[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:26.16,0:00:29.13,Default,,0000,0000,0000,,So many people who live here do things that are repetitive Dialogue: 0,0:00:29.13,0:00:32.24,Default,,0000,0000,0000,,like pacing and asking the same questions over and over again, Dialogue: 0,0:00:32.76,0:00:35.48,Default,,0000,0000,0000,,or repetitive movements like hand slapping, Dialogue: 0,0:00:35.69,0:00:36.96,Default,,0000,0000,0000,,and I'm not sure what to do. Dialogue: 0,0:00:37.29,0:00:38.81,Default,,0000,0000,0000,,Sometimes it's annoying to me, and sometimes it's Dialogue: 0,0:00:38.81,0:00:40.40,Default,,0000,0000,0000,,annoying to other people that live here. Dialogue: 0,0:00:40.82,0:00:44.21,Default,,0000,0000,0000,,Should I just try and ignore them or make them stop? Dialogue: 0,0:00:45.57,0:00:47.32,Default,,0000,0000,0000,,[TAPPING NOISE] Dialogue: 0,0:00:47.57,0:00:48.49,Default,,0000,0000,0000,,Mr. Jones, Dialogue: 0,0:00:48.60,0:00:50.16,Default,,0000,0000,0000,,you've been doing that for 30 minutes. Dialogue: 0,0:00:50.29,0:00:51.16,Default,,0000,0000,0000,,I told you to stop. Dialogue: 0,0:00:51.25,0:00:52.13,Default,,0000,0000,0000,,It's very annoying. Dialogue: 0,0:00:54.00,0:00:55.49,Default,,0000,0000,0000,,I'm just gonna take you to your room now. Dialogue: 0,0:00:56.93,0:00:57.25,Default,,0000,0000,0000,,No, Dialogue: 0,0:00:57.45,0:00:57.70,Default,,0000,0000,0000,,stop. Dialogue: 0,0:00:57.81,0:00:58.74,Default,,0000,0000,0000,,We're going. Dialogue: 0,0:00:59.53,0:01:02.24,Default,,0000,0000,0000,,You're not coming out of your room until you stop tapping. Dialogue: 0,0:01:02.93,0:01:04.29,Default,,0000,0000,0000,,Stop pushing against me. Dialogue: 0,0:01:05.36,0:01:05.84,Default,,0000,0000,0000,,Come on. Dialogue: 0,0:01:09.36,0:01:12.07,Default,,0000,0000,0000,,[TAPPING NOISE] Dialogue: 0,0:01:12.17,0:01:14.46,Default,,0000,0000,0000,,OK. Here you are. Dialogue: 0,0:01:25.42,0:01:29.68,Default,,0000,0000,0000,,Repetitiveness can be exhibited in a variety of ways. Dialogue: 0,0:01:30.10,0:01:34.02,Default,,0000,0000,0000,,A person could do the same movement over and over, Dialogue: 0,0:01:34.50,0:01:37.97,Default,,0000,0000,0000,,say the same word or phrase again and again, Dialogue: 0,0:01:38.18,0:01:40.69,Default,,0000,0000,0000,,or ask the same question repeatedly. Dialogue: 0,0:01:40.94,0:01:44.57,Default,,0000,0000,0000,,When you're assessing a person who's experiencing repetitiveness, Dialogue: 0,0:01:44.90,0:01:48.82,Default,,0000,0000,0000,,the first thing you should do is make sure the person is not in harm's way, Dialogue: 0,0:01:49.40,0:01:53.95,Default,,0000,0000,0000,,or that the repetitiveness is not going to cause harm to another person. Dialogue: 0,0:01:54.04,0:01:58.99,Default,,0000,0000,0000,,If the repetitiveness is not causing harm to the person or someone around them, Dialogue: 0,0:01:59.20,0:02:00.27,Default,,0000,0000,0000,,you may decide Dialogue: 0,0:02:00.56,0:02:02.11,Default,,0000,0000,0000,,just to ignore it, Dialogue: 0,0:02:02.68,0:02:06.83,Default,,0000,0000,0000,,but ignoring the repetitiveness does not