Long-Term Care

Trainer’s tip: The ABC plan of behavior management

LTC Nursing Assistant Trainer, December 16, 2010

Managing behavior is one of the most difficult nursing responsibilities in long-term care. The ABC plan of behavior management is particularly effective if used consistently:

  • A = antecedent, or the trigger that causes the behavior
  • B = behavior, or the action itself
  • C = consequences, or the results of the behavior

The ABC plan works on the premise that modifying or eliminating the antecedent or consequences of a given behavior problem will stop the behavior. Keeping a behavior log is useful. Record the staff on duty, other residents in the vicinity, environmental temperature, time of day, activity the resident is involved in, noise level, physical location of the resident, and other information that may help you determine if there is a pattern to the behavior. If a pattern is detected, use the ABC plan to eliminate the problem.

This is an excerpt from the HCPro book, The Long-Term Care Nursing Desk Reference, Second Edition, by Barbara Acello, MS, RN.

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