{"id":507295,"date":"2026-02-25T20:52:53","date_gmt":"2026-02-25T19:52:53","guid":{"rendered":"https:\/\/www.dynseo.com\/gestion-de-lagressivite-physique-en-etablissement-securiser-sans-contention-dynseo-2\/"},"modified":"2026-03-10T23:14:01","modified_gmt":"2026-03-10T22:14:01","slug":"managing-physical-aggression-in-establishments-securing-without-restraint","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/managing-physical-aggression-in-establishments-securing-without-restraint\/","title":{"rendered":"Managing Physical Aggression in Establishments: Securing Without Restraint"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; 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}\n.dbi-art-7aff90 .feature-card:nth-child(4n+2) { border-color: var(--rose-framboise); }\n.dbi-art-7aff90 .feature-card:nth-child(4n+3) { border-color: var(--vert); }\n.dbi-art-7aff90 .feature-card:nth-child(4n+4) { border-color: var(--bleu-principal); }\n.dbi-art-7aff90 .feature-card:hover {\n            transform: translateY(-8px);\n            box-shadow: 0 15px 40px rgba(0, 0, 0, 0.12);\n        }\n.dbi-art-7aff90 .feature-icon {\n            width: 70px;\n            height: 70px;\n            border-radius: 20px;\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            font-size: 2rem;\n            margin: 0 auto 20px;\n        }\n.dbi-art-7aff90 .feature-card:nth-child(4n+1) .feature-icon { background: var(--jaune); color: var(--dark-blue); }\n.dbi-art-7aff90 .feature-card:nth-child(4n+2) .feature-icon { background: var(--rose-framboise); color: white; }\n.dbi-art-7aff90 .feature-card:nth-child(4n+3) .feature-icon { background: var(--vert); color: var(--dark-blue); }\n.dbi-art-7aff90 .feature-card:nth-child(4n+4) .feature-icon { background: var(--bleu-principal); color: white; }\n.dbi-art-7aff90 .feature-card h4 {\n            font-family: 'Montserrat', sans-serif;\n            color: var(--bleu-principal);\n            margin-bottom: 10px;\n            font-size: 1.1rem;\n        }\n.dbi-art-7aff90 .feature-card p {\n            font-size: 0.95rem;\n            color: var(--text-light);\n            text-align: center;\n            margin-bottom: 0;\n        }\n.dbi-art-7aff90 blockquote {\n            background: linear-gradient(135deg, #f0f0ff 0%, #e8e8ff 100%);\n            border-left: 4px solid var(--bleu-principal);\n            border-radius: 0 15px 15px 0;\n            padding: 30px 35px;\n            margin: 40px 0;\n            position: relative;\n        }\n.dbi-art-7aff90 blockquote::before {\n            content: \"\u275d\";\n            font-size: 3rem;\n            color: var(--bleu-principal);\n            opacity: 0.5;\n            position: absolute;\n            top: 10px;\n            left: 15px;\n        }\n.dbi-art-7aff90 blockquote p {\n            font-style: italic;\n            margin-bottom: 15px;\n            padding-left: 30px;\n        }\n@media (max-width: 768px) {\n.dbi-art-7aff90 h1 { font-size: 2rem; }\n.dbi-art-7aff90 h2 { font-size: 1.6rem; }\n.dbi-art-7aff90 .article-header { padding: 60px 20px; }\n.dbi-art-7aff90 .feature-grid { grid-template-columns: 1fr; }\n}<\/p>\n<\/style>\n<div class=\"dbi-art-7aff90\">\n<header class=\"article-header\">\n<div class=\"header-content\">\n<div class=\"header-badge\">\n                \ud83d\udee1\ufe0f Security &#038; Dignity\n            <\/div>\n<h1>Managing Physical Aggression in Institutions: Ensuring Safety Without Restraint<\/h1>\n<pee class=\"header-subtitle\">Protocols and techniques for managing physical aggression in a professional and respectful manner, prioritizing the safety of all without compromising dignity<\/pee>\n        <\/div>\n<\/header>\n<p>    <main class=\"container\">\n        <pee class=\"intro\">\n            Physical aggression in elderly people with cognitive disorders represents one of the most feared and delicate situations to manage in institutions. Hits, bites, scratches, shoves: these behaviors endanger the safety of caregivers, other residents, and sometimes the person themselves. In the face of these situations, the temptation may be great to resort to restraint to &#8220;protect everyone.&#8221; However, restraint, far from being a solution, poses serious ethical, legal, and therapeutic problems.\n        <\/pee>\n<h2>Understanding Physical Aggression in Geriatric Context<\/h2>\n<pee>Before intervening, it is crucial to understand that physical aggression in a person with cognitive disorders is never a deliberate choice to harm. It is a defensive reaction to a perceived threat, an expression of deep distress, or a manifestation of brain injuries that alter impulse control.<\/pee>\n<h3>The Neurological Causes of Aggression<\/h3>\n<pee>In neurodegenerative diseases like Alzheimer&#8217;s or frontotemporal dementias, certain areas of the brain responsible for emotional regulation and behavioral control are affected. This manifests as:<\/pee>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83e\udde0<\/div>\n<h4>Loss of Inhibition<\/h4>\n<pee>The person goes directly from thought to action without being able to moderate their response. The usual social filters no longer work.<\/pee>\n            <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\u26a1<\/div>\n<h4>Hypersensitivity<\/h4>\n<pee>Ordinary situations (a touch, a noise) are perceived as intolerable threats requiring an immediate defensive response.