Progress Notes and Reporting
Q: What is the main purpose of progress notes and reporting in nursing?
Did You Know?
Extinction involves removing the reinforcement that maintains a behavior, leading to gradual decrease in that behavior. For example: if a child's tantrums are reinforced by parental attention, ignoring the tantrums (removing attention) should decrease them over time. Extinction burst (temporary increase in behavior) may occur initially. Effective extinction requires: identifying the specific reinforcement; consistently withholding it; and combining with reinforcement of alternative behaviors. This technique is used in: parenting training; classroom management; and behavioral interventions for developmental disabilities. Contrast with: positive reinforcement (adding desirable stimulus to increase behavior); negative reinforcement (removing aversive stimulus to increase behavior); and punishment (adding aversive stimulus to decrease behavior). Nurses teach caregivers about consistent application and patience during extinction burst. Extinction works best when the behavior is attention-seeking rather than sensory-seeking or escape-motivated. Functional behavior assessment identifies maintaining reinforcers.
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