Handling Difficult Situations and Behaviors

Handling Difficult Situations and Behaviors 

This course provides a foundation for handling a variety of difficult behaviors, including aggressive, disruptive, and repetitive behavior, wandering, Sundowner's and resistance to care.


Hours: 2.00


Certificates provided by accrediting body (1 Match)

Washington State Department of Social and Health Services (ALL Direct Care Workers)


Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 2.00 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO1933618

Course Details

Course Code: REL-PAC-0-CARE112
Hours: 2
Type: Online Course
Content Expiration Date: 12/31/2020
Learning Objectives:
Understand your clients' perspectives
Handle challenging behaviors with Alzheimer's and dementia.
Recognize triggers for certain behaviors.
Know the principles for handling behaviors.
Employ intervention strategies for nine common challenging behaviors.


  1. Objectives

  2. Glossary

  3. You’re likely to face behaviors

  4. Challenging behaviors – Introduction

  5. Understand losses

    1. Your clients have experienced a loss

  6. What do behaviors mean?

  7. Disruptive behavior categories

  8. Causes

  9. Activity – Behavior categories

  10. Triggers

  11. Any client may have behaviors

  12. Alzheimer’s and behaviors

    1. Learn more – Flip book #1

    2. Irreversible Dementias

    3. Reversible Dementias

  13. Activity – Types of Dementia

  14. Two key things you need to remember

    1. Personalizing approach

    2. Safeguard client rights

    3. Learn more – Flip book #2

  15. Understanding and responding

    1. Basic principles for behavior challenges

i.Behavior is triggered

ii.Consider their personal situation

iii.What if the person has Alzheimer’s?

iv.Think about how you would respond

v.Where is the behavior coming from?

vi.Learn more – Flip book #3

  1. Talk to your supervisor

  2. Don’t take the behavior personally

i.People generally do the best they can

ii.Accept efforts of the person

iii.Some people may be manipulative

iv.Focus on behavior not person

  1. Remain flexible, patient and calm

i.Be pleasant and respectful

ii.Reassure the person

iii.Importance of reassurance

iv.Learn more – Flip book #4

  1. Think safety before you act

  2. Activity – Fill in the blank

  3. Offer choices not ultimatums

    1. Offer choices whenever possible

    2. Allow clients to choose clothing

    3. Give clients choices about meals and mealtimes

    4. Allow clients as much freedom of movement as you possibly can

  4. Be creative

    1. Marcus’ story

  5. Honor dignity and client rights

    1. Additional skills

    2. Keep your sense of humor

    3. Laugh!

  6. Interventions for specific behaviors

    1. Aggressive behavior

    2. Wandering and exit seeking

    3. Physically non-aggressive behavior – repetitious behavior

    4. Bathing resistance

    5. Sleep disturbance

  7. Activity – Dealing with challenging behaviors

  8. Inappropriate sexual behavior

    1. Repetitive complaining or requests

    2. Resisting personal care

    3. Yelling or screaming

    4. Getting into other people’s things

    5. Sundowner’s Syndrome

    6. Up at night

  9. Create a calming environment

  10. Video: Caregiver interview

Feel confident in any situation!

Instructor: Sharon K. Brothers, MSW
Sharon Brothers, MSW, has an advanced degree in social work and over 30 years' experience as an owner, operator and educator in senior care. She has been a developer, owner and operator of dementia care assisted living communities and has deep expertise as an educator for all levels of staff within the care profession. Sharon is currently the founder and CEO of the Institute for Professional Care Education and is a national speaker and advocate for quality education within senior care. Disclosure: Sharon K. Brothers, MSW has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.