<\/pee>\n            <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udc41\ufe0f<\/div>\n<h4>Misinterpretation<\/h4>\n<pee>Difficulty interpreting others&#8217; intentions: a gesture of help is perceived as aggression, a benevolent look as a threat.<\/pee>\n            <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udea8<\/div>\n<h4>Survival Mode Activated<\/h4>\n<pee>Faced with the incomprehension of the situation, the brain activates a &#8220;fight or flight&#8221; mode with a primary and uncontrollable reaction.<\/pee>\n            <\/div>\n<\/p><\/div>\n<h3>Common Triggering Factors<\/h3>\n<pee>Physical aggression rarely occurs without reason. Identifying triggers allows for better prevention and management of these situations:<\/pee>\n<ul>\n<li><strong>Intimate Hygiene Care:<\/strong> Bathing, dressing, changing are experienced as intrusions into intimacy, triggering an instinctive defensive reaction to protect one&#8217;s body.<\/li>\n<li><strong>Unidentified Pain:<\/strong> Intense pain that the person cannot verbalize manifests as an aggressive reaction towards anyone approaching &#8211; it&#8217;s a non-verbal &#8220;Don&#8217;t touch me, it hurts!&#8221;<\/li>\n<li><strong>Fear and Confusion:<\/strong> Not recognizing the place or people, being disoriented in time and space generates a panic that can turn into defensive aggression.<\/li>\n<li><strong>Extreme Frustration:<\/strong> The inability to communicate needs or achieve desired actions accumulates emotional tension that eventually explodes physically.<\/li>\n<li><strong>Hallucinations and Delusional Ideas:<\/strong> Seeing intruders, believing one is being poisoned, thinking one is being stolen from can generate violent defensive behaviors against these perceived threats.<\/li>\n<\/ul>\n<div class=\"cta-box\">\n<h4>\ud83c\udf93 DYNSEO Training: Alternatives to Restraint<\/h4>\n<pee>Our training &#8220;Behavioral Disorders Related to Illness: Methods and Multidisciplinary Coordination&#8221; offers a comprehensive module on alternatives to restraint and techniques for managing aggression that respect the rights of the person.<\/pee>\n            <a href=\"https:\/\/www.dynseo.com\/en\/courses\/disease-related-behavioural-disorders-methods-and-multidisciplinary-coordination\/\" target=\"_blank\"><br \/>\n                <img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2025\/11\/Troubles-du-comportement-lies-a-la-maladie-methodes-et-coordination-pluridisciplinaire.png\" alt=\"DYNSEO behavioral disorders training\"><br \/>\n            <\/a><br \/>\n            <a href=\"https:\/\/www.dynseo.com\/en\/courses\/disease-related-behavioural-disorders-methods-and-multidisciplinary-coordination\/\" class=\"cta-button\" target=\"_blank\">Discover the training \u2192<\/a>\n        <\/div>\n<h2>Why Restraint Is Not the Solution<\/h2>\n<pee>Before addressing alternatives, it is essential to understand why restraint &#8211; whether physical (straps, vests, bed rails) or chemical (excessive medication sedation) &#8211; should be avoided as much as possible.<\/pee>\n<h3>The Serious Medical Risks of Physical Restraint<\/h3>\n<div class=\"warning-box\">\n<h4>\u26a0\ufe0f Dangers of Physical Restraint<\/h4>\n<ul>\n<li><strong>Cardiovascular Risks:<\/strong> Worsening hypertension, deep vein thrombosis related to prolonged immobilization, vascular compression<\/li>\n<li><strong>Respiratory Risks:<\/strong> Aspiration pneumonia, respiratory distress if restraint compresses the chest, reduced lung capacity<\/li>\n<li><strong>Skin Risks:<\/strong> Pressure sores (bedsores), skin lesions, bruises, in extreme cases: accidental strangulation<\/li>\n<li><strong>Musculoskeletal Risks:<\/strong> Rapid muscle wasting (amyotrophy), irreversible joint stiffness (ankylosis), serious falls upon release from restraint (loss of balance)<\/li>\n<li><strong>Accelerated Cognitive Decline:<\/strong> Immobilization and understimulation rapidly and significantly worsen existing cognitive disorders<\/li>\n<li><strong>Major Psychological Impact:<\/strong> Psychological trauma, loss of self-esteem, reactive depression, paradoxical increase in agitation<\/li>\n<\/ul><\/div>\n<pee>Chemical restraint (excessive sedation by neuroleptics or benzodiazepines) also presents specific dangers:<\/pee>\n<ul>\n<li>Falls related to excessive sedation and loss of balance<\/li>\n<li>Worsening confusion (frequent paradoxical effect in elderly people)<\/li>\n<li>Iatrogenic Parkinsonian syndrome (rigidity, tremors)<\/li>\n<li>Risk of strokes with certain antipsychotics<\/li>\n<li>Dangerous drug interactions<\/li>\n<\/ul>\n<h3>The Unavoidable Ethical and Legal Implications<\/h3>\n<pee>From an ethical standpoint, restraint represents a serious violation of the fundamental rights of the human person:<\/pee>\n<div class=\"highlight-box\">\n<h4>\u2696\ufe0f Legal framework for restraint in France<\/h4>\n<pee>French law is very clear on this point. Restraint can only be used as a last absolute resort and must comply with strict conditions:<\/pee>\n<ul>\n<li><strong>Exceptional nature:<\/strong> Only in cases of immediate and serious danger to the person or others, when all other alternatives have failed<\/li>\n<li><strong>Limited duration:<\/strong> Only for the strictly necessary time, never prolonged or systematic<\/li>\n<li><strong>Mandatory medical prescription:<\/strong> Written and justified medical decision, regularly re-evaluated<\/li>\n<li><strong>Consent or collegial decision:<\/strong> Seek the consent of the person if possible, otherwise a decision by a multidisciplinary team including the family<\/li>\n<li><strong>Close monitoring:<\/strong> Regular monitoring of the person&#8217;s condition, ongoing adaptation<\/li>\n<li><strong>Complete traceability:<\/strong> Accurate documentation in the medical record: justification, duration, re-evaluations, observed effects<\/li>\n<\/ul>\n<pee><strong>Important:<\/strong> A &#8220;comfort&#8221; restraint to facilitate the work of the team or due to lack of staff is illegal and constitutes institutional abuse subject to criminal penalties.