mean ignoring the person. Dialogue: 0,0:02:06.96,0:02:12.00,Default,,0000,0000,0000,,The repetitiveness could be a way to express a physical need. Dialogue: 0,0:02:12.48,0:02:14.11,Default,,0000,0000,0000,,The person could be hungry. Dialogue: 0,0:02:14.20,0:02:14.40,Default,,0000,0000,0000,,Hi, Dialogue: 0,0:02:14.44,0:02:15.34,Default,,0000,0000,0000,,Mr. Jones, Dialogue: 0,0:02:15.48,0:02:16.72,Default,,0000,0000,0000,,I brought you a snack. Dialogue: 0,0:02:16.88,0:02:17.71,Default,,0000,0000,0000,,Are you hungry? Dialogue: 0,0:02:19.98,0:02:21.15,Default,,0000,0000,0000,,I don't know. Dialogue: 0,0:02:21.22,0:02:21.45,Default,,0000,0000,0000,,Here. Dialogue: 0,0:02:28.25,0:02:29.51,Default,,0000,0000,0000,,Or thirsty… Dialogue: 0,0:02:29.19,0:02:30.50,Default,,0000,0000,0000,,[TAPPING] Dialogue: 0,0:02:30.64,0:02:31.37,Default,,0000,0000,0000,,Hi, Mr. Dialogue: 0,0:02:31.38,0:02:32.17,Default,,0000,0000,0000,,Jones. Dialogue: 0,0:02:32.40,0:02:32.85,Default,,0000,0000,0000,,I saw you were Dialogue: 0,0:02:33.04,0:02:33.77,Default,,0000,0000,0000,,tapping your arm Dialogue: 0,0:02:33.80,0:02:33.98,Default,,0000,0000,0000,,there. Dialogue: 0,0:02:34.12,0:02:34.52,Default,,0000,0000,0000,,Are you Dialogue: 0,0:02:34.54,0:02:34.68,Default,,0000,0000,0000,,thirsty? Dialogue: 0,0:02:36.20,0:02:36.49,Default,,0000,0000,0000,,No, Dialogue: 0,0:02:38.46,0:02:39.09,Default,,0000,0000,0000,,I don't know. Dialogue: 0,0:02:39.14,0:02:40.81,Default,,0000,0000,0000,,I brought you some water, here. Dialogue: 0,0:02:42.49,0:02:43.12,Default,,0000,0000,0000,,There you go. Dialogue: 0,0:02:43.89,0:02:47.44,Default,,0000,0000,0000,,They could have a need to stretch or walk around. Dialogue: 0,0:02:48.77,0:02:49.28,Default,,0000,0000,0000,,OK. Dialogue: 0,0:02:50.97,0:02:52.44,Default,,0000,0000,0000,,They could be uncomfortable. Dialogue: 0,0:02:52.87,0:02:54.68,Default,,0000,0000,0000,,The person could be too hot Dialogue: 0,0:02:54.95,0:02:56.14,Default,,0000,0000,0000,,or too cold. Dialogue: 0,0:02:56.35,0:03:01.06,Default,,0000,0000,0000,,They could need to be repositioned or have assistants repositioning themselves. Dialogue: 0,0:03:01.63,0:03:03.91,Default,,0000,0000,0000,,The person could need to use the restroom. Dialogue: 0,0:03:04.02,0:03:05.21,Default,,0000,0000,0000,,[BACKGROUND MUSIC] [TAPPING] Dialogue: 0,0:03:04.92,0:03:05.58,Default,,0000,0000,0000,,Hi, Mr. Dialogue: 0,0:03:05.59,0:03:06.07,Default,,0000,0000,0000,,Jones, Dialogue: 0,0:03:06.15,0:03:07.11,Default,,0000,0000,0000,,that music's kind of loud. Dialogue: 0,0:03:07.12,0:03:08.27,Default,,0000,0000,0000,,I'll turn that down for you. Dialogue: 0,0:03:10.89,0:03:12.80,Default,,0000,0000,0000,,You've been in this room for a while. Dialogue: 0,0:03:13.01,0:03:14.25,Default,,0000,0000,0000,,You need to use the restroom? Dialogue: 0,0:03:18.60,0:03:19.62,Default,,0000,0000,0000,,I don't know. Dialogue: 0,0:03:19.86,0:03:20.65,Default,,0000,0000,0000,,You don't know? Dialogue: 0,0:03:20.94,0:03:22.60,Default,,0000,0000,0000,,Let's go take a walk to the restroom. Dialogue: 0,0:03:23.06,0:03:23.22,Default,,0000,0000,0000,,Here, Dialogue: 