Caregiver Training: How To Handle Aggression - 24 Hour Home Care

24 Hour Home Care and Registered Nurse & CF-L1 Trainer, Zeb Pascual, have partnered up to bring you a demonstration of how to handle aggression.

24 Hour Home Care is one of the largest, most trusted home care companies in California, serving thousands of clients daily. Our mission is to help individuals lead full, healthy, and active lifestyles, by providing the highest quality non-medical home care.

Disclaimer: Not all exercise activities are suitable for everyone. The material in this video is provided for educational and informational purposes only and is not indented as medical advice. Neither the Producers, Presenters, or 24 Hour Home Care shall be held liable for any damages arising directly or indirectly from use of this information.

[FilePileCT]

To say this as a preface, I work in a nursing home in my town. The way I deal with combative patients is always the same, I knock gently and enter the room, walk over and sit down by the bed or on the edge of the bed with the patient and just talk low and gentle about their day and such in an attempt to distract them, had a dementia patient one day who wouldn’t let a single person be with her, but when I went into the room and did what I usually do she sat a little closer and hugged against my arm, holding my arm as if she was scared, I caressed her back and let her keep hugging my arm as I comforted her. Remember, it’s all about approach for the reaction you receive

[RMalai]

I wish it is this easy. a 200 lb 19 year old yelling and acting in aggression. this is 10% of what I go through as a caregiver.

[fcbsbvl]

What the heck was that, that was nothing what I go through. My dementia person it's vicious: slamming, banging, rattling it's surrounding like a gorilla furthermore yelling and threatening to kill.

[NotMyEmail]

When you think about it, majority if them just want to "go" so maybe find out from him where he often thinks about going and what he often thinks about doing in his reoccurring memories and create his room ambience according to that to make him want to stay and feel comfortable.

[tanesharobinson]

Its not so easy everyone aggression is not the same. Some is worst than some

[zoomdotszoomdots]

Great redirect. Simple and easy. Real skills

[ellists]

My mom won’t stop screaming at me because “I don’t have her new emails” or “I don’t have her rainbow car”


I’m loosing my fucking mind, it’s been 5 months since her TBI and I’m glad she’s finally able to be home and everything, but she’s always confused, always angry, and i just don’t know what to do.

[lonniebaines]

Very few times is it that easy....good technique

[preparedsurvivalist]

The problem is, these people don't work. They don't do anything purposeful, meaningful, or useful. Whatever is in front of them is their whole experience. It is their entertainment. It is the source of their troubles. It is YOU, the caregiver. So when this person in their diseased mind decides they are going to be problematic, then it is the caregiver who bares the brunt of it. And they can't and won't be reasoned with. They can't be punished. They will just do whatever they want to you and once you are replaced, they'll do it to the next person too. That's the reality.

[leanderinosanto]

Good Lord. It is not that easy. I just stay away and came back until he get calm.

[WesGaylor-ztuy]

😮 listen my friends I respect his approach but in the end this comes of as giving people a reward for there troubling behaviors...some of the people are well versed in the fact that if I act out appropriately they will give me what I want....this does help and is of use in those....make or break situations...however redirection and professional behavior goes a long way....always remember our friends are just like us...human in every way....play the middle ground...and commend them on fighting there battles...but life can be good if we work on ourselves.

[WDBsirLocksight]

I think you talked too fast and not calm enough in your de-escalation phase

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in my security days it was often selling a point that really made sense to the guest why they couldnt or shouldn't do this action at this time .


With complex needs that could look like:


mild agression (or agitation),

what somebody else said about ordering the environment in sync with there memories or speaking to there memories;


moderate aggression,

eliciting active commands while calm and connecting it back to memories or the days schedule;


severe aggression,

this really depends on the agencies policies and may look like active hands on to chemical restraint but generally if you can firmly control there physical actions at the same time as setting the boundaries needed and then communicating that barganing or reasoning or compromising can be done when there calm may firmly but respectively manage tge situation


in the end you often have to back away, close door, call sevuruty, activate team protocol and then transfer to high observatio

[zoomdotszoomdots]

As homecare worker this agency slow to staff 2017

[rebeccainlow]

Physically aggressive bleeding brain out of control at Coney island park rules.