<\/pee>\n        <\/div>\n<blockquote><pee>&#8220;Restraint is never trivial. It is a deprivation of liberty that can only be justified by immediate and serious danger. Our professional and ethical responsibility is to first seek all possible alternatives.&#8221;<\/pee><\/blockquote>\n<h2>Preventive strategies: acting before the crisis<\/h2>\n<pee>The best management of physical aggression is to prevent it from occurring. A well-thought-out preventive approach can reduce violent incidents by up to 70%.<\/pee>\n<h3>In-depth knowledge of the person: your best tool<\/h3>\n<pee>The more you know the person &#8211; their history, habits, triggers, calming strategies &#8211; the more you can anticipate and prevent risky situations. This knowledge must be formalized and shared with the entire team.<\/pee>\n<div class=\"tip-box\">\n<h4>\ud83d\udccb Create a personalized behavioral profile<\/h4>\n<pee>For each resident at risk of aggression, create a detailed sheet including:<\/pee>\n<ul>\n<li><strong>Complete life biography:<\/strong> Occupations, interests, significant events, lifestyle habits, family structure, important relationships<\/li>\n<li><strong>Specific precursors:<\/strong> &#8220;Mrs. D. starts folding and unfolding her handkerchief repetitively 5-10 minutes before a crisis&#8221;, &#8220;Mr. B. intensely stares at a point and no longer responds to questions&#8221;<\/li>\n<li><strong>Identified triggers:<\/strong> &#8220;Systematic refusal of a shower in the morning, acceptance in the afternoon&#8221;, &#8220;Becomes aggressive when approached from behind&#8221;, &#8220;Cannot stand the sound of the vacuum cleaner&#8221;<\/li>\n<li><strong>Validated effective strategies:<\/strong> &#8220;Offering a walk in the garden calms Mr. B. in 5 minutes&#8221;, &#8220;Talking about her grandchildren diverts Mrs. L.&#8217;s attention&#8221;, &#8220;Giving him an object to hold (stress ball) reduces Mr. R.&#8217;s agitation&#8221;<\/li>\n<li><strong>Approaches to absolutely avoid:<\/strong> &#8220;Never insist on hygiene with Mrs. D. if she refuses &#8211; postpone by 30 minutes&#8221;, &#8220;Do not touch Mr. F. without verbally warning him and obtaining his consent&#8221;<\/li>\n<li><strong>Referent caregivers:<\/strong> With whom is the person more cooperative? Why? (soft voice, particular patience, reminds them of a loved one&#8230;)<\/li>\n<\/ul>\n<pee>This sheet must be dynamic: updated after each incident, enriched by observations from all team members, easily accessible (care file, systematic oral transmission).<\/pee>\n        <\/div>\n<h3>Adapting the physical environment<\/h3>\n<pee>An environment designed to reduce stress factors significantly decreases the risks of aggression. Principles of therapeutic layout:<\/pee>\n<ul>\n<li><strong>Reduction of stressful stimuli:<\/strong> Soft and adjustable lighting (avoid harsh neon lights), quiet spaces available, limiting ambient noise (television at a reasonable volume, calm discussions), comfortable temperature (neither too hot nor too cold)<\/li>\n<li><strong>Accessible decompression spaces:<\/strong> Secure therapeutic garden where the person can walk, Snoezelen room with soothing sensory stimulation, reading\/rest area with comfortable armchair, calm manual activity zone<\/li>\n<li><strong>Appropriate signage and visual cues:<\/strong> Clear pictograms for toilets, dining room, facilitating orientation reduces confusion and anxiety, color codes by floor or area, photos on bedroom doors<\/li>\n<li><strong>Familiar reassuring objects in the room:<\/strong> Well-visible family photos, personal furniture if possible, bedspread from home, significant objects (old book, radio, precious trinket), anything that creates a feeling of &#8220;home&#8221;<\/li>\n<\/ul>\n<h3>Proactive management of physiological needs and pain<\/h3>\n<pee>Anticipating needs and addressing pain before it becomes unbearable is a major preventive strategy often overlooked:<\/pee>\n<ul>\n<li><strong>Regular hydration and nutrition:<\/strong> Do not wait for the person to express hunger or thirst (they may no longer be able to). Offer drinks every 2 hours, snacks between meals<\/li>\n<li><strong>Assistance to the toilet at fixed times:<\/strong> Prevent discomfort related to the need to urinate or defecate by systematically offering every 3-4 hours, even if the person does not ask<\/li>\n<li><strong>Systematic pain assessment:<\/strong> Use behavioral scales for non-verbal individuals (Algoplus, Doloplus, ECPA). Observe: grimaces, moans, protection of an area, refusal to be touched, change in behavior<\/li>\n<li><strong>Preventive pain treatment:<\/strong> Before potentially painful care (hygiene, mobilization, dressing), administer preventive pain relief 30 minutes prior if prescribed<\/li>\n<li><strong>Monitoring of intercurrent pathologies:<\/strong> Urinary infection, constipation, dental problems can generate significant pain expressed through aggression<\/li>\n<\/ul>\n<div class=\"tip-box\">\n<h4>\ud83c\udfae SCARLETT: Preventing through positive engagement<\/h4>\n<pee>Boredom and frustration are major factors of aggression. Offering suitable and rewarding activities can significantly reduce these behaviors.