0,0:03:23.30,0:03:23.94,Default,,0000,0000,0000,,I'll help you up. Dialogue: 0,0:03:26.95,0:03:26.96,Default,,0000,0000,0000,,Mhm, Dialogue: 0,0:03:29.32,0:03:30.02,Default,,0000,0000,0000,,there you go. Dialogue: 0,0:03:30.20,0:03:30.86,Default,,0000,0000,0000,,You could take my arm. Dialogue: 0,0:03:31.89,0:03:32.28,Default,,0000,0000,0000,,Right. Dialogue: 0,0:03:33.50,0:03:34.06,Default,,0000,0000,0000,,Here we go. Dialogue: 0,0:03:45.04,0:03:46.62,Default,,0000,0000,0000,,Repetitiveness Dialogue: 0,0:03:47.12,0:03:50.23,Default,,0000,0000,0000,,could be the result of the person being bored Dialogue: 0,0:03:50.56,0:03:53.19,Default,,0000,0000,0000,,or having a need to engage with others. Dialogue: 0,0:03:53.60,0:03:56.08,Default,,0000,0000,0000,,Once you've assessed the situation and determined Dialogue: 0,0:03:56.08,0:03:58.26,Default,,0000,0000,0000,,that the person is not in harm's way Dialogue: 0,0:03:58.56,0:04:00.44,Default,,0000,0000,0000,,and that their physical needs are met, Dialogue: 0,0:04:00.92,0:04:03.67,Default,,0000,0000,0000,,try engaging them in some other activities. Dialogue: 0,0:04:04.44,0:04:08.68,Default,,0000,0000,0000,,You might consider helping the person move to another room or another part Dialogue: 0,0:04:08.68,0:04:12.48,Default,,0000,0000,0000,,of the home, where they can interact and visit with other folks. Dialogue: 0,0:04:13.35,0:04:14.37,Default,,0000,0000,0000,,Activities Dialogue: 0,0:04:14.63,0:04:16.01,Default,,0000,0000,0000,,should be meaningful. Dialogue: 0,0:04:16.67,0:04:18.99,Default,,0000,0000,0000,,You can help them get a project started with Dialogue: 0,0:04:18.99,0:04:23.26,Default,,0000,0000,0000,,the activities coordinator or engagement specialist at the home. Dialogue: 0,0:04:23.51,0:04:27.07,Default,,0000,0000,0000,,Perhaps they could help prepare the silverware for mealtime. Dialogue: 0,0:04:28.29,0:04:28.44,Default,,0000,0000,0000,,Hey, Dialogue: 0,0:04:28.49,0:04:28.80,Default,,0000,0000,0000,,Mr. Dialogue: 0,0:04:28.81,0:04:29.13,Default,,0000,0000,0000,,Jones, Dialogue: 0,0:04:29.29,0:04:30.87,Default,,0000,0000,0000,,thanks so much for doing the silverware. Dialogue: 0,0:04:30.89,0:04:31.96,Default,,0000,0000,0000,,We really appreciate it. Dialogue: 0,0:04:34.91,0:04:37.98,Default,,0000,0000,0000,,Other activities could include working in the yard, Dialogue: 0,0:04:38.40,0:04:39.58,Default,,0000,0000,0000,,planting flowers, Dialogue: 0,0:04:39.75,0:04:40.47,Default,,0000,0000,0000,,weeding, Dialogue: 0,0:04:40.75,0:04:42.40,Default,,0000,0000,0000,,painting the picnic tables. Dialogue: 0,0:04:42.59,0:04:45.15,Default,,0000,0000,0000,,Maybe the person that you're working with would like to Dialogue: 0,0:04:45.15,0:04:47.94,Default,,0000,0000,0000,,write a letter to a family member or friend. Dialogue: 0,0:04:50.33,0:04:50.88,Default,,0000,0000,0000,,Here we go. Dialogue: 0,0:04:51.01,0:04:52.66,Default,,0000,0000,0000,,We got you situated with a drink, Dialogue: 0,0:04:52.73,0:04:53.44,Default,,0000,0000,0000,,a snack. Dialogue: 0,0:04:53.69,0:04:55.66,Default,,0000,0000,0000,,You're