Establishing Behavioural Rounds in Alternate Level of Care Population

Behavioural rounds were developed to address the non pharmacological management of patients that experience behavioural and psychological symptoms of dementia (BPSD). BPSD symptoms are very challenging for patients, staff and caregivers to manage. They may include delusions, hallucinations, depression, anxiety, agitation, physical aggression, wandering or sleep disorders. Non pharmacological management is the cornerstone of care for patients with dementia. Previous research has shown interprofessional rounds have shown to increase communication, teamwork and efficiency of care. Through Behavioural Rounds there has been a trend of improved local expertise in behaviour assessment, documentation, treatment and care planning. Staff have reported positive effects with development of the behavioural rounds including increased communication and collaboration between team members. They have also enhanced the team’s ability to develop individualized plans of care, in conjunction with families and caregivers, which has allowed us to stabalize patient behaviours in order to help them transition to more permanent settings.