<\/pee>\n            <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\" target=\"_blank\"><br \/>\n                <img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2025\/10\/EDITH-FR-1.png\" alt=\"SCARLETT cognitive stimulation program for seniors\"><br \/>\n            <\/a>\n            <pee>Our <strong>SCARLETT<\/strong> program offers over 30 cognitive games tailored for individuals with Alzheimer&#8217;s and Parkinson&#8217;s. These activities positively occupy time, stimulate preserved abilities, provide a sense of accomplishment, and can serve as a distraction strategy during anxiety spikes.<\/pee>\n            <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\" class=\"cta-button\" target=\"_blank\">Discover SCARLETT \u2192<\/a>\n        <\/div>\n<h2>Management techniques during a physical aggression episode<\/h2>\n<pee>Despite all preventive measures, situations of physical aggression can occur. Here\u2019s how to manage them professionally with safety AND respect.<\/pee>\n<h3>Phase 1: Early recognition and immediate intervention<\/h3>\n<pee>As soon as you detect precursor signals (increasing verbal agitation, abrupt gestures, evasive or fixed gaze, visible muscle tension, agitated wandering), intervene immediately before physical escalation:<\/pee>\n<div class=\"feature-grid\">\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\u23f8\ufe0f<\/div>\n<h4>Stop the activity<\/h4>\n<pee>If it\u2019s a care that triggers agitation, interrupt it immediately. A non-urgent care can always be postponed. Safety comes first.<\/pee>\n            <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\u2194\ufe0f<\/div>\n<h4>Create distance<\/h4>\n<pee>Step back a few paces (1.5-2m) to give the person space. Never corner them. Space reduces the feeling of threat.<\/pee>\n            <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83e\udd32<\/div>\n<h4>Non-threatening posture<\/h4>\n<pee>Visible hands, open palms, slightly sideways position, relaxed shoulders, neutral face. Your body communicates &#8220;I am not a threat&#8221;.<\/pee>\n            <\/div>\n<div class=\"feature-card\">\n<div class=\"feature-icon\">\ud83d\udcac<\/div>\n<h4>Soothing communication<\/h4>\n<pee>Calm and steady voice: &#8220;I see that you are not well. I am stepping back. I will stay here but I will not touch you.&#8221; Verbalize your intentions.<\/pee>\n            <\/div>\n<\/p><\/div>\n<h3>Phase 2: Verbal and non-verbal de-escalation<\/h3>\n<pee>Your communication will be crucial. Key principles:<\/pee>\n<ul>\n<li><strong>Soothing tone:<\/strong> Calm voice, moderate volume, slow pace. NEVER raise your voice, even if the person is shouting. Your vocal calm has a regulating effect.<\/li>\n<li><strong>Emotional validation:<\/strong> &#8220;I see that you are very angry. This is difficult for you right now.&#8221; Acknowledge the emotion without judging it.<\/li>\n<li><strong>Positive formulations:<\/strong> No &#8220;Don&#8217;t hit me&#8221;, &#8220;Don&#8217;t be afraid&#8221;. Prefer: &#8220;I am here to help you&#8221;, &#8220;You are safe here&#8221;, &#8220;We will find a solution together&#8221;.<\/li>\n<li><strong>Proposing simple alternatives:<\/strong> &#8220;Would you like me to call [familiar person]?&#8221; or &#8220;Would you like to go to your room?&#8221; or &#8220;Would you prefer to sit for a moment?&#8221; Give a sense of control.<\/li>\n<li><strong>Breathing synchronization:<\/strong> Breathe slowly and deeply in a visible manner. The person may unconsciously synchronize with your calm breathing rhythm.<\/li>\n<\/ul>\n<h3>Phase 3: Physical protection techniques without restraint<\/h3>\n<pee>If physical aggression is imminent or ongoing, you must protect yourself while respecting the person. Protection techniques taught in specialized training:<\/pee>\n<div class=\"warning-box\">\n<h4>\ud83d\udee1\ufe0f Defensive protection techniques<\/h4>\n<pee><strong>Blocking and evasion techniques:<\/strong><\/pee>\n<ul>\n<li><strong>The raised arms block:<\/strong> If the person wants to hit, raise your arms in front of you, palms forward to block the blow while creating a visual barrier. NEVER grab the person&#8217;s arms (this escalates).<\/li>\n<li><strong>The sidestep:<\/strong> Move laterally to evade rather than retreating (risk of tripping) or advancing (perceived as aggression). Smooth lateral movement.<\/li>\n<li><strong>Creating a barrier with an object:<\/strong> Use a cushion, blanket, or even a light piece of furniture (chair) as a temporary barrier between you and the person. Not a weapon, a protection.<\/li>\n<li><strong>Quick and safe exit:<\/strong> If you are in a closed room, exit calmly but quickly. Never turn your back completely &#8211; exit sideways while maintaining eye contact.