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Seminar Detail

Challenging Geriatric Behaviors

Tuesday, April 28, 2020 at 8:00 AM - 4:00 PM

This event is no longer available for purchase.

For more information: Call (800) 844-8260
Course Description
Dealing with cognitively-impaired geriatric patients can be challenging even for the experienced healthcare professional. Behaviors such as dementia, aggression, anxiety and depression, refusal of food and fluids, and inappropriate sexual advances pose significant potential barriers to the delivery of essential health care. If older adults are routinely under your care, minimize your risk of escalating the problems associated with troublesome, often irrational behavior by attending this program. Gain valuable insights into the causes of challenging geriatric behaviors and learn innovative and practical intervention strategies to improve the care you provide.

Your speaker, Sheria Grice Robinson, is an expert in the field of geriatrics. Join her for a day filled with interesting case studies, insightful discussion and interactive learning. Leave with practical techniques you can apply the next day!
If there is no CE tab, please refer to the course brochure for continuing education information.
Learner Objectives:

  1. Assess behavioral problems of older adults with cognitive disturbances.
  2. Compare and contrast the types, essential features, and stages of dementia.
  3. Describe the advantages of recognition and treatment of early dementia.
  4. Summarize non-pharmacologic interventions that address biopsychosocial needs of the older adult with challenging behaviors.
  5. Implement specific communication strategies for patients with challenging behaviors.
  6. Analyze evidence-based pharmacologic treatments of behavioral problems in patients.
  7. Outline interventions for challenging geriatric behaviors including pain, nutritional deficits, sleep disorders, depression and delirium.
  8. Evaluate causes and interventions for sexually inappropriate behaviors.
  9. Support and educate family and professional caregivers of older adults exhibiting challenging behaviors.
Program Outline

  • Challenging Behaviors
    • Challenging for whom?
    • Causes of difficult behavior
      • Environmental
      • Social
      • Medical
    • Communicate unmet needs
    • The missing link
  • Is It Dementia?
    • Sign and symptoms
    • Early detection and assessment for proper diagnosis
    • Home care vs. institutional care
  • Alzheimer's Disease
    • Three areas of impairment that point to Alzheimer's Disease
    • Habilitation therapy strategies
      • Help them to function at their highest level
      • Environmental impacts
      • Adapt the environment and staff training
    • Validation Therapy
      • Ask who, what, when, where, and why questions
      • Be in their time zone/walk beside the person
    • Approaches for successful activities of daily living
      • Bathing
      • Dressing
      • Mouth care
      • Eating
      • Toileting
      • Walking
    • Non-pharmacological approaches to sleep disturbances
    • Walking not wandering
    • Find a purpose through meaningful activities
  • The Cycle of Anxious Behavior
    • The 3 A's: Anxiety, Agitation, Aggression
    • Environmental factors
    • Appropriate staff response
    • Physical and emotional illness
  • Safe Responses to Aggressive Behaviors
    • Grabbing
    • Pulling
    • Biting
    • Scratching
    • Hair pulling
    • Bending fingers
    • Safety for patient and staff
    • Respond with knowledge not fear
  • Pain Intervention
    • Understanding the types of pain
    • Observation skills when patients cannot verbalize
    • Non-pharmacological responses to pain
  • The Dining Dilemma
    • Why patients refuse to eat
    • Dining with dignity
    • Appetite and the senses
    • Appropriate foods for different stages of dementia
    • Assisting with utensils or creative finger foods
    • Dysphagia and puree creativity
    • Independent vs dependent dining
    • Culinary creativity for successful intake
  • Person-Centered Care
    • Looking at the person not the disease
    • Integrative approach to care planning
      • Communicate a sense of worth in every individual
      • Make physical care as pleasant as possible
    • Family as an integral part of care
      • Help families formulate strategies to make visiting a positive experience
      • Stress reduction, complimentary therapies
      • Bring family and staff together as one unit of support
  • Depression
    • Importance of differential diagnosis
    • Is it dementia or depression?
    • Use primary care physician, geriatrician or psychiatrist
  • Medications
    • Contraindications for dementia
  • Sexual Behaviors
    • Sexual feelings and behaviors remain constant
    • Teaching staff how to handle intimacy with respect


Sheria G. Robinson-Lane is the owner and principle nurse consultant of SGR Consulting, an organization that provides gerontological health education and expert witness testimony in matters of elder care. Sheria has spent many years working with elders in the long-term care and hospice settings, in roles ranging from Nursing Assistant to Director of Nursing. She serves as a task force member for the long-term care pain resource website and the American Medical Directors Association's (AMDA) task force on Young Adults in Long Term Care. Clinically, Sheria maintains practice with Hospice of Michigan - one of the nation's largest non-profit hospices. In addition to caring for hospice patients at Hospice of Michigan, Sheria helps to coordinate the research activities of the hospice and aids in both the development and facilitation of staff education. Sheria holds a PhD and dual degree in Nursing and Gerontology from Wayne State University. She is passionate about pain management and elder care and gives much of her time advocating for, educating about, and singing the praises of elders.

Speaker Disclosures:

Financial: Sheria Robinson-Lane receives an assistant professor at the University of Michigan. She receives a consulting fee from Ypsilanti Meals on Wheels. Dr. Robinson-Lane receives a speaking honorarium from PESI, Inc.

Non-financial: Sheria Robinson-Lane is a member of the American Nurses Association; and the American Society on Aging. She serves on the board committee on diversity for the Alzheimer’s Association Great Lakes Chapter.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

Registered Dietitians & Dietetic Technicians
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PESI, Inc. PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This program/material is designated as LEVEL 2.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
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PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

Pharmacology Nurse Practitioners
This program offers 90 instructional minutes of pharmacology content which is designed to qualify for 1.5 contact hours toward your pharmacology requirement to receive credit. It is your responsibility to submit your certificate of successful completion and a copy of the seminar brochure to your licensing board.

Nursing Home Administrators
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 6.25 clock hours and 6.25 participant hours. Full attendance is required; no partial credits will be offered for partial attendance.

Occupational Therapists & Occupational Therapy Assistants
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Physical Therapists & Physical Therapist Assistants
This activity consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

North Carolina Physical Therapists & Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216-000071. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours. PLEASE BRING YOUR LICENSE NUMBER WITH YOU TO THE PROGRAM.

Speech-Language Pathologists

This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).

Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2020 - January 27, 2023. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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