Question
Consider this scenario: A family has contacted you about the care of their grandfather, Juan, who has Alzheimer's disease. The nursing home staff report that
Consider this scenario: A family has contacted you about the care of their grandfather, Juan, who has Alzheimer's disease. The nursing home staff report that Juan engages in frequent elopement from the nursing home facility when unattended, and verbal aggression that has caused disruptions to the other nursing home residents. A review of the files shows that the nursing home contracted with a BCaBA who did not conduct a functional behavior assessment but advised setting limits, being consistent with rules, and blocking Juan from engaging in problem behavior. The nursing home staff decided to incorporate these strategies by restricting Juan from accessing the courtyard or roaming the halls, leaving him to stay all day in his room with only accompanied walks to therapies and the dining hall. Juan's behaviors escalated and they have stated they will be ordering the use of chemical restraints to block occurrences of the problem behavior.
Prepare a formal letter to the familywith your recommendations to conduct the risk-benefit analysis.
In this letter, provide a recommendation to family members based on the given scenario, and support this recommendation with scholarly resources. You are writing it as if you are the BCBA. Analyze, within the letter, the use of a behavior analytic procedure (Differential reinforcement of alternative behaviors (DRA) using at least (5) five relevant BACB ethics codes, and provide examples of conditions when the ethics codes would be met and when they would not be met. You may list the code number and title, but discuss the relevance of the code in your own words. Be sure you are providing insight on the risks and benefits of the behavior analytic procedure you are recommending, not just the shortcomings identified from the scenario.
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