<\/li>\n<\/ul>\n<pee><strong>What to NEVER do (unless immediate vital danger):<\/strong><\/pee>\n<ul>\n<li>\u274c Grab, seize, hold the person by the arms, wrists, clothing<\/li>\n<li>\u274c Pin against a wall, on the ground, or immobilize in any way<\/li>\n<li>\u274c Squeeze, compress body areas (neck, chest, joints)<\/li>\n<li>\u274c Physically retaliate by defensive reflex (strike back)<\/li>\n<li>\u274c Shout, verbally threaten, intimidate<\/li>\n<li>\u274c Use an object offensively (even defensively)<\/li>\n<\/ul><\/div>\n<h3>Phase 4: Request for help and coordinated team management<\/h3>\n<pee>NEVER stay alone in the face of a situation of physical aggression. Team management is more effective and safer:<\/pee>\n<ul>\n<li><strong>Immediate alert:<\/strong> Use the establishment&#8217;s alert system (emergency button, mobile phone, vocal call &#8220;Help room 12!&#8221;). Each establishment must have a clear alert protocol known to all.<\/li>\n<li><strong>Coordinated arrival of reinforcements:<\/strong> The arrival of several caregivers must be calm and coordinated. Avoid the &#8220;commando&#8221; effect with several people arriving running and talking loudly (increases fear and aggression).<\/li>\n<li><strong>A designated leader:<\/strong> Only one person (usually the referent caregiver or manager) speaks and gives instructions. Others observe, are ready to intervene if necessary, but do not multiply contradictory voices.<\/li>\n<li><strong>Cautious surrounding strategy:<\/strong> If several caregivers are present, never completely encircle the person (feeling of deadly trap). Stay all on the same side with a visible and clear exit for the person.<\/li>\n<li><strong>Discreet team communication:<\/strong> If you need to consult, do it quietly or by gestures, not in front of the person who might interpret this as a conspiracy against them.<\/li>\n<\/ul>\n<h2>Essential institutional protocols<\/h2>\n<pee>Each medico-social establishment must have clear, formalized, and regularly updated protocols for managing physical aggression. This is not optional, it is a legal and ethical obligation.<\/pee>\n<h3>The alert and graduated intervention protocol<\/h3>\n<div class=\"highlight-box\">\n<h4>\ud83d\udce2 Essential elements of the alert protocol<\/h4>\n<pee><strong>How to alert:<\/strong><\/pee>\n<ul>\n<li>System used: fixed alarm, mobile phone, DECT, verbal code (&#8220;Code blue room 5&#8221;)<\/li>\n<li>Who to alert first: nearby colleagues, health manager, mobile emergency team if available<\/li>\n<li>Minimum information to convey: location, nature of the situation, need for reinforcement<\/li>\n<\/ul>\n<pee><strong>Who intervenes and in what order:<\/strong><\/pee>\n<ul>\n<li>Level 1: Resident&#8217;s referring caregiver (established trust relationship)<\/li>\n<li>Level 2: Pair of caregivers trained in de-escalation techniques<\/li>\n<li>Level 3: Health manager + additional reinforcement if necessary<\/li>\n<li>Level 4: Coordinating doctor (medical assessment, prescription if necessary)<\/li>\n<\/ul>\n<pee><strong>When to escalate to external help:<\/strong><\/pee>\n<ul>\n<li>Call SAMU (15): Immediate vital danger, serious injury, medical distress<\/li>\n<li>Call the police (17): Extreme violence out of control, endangering others, as a last resort<\/li>\n<\/ul>\n<pee><strong>After the incident:<\/strong><\/pee>\n<ul>\n<li>Immediate care (injured resident and caregivers)<\/li>\n<li>Work accident declaration if necessary<\/li>\n<li>Defusing within the hour<\/li>\n<li>Structured debriefing within 48 hours<\/li>\n<li>Complete documentation in the files<\/li>\n<\/ul><\/div>\n<h3>The individualized crisis management protocol for each resident<\/h3>\n<pee>For each resident at risk of aggression, a specific protocol must be developed and regularly updated:<\/pee>\n<ul>\n<li><strong>Resident profile:<\/strong> Documented precursor signals, identified and validated triggers, detailed history of crises (frequency, intensity, context)<\/li>\n<li><strong>Validated personalized strategies:<\/strong> What specifically works with this person (verbal approach, distraction, change of environment), what does not work or worsens (to be absolutely avoided)<\/li>\n<li><strong>Clear safety instructions:<\/strong> Should there always be a minimum of two interveners? Avoid certain care at certain times? Favor certain caregivers with whom the person is more cooperative?<\/li>\n<li><strong>SOS medication treatment if prescribed:<\/strong> Crisis medication prescribed by the doctor (with exact dosage, route of administration, maximum frequency, contraindications), only after failure of non-drug techniques<\/li>\n<\/ul>\n<h3>The mandatory ongoing training protocol<\/h3>\n<pee>The team must be trained regularly and continuously. This is not a &#8220;plus,&#8221; it is a legal obligation of the employer:<\/pee>\n<ul>\n<li><strong>Initial training for all newcomers:<\/strong> In the first month of arrival, training in managing aggressive behaviors, visiting the establishment&#8217;s protocols, identifying resource persons<\/li>\n<li><strong>Annual refresher training for all:<\/strong> Updating knowledge, practical training in protection techniques (with mannequin or role-playing), analysis of real cases experienced in the year<\/li>\n<li><strong>Specialized training for referents:<\/strong> For referring caregivers of difficult residents: in-depth training such as &#8220;Prevention and management of violence&#8221; (3-5 days), &#8220;Humanitude,&#8221; &#8220;Therapeutic validation,&#8221; &#8220;Management of behavioral disorders&#8221;<\/li>\n<li><strong>Regular practice analysis:<\/strong> Monthly or bi-monthly sessions for collective analysis of difficult situations encountered, led by a psychologist or external trainer<\/li>\n<\/ul>\n<div class=\"highlight-box\">\n<h4>\ud83d\udc9d For caregivers facing aggression<\/h4>\n<pee>If you are a caregiver and your loved one sometimes becomes physically aggressive, you are experiencing an extremely difficult and painful situation. The aggression of a loved one can be traumatizing and call into question your ability to continue.