writing a letter to your grandson? Dialogue: 0,0:04:55.81,0:04:57.52,Default,,0000,0000,0000,,I heard it's his birthday next week. Dialogue: 0,0:04:58.03,0:04:59.50,Default,,0000,0000,0000,,A walk in the fresh air Dialogue: 0,0:04:59.81,0:05:02.36,Default,,0000,0000,0000,,is always good for the person that you're assisting Dialogue: 0,0:05:02.61,0:05:03.56,Default,,0000,0000,0000,,and for you. Dialogue: 0,0:05:04.77,0:05:06.56,Default,,0000,0000,0000,,Isn't it nice to be outside? Dialogue: 0,0:05:09.74,0:05:12.94,Default,,0000,0000,0000,,Initiation is a term which describes Dialogue: 0,0:05:13.25,0:05:14.96,Default,,0000,0000,0000,,moving from one activity Dialogue: 0,0:05:15.21,0:05:16.64,Default,,0000,0000,0000,,to another activity. Dialogue: 0,0:05:16.93,0:05:17.84,Default,,0000,0000,0000,,For example, Dialogue: 0,0:05:18.17,0:05:22.20,Default,,0000,0000,0000,,maybe watching television and initiate a new activity Dialogue: 0,0:05:22.46,0:05:25.57,Default,,0000,0000,0000,,by getting up and going to their room to read a book. Dialogue: 0,0:05:25.90,0:05:30.45,Default,,0000,0000,0000,,The process of initiation is a mental process. Dialogue: 0,0:05:30.70,0:05:35.34,Default,,0000,0000,0000,,Diseases such as Alzheimer's disease and other related dementias, Dialogue: 0,0:05:35.50,0:05:38.25,Default,,0000,0000,0000,,traumatic brain injury, or autism Dialogue: 0,0:05:38.57,0:05:41.58,Default,,0000,0000,0000,,can cause problems with initiation. Dialogue: 0,0:05:42.14,0:05:43.79,Default,,0000,0000,0000,,This is where you come in. Dialogue: 0,0:05:44.10,0:05:48.26,Default,,0000,0000,0000,,You could help the person initiate a new activity with some Dialogue: 0,0:05:48.26,0:05:51.45,Default,,0000,0000,0000,,of the suggestions and recommendations we offer in this film. Dialogue: 0,0:05:54.49,0:05:56.32,Default,,0000,0000,0000,,Tips to help with repetitiveness: Dialogue: 0,0:05:58.38,0:06:00.13,Default,,0000,0000,0000,,One: Assess Safety. Dialogue: 0,0:06:00.42,0:06:01.46,Default,,0000,0000,0000,,What is the person doing? Dialogue: 0,0:06:01.57,0:06:02.53,Default,,0000,0000,0000,,Is it safe? Dialogue: 0,0:06:02.78,0:06:04.82,Default,,0000,0000,0000,,If they continue doing their repetitive action, Dialogue: 0,0:06:04.94,0:06:07.45,Default,,0000,0000,0000,,are they going to hurt themselves or someone else? Dialogue: 0,0:06:07.66,0:06:08.26,Default,,0000,0000,0000,,If so, Dialogue: 0,0:06:08.34,0:06:10.41,Default,,0000,0000,0000,,calmly stop them as soon as you can. Dialogue: 0,0:06:10.98,0:06:12.05,Default,,0000,0000,0000,,Get help if needed, Dialogue: 0,0:06:12.26,0:06:16.29,Default,,0000,0000,0000,,but try to stop the unsafe action in the least aggravating way possible. Dialogue: 0,0:06:16.68,0:06:17.20,Default,,0000,0000,0000,,Two: Dialogue: 0,0:06:17.58,0:06:18.90,Default,,0000,0000,0000,,Assess Human Needs. Dialogue: 0,0:06:18.99,0:06:22.93,Default,,0000,0000,0000,,Repetitiveness that is not causing harm may not need to be interrupted, Dialogue: 0,0:06:22.94,0:06:26.42,Default,,0000,0000,0000,,but could be a sign of a human need that the person cannot express verbally. Dialogue: 