Combative Residents: Just a Part of the Job?
    07/27/2020

    Growing rates of healthcare workers are experiencing physical and psychological injury as a result of workplace violence related to resident care. A staggering 95% of healthcare workers have reported exposure to aggression.  However, research has found that workplace violence is underreported, signifying that actual rates may be much higher and cause for concern.

    In order to decrease violent and sometimes, combative outbursts of residents that can lead to injury, healthcare workers must understand the underlying triggers that precede the aggressive behavior. There are three main types of triggers:

    • Physical triggers include a physical inability to accurately describe or verbalize the needs and wants of a resident including pain, hunger, thirst, need for use of bathroom, or positioning needs. The healthcare worker may also provide the trigger through body language, touch, tone of voice, type of clothing/perfume worn, or mannerisms.
    • Emotional triggers may include a resident feeling depressed, overstimulated, or experiencing sensory changes.
    • Environmental triggers can include noxious stimuli from the environment surrounding the resident including noise from a television, other residents, busy nurses’ stations, or maintenance work nearby. Secondly, excessive clutter, large unfamiliar equipment, close proximity to objects or people or other changes in the resident’s regular habits and routines can all trigger violent outbursts.

    Being aware of the triggers that can precede a violent outburst and knowing how to avoid these triggers can be instrumental in preventing injury to healthcare workers. Collaborating with the entire healthcare team and providing a specific resident-centered approach can decrease outbursts and keep healthcare workers, as well as the residents they care for, safe. 

    The AssuredPartners Senior Living team has developed a resource to help senior living communities understand the triggers and different interventions that can be utilized.  For a copy of this resource, please contact our team.

    Reference: Brown, B. & Kain, E. (2019). A Role for Occupational Therapy Practitioners in Mitigating Episodes of Workplace Violence in Health Care. American Occupational Therapy Association SIS Quarterly Practice Connections. 4, 31-33.

    07/15/2020
    LAKE MARY, FL – July 15, 2020 – AssuredPartners, Inc. is pleased to announce ENV Insurance Agency, LLC of Liverpool, NY has joined AssuredPartners. The dedicated team of 26 will remain under the operational leadership of Ed Vaughn and Terry Engels. The agency currently reports $7.5 million in...
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    07/09/2020
    LAKE MARY, FL – July 9, 2020 – AssuredPartners, Inc. is pleased to announce ENV Property & Casualty, LLC of Liverpool, NY has joined AssuredPartners. The team of 14 will remain under the operational leadership of John Levanti and Joe Morelli. The agency currently reports $2.5 million in annualized...
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    06/26/2020
    LAKE MARY, FL – June 26, 2020– AssuredPartners, Inc. is proud to announce WTPhelan & Co. Insurance Agency, Inc. of Cambridge, MA has joined AssuredPartners as the 20th acquisition of 2020. The team of 58 will remain under the operational leadership of Robert Ramsey. The agency currently reports...
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    06/19/2020
    LAKE MARY, FL – June 19, 2020 – AssuredPartners, Inc. is proud to announce Rand-Tec Insurance Agency of Vernon Hills, IL has joined AssuredPartners. The staff of 24 will remain under the operational leadership of Todd Silver. The agency currently reports $8 million in annualized revenues. Todd...
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    06/12/2020
    AssuredPartners recognizes the significant impact that COVID-19 has had on our nation. As COVID-19 continues to affect health systems across the world, AssuredPartners is proud to continue supporting our communities and healthcare providers during this time. We are pleased to announce our $20,000 donation to...
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    06/08/2020
    LAKE MARY, FL – June 8, 2020 – AssuredPartners, Inc. is pleased to announce Williams & Williams, Inc. of Smithtown, NY has joined AssuredPartners. The staff of 4, led by Glenn Williams, currently reports $1.2 million in annualized revenues. “Founded in 1928, we pride ourselves on three...
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    05/28/2020
    LAKE MARY, FL – May 28, 2020 – AssuredPartners, Inc. is pleased to announce the acquisition of Cypress Insurance Group, Inc. of Fort Lauderdale, FL. The team of 20 will remain under the operational leadership of Terry Bond and Debbie Arciola. The agency currently reports $3 million in annualized...
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    04/21/2020
    LAKE MARY, FL – April 21, 2020 – AssuredPartners, Inc. is pleased to announce the acquisition of Transportation Insurance Advisors, LLC located in Sanford, FL. The team of 55 will remain under the operational leadership of Scott Light, in addition, the agency currently reports $14 million in...
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    04/15/2020
    LAKE MARY, FL – April 15, 2020– AssuredPartners, Inc. is proud to announce GIGA Solutions, Inc. of Boca Raton, FL has joined AssuredPartners as the 15th acquisition of 2020. GIGA Solutions provides tailored insurance solutions for the PEO industry. The team of 9 will remain under the operational...
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    04/06/2020
    LAKE MARY, FL – April 6, 2020 – AssuredPartners, Inc. is pleased to announce the acquisition of Early, Cassidy & Schilling, LLC (EC&S) of Rockville, MD. EC&S has been a trusted insurance advisor in Maryland since its founding in 1927. New York based advisory services firm, Dowling Hales,...
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