<\/pee>\n            <a href=\"https:\/\/www.dynseo.com\/en\/courses\/illness-related-behaviour-changes-a-practical-guide-for-family-members\/\" target=\"_blank\"><br \/>\n                <img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2025\/11\/Troubles-du-comportement-lies-a-la-maladie-methodes-et-coordination-pluridisciplinaire-1.png\" alt=\"Training for caregivers DYNSEO\"><br \/>\n            <\/a>\n            <pee>Our training <strong>&#8220;Behavioral Changes Related to Illness: Practical Guide for Caregivers&#8221;<\/strong> helps you understand aggression, protect yourself without losing the emotional bond, and especially recognize your limits and ask for help before being in danger.<\/pee>\n            <pee><strong>Important:<\/strong> If you are regularly a victim of physical aggression, this is no longer sustainable. Talk to their treating physician, contact France Alzheimer, consider professional home help or temporary placement in a facility. Your safety matters too.<\/pee>\n            <a href=\"https:\/\/www.dynseo.com\/en\/courses\/illness-related-behaviour-changes-a-practical-guide-for-family-members\/\" class=\"cta-button\" target=\"_blank\">Discover the training \u2192<\/a>\n        <\/div>\n<h2>Conclusion: Safety AND dignity, a non-negotiable balance<\/h2>\n<pee>Managing physical aggression in a facility without resorting to restraint is a daily challenge that requires professionalism, ongoing training, teamwork, and strong institutional support. But it is a challenge that is not only possible but necessary and ethically mandatory to meet in order to honor the fundamental rights of the people we support.<\/pee>\n<pee>The key lies in a comprehensive and systemic approach combining:<\/pee>\n<ul>\n<li><strong>Intensive prevention:<\/strong> In-depth knowledge of the person, adapted environment, proactive management of pain and needs, rewarding activities<\/li>\n<li><strong>Solid and ongoing training:<\/strong> Competent teams in de-escalation techniques, restraint-free protection, therapeutic communication<\/li>\n<li><strong>Clear and applied protocols:<\/strong> Institutional procedures known to all, regularly reviewed and improved<\/li>\n<li><strong>Optimal team coordination:<\/strong> Multidisciplinary work, fluid communication, mutual support, regular supervision<\/li>\n<li><strong>Support for caregivers:<\/strong> Systematic debriefing, recognition of the difficulty of the work, access to psychological support, rights respected<\/li>\n<li><strong>Continuous re-evaluation:<\/strong> Analysis of each incident, adjustment of strategies based on results, culture of continuous improvement<\/li>\n<\/ul>\n<pee>No one should have to choose between their safety and their freedom. No caregiver should have to work in daily fear. And no institution should accept restraint as an easy solution when alternatives exist and are effective.<\/pee>\n<pee>With the right practices, the right tools, the right training, and the right mindset, it is possible to secure without hindering, to protect without humiliating, to intervene without violating fundamental human dignity.<\/pee>\n<div class=\"cta-box\">\n<h4>\ud83c\udf93 DYNSEO Resources for further exploration<\/h4>\n<pee><strong>Specialized professional training:<\/strong><\/pee>\n            <pee><a href=\"https:\/\/www.dynseo.com\/en\/courses\/disease-related-behavioural-disorders-methods-and-multidisciplinary-coordination\/\" style=\"color: var(--jaune); text-decoration: underline;\" target=\"_blank\">Behavioral Disorder Management Methods<\/a> &#8211; Certification training with a module dedicated to alternatives to restraint<\/pee>\n            <!\u2013- [et_pb_br_holder] -\u2013>\n            <pee><strong>Support for caregivers:<\/strong><\/pee>\n            <pee><a href=\"https:\/\/www.dynseo.com\/en\/courses\/illness-related-behaviour-changes-a-practical-guide-for-family-members\/\" style=\"color: var(--jaune); text-decoration: underline;\" target=\"_blank\">Practical Guide for Families<\/a> &#8211; Strategies for managing aggression without putting yourself in danger<\/pee>\n            <!