Latest Blogs

By Mark Holt, 08/03/2020
N-95 masks have been the subject of increased focus by OSHA. These masks were originally designed for industrial use in sectors such as mining, construction, painting and manufacturing. Designed to filter out airborne particulates, they have a logical place in the healthcare setting to control airborne diseases...
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Growing rates of healthcare workers are experiencing physical and psychological injury as a result of workplace violence related to resident care. A staggering 95% of healthcare workers have reported exposure to aggression. However, research has found that workplace violence is underreported, signifying that...
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By Peggy Morrison, 07/01/2020
In light of the COVID-19 pandemic, CMS has established a COVID-19 Focused Survey for Nursing Homes with the expectation that all nursing homes are inspected to ensure appropriate infection control practices are in place to prevent the spread and transmission of COVID-19. According to Quality Certification &...
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By Cathy Knopf BSN, RN, 06/17/2020
After many months of closure, the nation is beginning to open. With this in mind, the Director of Quality, Safety and Oversight Group for CMS Center for Clinical Standards and Quality issued a memo providing recommendations for state and local officials to utilize while determining the level of mitigation needed...
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Response to the novel coronavirus has increased demand for Personal Protective Equipment (PPE) during a time when supply chain interruptions are occurring across the nation, affecting both acute and senior living healthcare providers. As the number of persons infected with COVID-19 has continued to rise, and as...
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By Cathy Knopf, 05/26/2020
The 2020 monthly webinars focus on best practice approaches, regulatory updates, operational and risk management techniques to help senior living communities better care for their residents and staff while protecting their business. We invite you to join our specialists at these upcoming exclusive...
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By Ashley Johnson, Lisa Salter, 05/18/2020
While COVID-19 continues to impact our economy, business income coverage, sometimes referred to as business interruption coverage, has become a widely popular topic in the insurance industry. As many business owners struggle to keep their businesses afloat, several questions have emerged on how insurance policies...
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Under normal circumstances, maintaining appropriate nursing staff levels to deliver quality resident care is a daily struggle. Add in severe weather, flu outbreak or a pandemic and the scales are tipped. Traditionally, senior living healthcare communities shy away from utilizing agency nursing staff due to high...
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By Kristy Dickens, 05/05/2020
Even though your organization likely has always had the required Infection Control Program in place, your team had very little time to prepare for the rapid escalation of the COVID-19 outbreak. Many senior living communities have already encountered their first positive test result, but others have been fortunate...
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By Kristy Dickens, 04/14/2020
Utilizing an Arbitration Agreement is an important tool in your risk management arsenal, as it can reduce the cost of defending against a claim and provide a more appropriate forum for a healthcare claim to be litigated. The annual actuarial analysis commissioned by the American Health Care Association indicated,...
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Combative Residents: Just a Part of the Job?
07/27/2020

Growing rates of healthcare workers are experiencing physical and psychological injury as a result of workplace violence related to resident care. A staggering 95% of healthcare workers have reported exposure to aggression.  However, research has found that workplace violence is underreported, signifying that actual rates may be much higher and cause for concern.

In order to decrease violent and sometimes, combative outbursts of residents that can lead to injury, healthcare workers must understand the underlying triggers that precede the aggressive behavior. There are three main types of triggers:

  • Physical triggers include a physical inability to accurately describe or verbalize the needs and wants of a resident including pain, hunger, thirst, need for use of bathroom, or positioning needs. The healthcare worker may also provide the trigger through body language, touch, tone of voice, type of clothing/perfume worn, or mannerisms.
  • Emotional triggers may include a resident feeling depressed, overstimulated, or experiencing sensory changes.
  • Environmental triggers can include noxious stimuli from the environment surrounding the resident including noise from a television, other residents, busy nurses’ stations, or maintenance work nearby. Secondly, excessive clutter, large unfamiliar equipment, close proximity to objects or people or other changes in the resident’s regular habits and routines can all trigger violent outbursts.

Being aware of the triggers that can precede a violent outburst and knowing how to avoid these triggers can be instrumental in preventing injury to healthcare workers. Collaborating with the entire healthcare team and providing a specific resident-centered approach can decrease outbursts and keep healthcare workers, as well as the residents they care for, safe. 

The AssuredPartners Senior Living team has developed a resource to help senior living communities understand the triggers and different interventions that can be utilized.  For a copy of this resource, please contact our team.

Reference: Brown, B. & Kain, E. (2019). A Role for Occupational Therapy Practitioners in Mitigating Episodes of Workplace Violence in Health Care. American Occupational Therapy Association SIS Quarterly Practice Connections. 4, 31-33.