0,0:06:27.48,0:06:29.07,Default,,0000,0000,0000,,If there is an unmet need or want, Dialogue: 0,0:06:29.24,0:06:29.75,Default,,0000,0000,0000,,for example, Dialogue: 0,0:06:30.00,0:06:30.40,Default,,0000,0000,0000,,hunger, Dialogue: 0,0:06:30.52,0:06:30.92,Default,,0000,0000,0000,,thirst, Dialogue: 0,0:06:31.08,0:06:31.64,Default,,0000,0000,0000,,boredom, Dialogue: 0,0:06:31.68,0:06:32.43,Default,,0000,0000,0000,,or pain, Dialogue: 0,0:06:32.84,0:06:34.27,Default,,0000,0000,0000,,meet that person's needs. Dialogue: 0,0:06:34.56,0:06:36.27,Default,,0000,0000,0000,,Maybe they just need to use the restroom. Dialogue: 0,0:06:37.33,0:06:39.10,Default,,0000,0000,0000,,Physical needs might include Dialogue: 0,0:06:39.57,0:06:40.40,Default,,0000,0000,0000,,thirst, Dialogue: 0,0:06:40.49,0:06:41.28,Default,,0000,0000,0000,,hunger, Dialogue: 0,0:06:41.52,0:06:43.12,Default,,0000,0000,0000,,the person may be uncomfortable Dialogue: 0,0:06:43.41,0:06:44.41,Default,,0000,0000,0000,,they may be too hot, Dialogue: 0,0:06:44.57,0:06:45.20,Default,,0000,0000,0000,,too cold, Dialogue: 0,0:06:45.45,0:06:46.73,Default,,0000,0000,0000,,or need to be repositioned. Dialogue: 0,0:06:47.56,0:06:52.46,Default,,0000,0000,0000,,The person might have psychological or social needs, such as, one—boredom. Dialogue: 0,0:06:52.76,0:06:53.66,Default,,0000,0000,0000,,In this case, Dialogue: 0,0:06:53.99,0:06:57.42,Default,,0000,0000,0000,,help the individual find something meaningful to do to them, Dialogue: 0,0:06:57.63,0:06:59.02,Default,,0000,0000,0000,,such as walking outside, Dialogue: 0,0:06:59.23,0:07:00.58,Default,,0000,0000,0000,,helping prepare the silverware, Dialogue: 0,0:07:00.79,0:07:01.58,Default,,0000,0000,0000,,writing a letter, Dialogue: 0,0:07:01.75,0:07:03.14,Default,,0000,0000,0000,,or creating a work of art. Dialogue: 0,0:07:03.75,0:07:05.47,Default,,0000,0000,0000,,Two—loneliness. Dialogue: 0,0:07:05.51,0:07:09.02,Default,,0000,0000,0000,,Help the person find ways to talk and do something with other people, Dialogue: 0,0:07:09.22,0:07:10.30,Default,,0000,0000,0000,,such as play a game, Dialogue: 0,0:07:10.51,0:07:11.16,Default,,0000,0000,0000,,do a craft, Dialogue: 0,0:07:11.23,0:07:12.78,Default,,0000,0000,0000,,or hang out with someone who works there, Dialogue: 0,0:07:12.79,0:07:14.55,Default,,0000,0000,0000,,such as a nurse or a CNA. Dialogue: 0,0:07:15.14,0:07:15.64,Default,,0000,0000,0000,,Three— Dialogue: 0,0:07:15.67,0:07:16.80,Default,,0000,0000,0000,,overstimulation. Dialogue: 0,0:07:17.34,0:07:20.17,Default,,0000,0000,0000,,Create a peaceful environment in which the person can regroup, Dialogue: 0,0:07:20.38,0:07:22.93,Default,,0000,0000,0000,,such as near an aviary or looking out a window, Dialogue: 0,0:07:23.14,0:07:24.97,Default,,0000,0000,0000,,their room or another quiet area. Dialogue: 0,0:07:25.70,0:07:28.00,Default,,0000,0000,0000,,Adjust the environment by reducing noise, Dialogue: 0,0:07:28.21,0:07:29.29,Default,,0000,0000,0000,,adjusting lighting, Dialogue: 0,0:07:29.33,0:07:31.92,Default,,0000,0000,0000,,or turning on peaceful or their favorite music.