So, we really want to make sure
that we are doing the AIMS Scale,
We want to monitor whether or not this
person is moving towards tardive dyskinesia
or any of the
We want to do this early because
just like with everything else,
the earlier we are
be able to intervene,
the better it is for us to be able
to change the medication they're on
and try to move them towards
having more function.
The AIMS Scale is
a five point scale
and it assesses
seven body areas.
It looks at the lips and it looks at the
face, it looks at the jaw, the tongue,
the upper extremities, the lower
extremities and even the trunk of the body.
So let's think a little bit now
about psychosocial interventions.
It's really important for us as nurses,
to be considering the different strategies
that are able to be
available to our patients.
Now, as we know,
registered nurses are not psychotherapists
and any kind of therapeutic strategy
that requires specialized education,
we're going to call in our
colleagues who are going to be able
to implement those
kinds of interventions.
So we can work
with the therapist.
And that way, we can create
this wonderful safe environment,
so that the patient is safe
in their own environment.
And then the psychiatric units,
we might actually have
behavior modification systems.
Reward systems, ladders,
where they can engage,
take care of themselves
or in some points
be able to shower on their
own, earn some points,
be able to help out in the
kitchen, earn some points.
And this way they increase
the desired behaviors.
And while they're doing so they're also
getting a lot more freedom of choice
and assuming more leadership
positions on the unit.
We can also engage in formal
and informal psycho education.
And I've talked about psycho
education a couple of times.
This way we can meet with groups and
talk about medication management.
We can talk about how they
are going to be working
on the outside when
they get released.
What are their plans?
How can they get more
exercise into their life?
What are their plans
Are they looking at whether
or not they want to be able
to take the injection or not?
And who can we put them in touch with
as a resource in their community?