventing harm reflects best practices in behavioral management within nursing care institutions.