\u2013- [et_pb_br_holder] -\u2013>\n            <pee><strong>Prevention tool through activity:<\/strong><\/pee>\n            <pee><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\" style=\"color: var(--jaune); text-decoration: underline;\" target=\"_blank\">SCARLETT &#8211; Adapted cognitive stimulation<\/a> to reduce boredom, frustration, and aggressive behaviors<\/pee>\n        <\/div>\n<pee style=\"text-align: center; font-style: italic; color: var(--text-light); margin-top: 60px; font-size: 1.15rem;\">\n            Because every person, regardless of their cognitive or behavioral state, deserves respect, safety, and dignity. Without compromise. \ud83d\udc99\n        <\/pee>\n    <\/main>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ud83d\udee1\ufe0f Security &#038; Dignity Managing Physical Aggression in Institutions: Ensuring Safety Without Restraint Protocols and techniques for managing physical aggression in a professional and respectful manner, prioritizing the safety of all without compromising dignity Physical aggression in elderly people with cognitive disorders represents one of the most feared and delicate situations to manage in institutions. [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":116414,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<div class=\"row animated fadeInUp delay4 duration2 rdk-mb\"><img class=\"alignnone wp-image-23209 size-full\" src=\" https:\/\/www.dynseo.com\/wp-content\/uploads\/2019\/09\/StimArt-Edith-Dynseo.png \" alt=\"jeux cognitifs\" width=\"1648\" height=\"774\"><\/div>\r\n\u00a0\r\n<div class=\"row rdk-mb rdk-mt\">\r\n<div class=\"hidden-lg hidden-md col-sm-12 col-xs-12 animated fadeInUp duration1\"><img class=\"aligncenter\" src=\" https:\/\/www.dynseo.com\/wp-content\/uploads\/2019\/09\/Edith-format-300X287-jeux-de-m\u00e9moire-jeux-de-logique-jeux-de-m\u00e9moire-pour-seniors-jeux-cerebraux-pour-seniors-jeux-personnes-ag\u00e9es-alzheimer-activit\u00e9s-alzheimer-activit\u00e9s-seni.png\" alt=\"\" width=\"300\" height=\"287\"><\/div>\r\n<div class=\"col-lg-3 col-md-3 col-sm-6 col-xs-12 rdkp0\">\r\n<ul class=\"rdk-items left\">\r\n \t<li class=\"animated fadeInLeft duration1 eds-on-scroll\"><img class=\"img-heading\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\"><\/li>\r\n \t<li><\/li>\r\n \t<li>Un programme de jeux de m\u00e9moire adapt\u00e9s aux personnes souffrant de troubles cognitifs dont l\u2019Alzheimer, Parkinson, et autre maladie neurod\u00e9g\u00e9n\u00e9rative.<\/li>\r\n \t<li><\/li>\r\n \t<li class=\"animated fadeInLeft delay1 duration1 eds-on-scroll\"><img class=\"img-heading\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\"><\/li>\r\n \t<li><\/li>\r\n \t<li>Pas de mise en \u00e9chec. Pas de score au sein de l\u2019application. Plusieurs niveaux.<\/li>\r\n \t<li><\/li>\r\n \t<li class=\"animated fadeInLeft delay2 duration1 eds-on-scroll\"><img class=\"img-heading\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\"><\/li>\r\n \t<li><\/li>\r\n \t<li>Suzie analyse vos performances de la semaine pass\u00e9e, et vous fait un r\u00e9capitulatif chaque lundi. Une plateforme de suivi plus pouss\u00e9e permet de rep\u00e9rer les fragilit\u00e9s.<\/li>\r\n \t<li><\/li>\r\n<\/ul>\r\n<\/div>\r\n<div class=\"col-lg-6 col-md-6 hidden-sm hidden-xs animated fadeInUp duration1 eds-on-scroll\"><img class=\"aligncenter size-full wp-image-23241\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2019\/09\/Edith-format-1280X720-jeux-de-m\u00e9moire-jeux-de-logique-jeux-de-m\u00e9moire-pour-seniors-jeux-cerebraux-pour-seniors-jeux-personnes-ag\u00e9es-alzheimer-activit\u00e9s-alzheimer-activit\u00e9s-se-2.png\" alt=\"\" width=\"1280\" height=\"720\"><\/div>\r\n<div class=\"col-lg-3 col-md-3 col-sm-6 col-xs-12 rdkp0\">\r\n<ul class=\"rdk-items right\">\r\n \t<li class=\"animated fadeInRight duration1 eds-on-scroll\"><img class=\"img-heading\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\"><\/li>\r\n \t<li><\/li>\r\n \t<li>Pour s\u2019entraider et jouer ensemble, certains jeux se jouent \u00e0 2. L\u2019\u00e9cran se divise en 2, et chacun a sa partie.<\/li>\r\n \t<li><\/li>\r\n \t<li class=\"animated fadeInRight delay1 duration1 eds-on-scroll\"><img class=\"img-heading\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\"><\/li>\r\n \t<li><\/li>\r\n \t<li>Edith et ses jeux fonctionnent sans internet, vous pourrez ainsi jouer partout.<\/li>\r\n \t<li><\/li>\r\n \t<li class=\"animated fadeInRight delay2 duration1 eds-on-scroll\"><img class=\"img-heading\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\"><\/li>\r\n \t<li><\/li>\r\n \t<li>De nouveaux jeux ou de nouveaux contenus viendront s\u2019ajouter tous les mois.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div class=\"row rdk-mb rdk-mt\">\r\n<div class=\"rdk-download animated fadeInUp delay1 duration1\">\r\n\r\n[row]\r\n[column lg=\"6\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<a href=\"https:\/\/itunes.apple.com\/fr\/app\/stimart-edith-jeux-memoire\/id1000644030?mt=8\"><img class=\"wp-image-23588 aligncenter\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"245\" height=\"93\"><\/a>\r\n[\/column]\r\n[column lg=\"6\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.dynseo.stimart.ehpad.fr\"><img class=\"wp-image-23591 aligncenter\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"245\" height=\"93\"><\/a>\r\n[\/column]\r\n[\/row]\r\n\r\n\u00a0\r\n<p style=\"text-align: left;\"><\/p>\r\nLe programme Stim'Art Edith est <span style=\"color: #526fa1;\"><strong>un programme de jeux de m\u00e9moire<\/strong> <strong>adapt\u00e9s<\/strong><\/span> aux personnes souffrant de troubles cognitifs dont l'Alzheimer, Parkinson, et autre maladie neurod\u00e9g\u00e9n\u00e9rative.\r\n<p style=\"text-align: justify;\">En effet, lorsque nous souffrons de troubles cognitifs, que ce soit en d\u00e9but ou \u00e0 un stade plus avanc\u00e9 de la maladie, il est important de continuer \u00e0 stimuler ses fonctions cognitives afin de maintenir ses capacit\u00e9s.