Health conditions:

• Limited verbal communication, ADHD, Downs syndrome, reflux, learning difficulties, Hallux Valgus deformity, Keratosis Pilaris, anxiety and challenging behaviours.
• We have recently been having concerns around increased reflux, we are currently working with the GP around this, so his Omeprazole dose may change frequently. Jason has been having sickness as a result of increased reflux.

Medication:

• Equasym XL 20mg 2x tablets at 8:00am
• Omeprazole 20mg 1xtablets at 8:00am
• Aproderm barrier cream AM and PM (for his foot)
• Imuderm cream AM and PM (for his upper arms)
• Eucerin 10% urea cream AM and PM (for his hands)
• Peptac liquid 10ml after breakfast, lunch, dinner and before bedtime
• Durophat toothpaste AM and PM

Behavioural management:

• Known behaviours:
• Swearing
• Shouting
• Hitting objects
• Banging his head against objects
• Stamping his feet
• Throwing himself in to walls and objects
• Throwing himself on the floor
• Mimicking other service user’s behaviours
• Shaking hands aggressively
• Hitting out at staff
• Aggressive hand gestures
• Jason can get emotional for no apparent reason
• Jason pretends to have seizure/ heart attacks
• Jason can throw objects across the room
• Spitting
• Copying scenes from TV such as using hand gestures as if he is shooting someone
• Closing the door to his bedroom if he is showing behaviours for the safety of others
• Scratching his eyes and face
• Leaving the property unsupported
• Growling
• Shredding
• Pulling at his eyebrow/eye lashes

Triggers to behaviours:

• Communication problems
• Being unable to do something immediately
• Being told “No”
• Task evasion
• Being support away from a particular choice or action
• Jason can get unsettled around people he doesn’t know very well
• Jason can get unsettled in unfamiliar places
• Other tenants showing behaviours
• Other tenants being too close in proximity when they are impending behaviours/have shown behaviours previously
• Washing up
• Mum
• Portion control

How to manage this:

With early intervention and knowledge of known triggers, Jason’s behaviour can be managed. Distraction techniques can be effective when managing Jason’s behaviour. Jason should be asked to go to his room when warning signs of impending behaviour occurs as this is a safety measure for other tenants and staff.

To go through Jason’s routine board with him every morning so he is aware of what tasks needs to be completed that day. It will need to be explained that the less appealing activities such as room management must be completed before desired activities such as going for a walk or going to the park.