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I am responsible for providing support and training for staff in residential and nursing homes and in-patient settings on how to support people with dementia who may have challenging behaviour. The aim of this is to prevent inappropriate hospital admissions and to maintain people in their current environment wherever possible. I also provide psychological therapies as an alternative to neuroleptics.
Where hospital admission is necessary, I work with ward-based staff to develop effective formulation- lead interventions to support patients' return to community settings where possible. I also provide advice and consultancy to other colleagues working with people with challenging behaviour.
Registered Mental Health Nurse
Desirable- Knowledge of The Newcastle Support Model for challenging behaviour.
Completion of Bsc Hons Specialist Practice in Older People's Nursing.
Working with older people with a diagnosis of dementia.
Being able to advocate for the use of psychosocial interventions as first line intervention in management of behavioural and psychological symptoms of dementia
Direct patient contact.
Establishing good working relationships and clear lines of communication.
Patients who are in distress and who may display challenging behaviours.
Staff culture and resistence to change.
Risk assessment and risk management.
Case load management.
Advocating for clients with dementia and preventing unnecessary admissions to hospital.
Reducing the use of antipsychotic medication in clients with dementia.
Despite all efforts patients may still require admission to the challenging behaviour assessment ward.
Be prepared to challenge staff attitudes and beliefs.
In-depth knowledge and skills in the use of a bio-psycho -social approach in assessment and management of behavioural and psychological symptoms of dementia.
Crisis management skills.
Risk assessment skills.
De-escalation techniques / skills.
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