SOLVED277

As a result of her dementia diagnosis 4 years ago, Maria is taking donepezil (Aricept). A recent transition to a secure residential facility resulted from her wandering from home at night, getting lost, and becoming aggressive with her family members. When Maria arrived at the facility, she was very agitated and upset. The doors have keypads, and Maria does not know the access code. She has tried to follow staff and visitors out of the building several times. There is a high risk that she may wander off to nearby busy roads or wander into the river if she leaves, so staff are very diligent about preventing her from leaving. Because Maria is distressed and constantly exit-seeking, the staff request the assistance of available behaviour support resources and assistance from the family, to reassure her and give staff strategies to help her settle in. Maria’s GP is also asked to help, assesses her and suggests that a low dose of risperidone in the short-term might help with the behaviour and distress. Maria’s husband (who is her authorised representative) agrees and gives his informed consent. Maria is calmer. She is monitored for side effects such as drowsiness and there is a clear plan to document her behaviour and to review the need for the risperidone in the following weeks as she settles in.What rules are required for the facility to implement restrictive practices in Maria’s situation
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