Explanation should include
- the VDSS definition of chemical restraint (§ 22VAC40-73-10)
- the dangers of chemical restraints (i.e., physical harm, psychosocial harm)
- common reasons for chemical restraints
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- lack of understanding of what the client is trying to communicate through behavior
- lack of understanding of behavior management techniques
- inadequate staffing
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- “resident rights” for assisted living facilities
- communication
- communicating with the healthcare team:
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- Clearly describe what the client is doing.
- Do not use words like “agitated” or “angry.”
- State facts, not opinions.
- If attempts to manage behavior fail, document every effort made to manage it per facility protocol.
- Transfer to another facility may be required.
Process/Skill Questions:
- What steps must be taken before using a chemical restraint?
- When is a medication classified as a chemical restraint vs. a therapeutic treatment?
Teacher Resource: Assisted Living Facilities (ALF), Virginia Department of Social Services (VDSS)