Interaction location (eg, living room, dining area, hall, resident room, bathroom, etc) Interaction at a table (Yes/No) Interaction situation (eg, care-related, one-on-one, small group, large group, family visit, etc) Interpersonal distance between the interacting individuals (eg, 4+ ft, 30-48 in, 18-30 in, and <18 in) Person(s) interacting with (eg, nursing staff, activity staff, other support staff, etc) Level of participation of resident (active/passive)
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Positive social (Yes/No): Interactions involving good constructive conversations and companionship; providing reassurance/comfort during care that is more than necessary to carry out a task. For example, greetings directed to individuals, offering more food or asking if finished. Positive care (Yes/No): Limited interactions during delivery of physical care that are only necessary to carry out the task and for safety and removal from danger during care. For example, brief verbal explanation of a morning care routine. Neutral (Yes/No): Brief interactions without verbal and nonverbal contact. For example, putting plates down after lunch or dinner without any verbal or nonverbal exchange/gesture, undirected greetings. Negative protective (Yes/No): Interactions that lack appropriate regard for the individual; providing care in a restrictive manner to ensure safety and removal from danger without any explanation/reassurance. For example, resident being fed too quickly, resident being told to wait for medication/treatment without stating the reason. Negative restrictive (Yes/No): Interactions that involve opposing or resisting resident’s freedom of action and ignorance without a good reason. For example, resident being told they cannot have something (eg, tea) without good reasoning/explanation, moving resident without warning or explanation.
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