Patients Who "Take Too Much" and Those Who Care for Them

Recorded May 3, 2017


Rebecca L. Ferrini, MD, MPH, CMD


In every post-acute and long-term care setting, some individuals consume more than their “fair share” of the facility resources, taxing the capabilities of the organization. Perhaps this is due to their personality or behavioral characteristics, the impact they have on the organization (consuming resources, escalating risk, reducing morale), or the frustrations of staff trying to stratify their needs or demands, but generally this is related to the emotional reactions they incite in caregivers. Too often, strategies to approach these patients rely on appeasing, explaining, or educating which can aggravate the problem. This webinar will use a case-based approach to help participants analyze challenging cases, then develop and justify effective behavioral care plans which focus on what staff do rather than the actions of the resident.

Learning Objectives:

  • Analyze a case of a resident who is consuming excessive facility resources, identifying the underlying needs and wants, the actions staff have been taking and their impacts, and the specific challenges to be addressed.
  • Define and describe the process of development of a behavioral care plan that is justified through assuring that care for one resident does not violate the rights of other residents for care.
  • Describe three strategies that are effective in working with demanding individuals.
  • Identify three barriers to success and how they may be overcome.


1.5 CME, 1.5 CMD management

CME/CMD Credits available until May 2020


Member Non-Member


Speaker Biography:

Rebecca Ferrini, MD, MPH, CMD, is currently the Medical Director for Edgmor, a Distinct Part Skilled Nursing Facility run by the County of San Diego. She obtained her Medical Degree at the University of California, San Diego School of Medicine and is Board Certified in Preventive Medicine and Hospice and Palliative Medicine. She is the chief developer of the Society’s Younger Adults in the Long-Term Care Setting Tool Kit and is conducting trainings nationwide to help caregivers provide a higher quality of care to younger adult residents.

Speaker Disclosures:

All members of the education and online education committees have no financial relationships to disclose. The speaker has no financial relationships to disclose..