<\/p>\r\n<p style=\"text-align: justify;\">En effet le programme de jeux de m\u00e9moire Edith a \u00e9t\u00e9 con\u00e7u lors d'ateliers en maisons de retraite (EHPAD), o\u00f9 nous avons travaill\u00e9 avec des professionnels de sant\u00e9 sur les jeux pr\u00e9f\u00e9r\u00e9s des seniors. L'objectif a \u00e9t\u00e9 d'utiliser ses jeux pour construire un programme de stimulation cognitive exhaustif et plaisant.<\/p>\r\n\u00a0\r\n<p style=\"text-align: justify;\">Aujourd'hui, ce programme est tr\u00e8s utilis\u00e9 en EHPAD (<a title=\"EHPAD & maisons de retraite\" href=\"https:\/\/www.dynseo.com\/fr\/animation-maison-de-retraite\/\">Plus de d\u00e9tails<\/a>), en accueil de jour, mais il est aussi utilis\u00e9 \u00e0 domicile par des personnes \u00e2g\u00e9es souffrant de la maladie d'Alzheimer ou d'autres troubles cognitifs ( Parkinson). Les jeux de m\u00e9moire sont vraiment adapt\u00e9s au public accueilli. Plusieurs niveaux de difficult\u00e9s sont pr\u00e9sents dans l'application, afin que chacun puisse avancer \u00e0 son rythme en fonction de ses capacit\u00e9s. L'important est de ne pas \u00eatre mis en \u00e9chec.<\/p>\r\n\u00a0\r\n<h2 style=\"text-align: center;\"><strong><span style=\"color: #526fa1;\">DES JEUX DE M\u00c9MOIRE\u00a0VARIES POUR FAIRE TRAVAILLER L'ENSEMBLE DES FONCTIONS COGNITIVES\u00a0<\/span><\/strong><\/h2>\r\n\u00a0\r\n<p style=\"text-align: justify;\"><strong><span style=\"color: #526fa1;\">Le programme de jeux de m\u00e9moire Edit<\/span>h<\/strong> a \u00e9t\u00e9 con\u00e7u de sorte qu'il puisse \u00eatre utilis\u00e9 par des personnes \u00e2g\u00e9es ayant peu de troubles cognitifs, ou par des personnes atteintes de la maladie d'Alzheimer \u00e0 des stades mod\u00e9r\u00e9s \u00e0 s\u00e9v\u00e8res, ou d'autres maladies neurod\u00e9g\u00e9n\u00e9ratives, d\u00e9mences.<\/p>\r\n<p style=\"text-align: justify;\">Chaque jeu comprend trois niveaux de difficult\u00e9s (facile, moyen, difficile). Le niveau facile est tr\u00e8s accessible, afin que toute personne puisse\u00a0 se stimuler cognitivement et prendre du plaisir \u00e0 jouer.<\/p>\r\n\r\n<h3 style=\"text-align: center;\"><\/h3>\r\n<h2 style=\"text-align: center;\"><strong><span style=\"color: #526fa1;\"><span style=\"color: #526fa1;\">UN PROGRAMME DE JEUX DE <\/span><\/span><span style=\"color: #526fa1;\">M\u00c9MOIRE <\/span><span style=\"color: #526fa1;\"><span style=\"color: #526fa1;\">ADAPTE<\/span><\/span><span style=\"color: #526fa1;\">S A CHAQUE CULTURE<\/span><\/strong><\/h2>\r\n\u00a0\r\n<p style=\"text-align: justify;\">En plus de la version fran\u00e7aise, d'autres versions sont aussi disponibles : une version belge, suisse, luxembourgeoise, antillaise et qu\u00e9b\u00e9coise.<\/p>\r\n\u00a0\r\n<p style=\"text-align: justify;\">Voici quelques uns des 25 jeux d\u00e9j\u00e0 pr\u00e9sents dans l'application.<\/p>\r\n<p style=\"text-align: justify;\">Des jeux simples pour faire travailler l'attention, les fonctions ex\u00e9cutives, la m\u00e9moire s\u00e9mantique, les rep\u00e8res visuo-spatiaux, la rapidit\u00e9, mais aussi la m\u00e9moire auditive.<\/p>\r\nMais aussi <span style=\"color: #526fa1;\"><strong>d<\/strong><strong>es jeux faisant appel \u00e0 la m\u00e9moire de travail,<\/strong><\/span> la mise en place de strat\u00e9gies, l'attention et les fonctions ex\u00e9cutives.\r\n\r\n\u00a0\r\n\r\n[row]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n\r\n<img class=\"aligncenter wp-image-28024 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n\r\n<span style=\"color: #526fa1;\"><strong>Quizzle<\/strong>,<\/span> un jeu o\u00f9 il faut r\u00e9pondre aux questions de culture g\u00e9n\u00e9rale pour d\u00e9couvrir l'image cach\u00e9e.\r\n<p style=\"text-align: center;\">[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-28060 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>Le po\u00e8me perdu<\/strong><\/span>, faites travailler votre m\u00e9moire en compl\u00e9tant des po\u00e8mes.\r\n[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-28000 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>Le promeneur<\/strong><\/span>, reconstituez le chemin avec les sections propos\u00e9es.[\/column]\r\n[\/row]<\/p>\r\n<p style=\"text-align: center;\">[row]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-27988 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>ColorForm<\/strong><\/span>, trouvez la bonne forme ou couleur du mod\u00e8le.\r\n[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<p style=\"text-align: center;\"><img class=\"aligncenter wp-image-28028 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<span style=\"color: #526fa1;\"><strong>Relibulle<\/strong><\/span>, est le jeu pr\u00e9f\u00e9r\u00e9 des personnes souffrant d\u2019Alzheimer \u00e0 un stade mod\u00e9r\u00e9 \u00e0 s\u00e9v\u00e8re.\r\n[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-28036 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><span style=\"color: #007e7e;\"><strong><span style=\"color: #526fa1;\">Remue-M\u00e9ninges, <\/span><\/strong><span style=\"color: #333333;\">jeu o\u00f9 il faut reconstituer des proverbes ! <\/span><\/span><\/p>\r\n<p style=\"text-align: center;\">[\/column]\r\n[\/row]<\/p>\r\n<p style=\"text-align: center;\">[row]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-28074 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2020\/03\/Chasses-\u00e0-lintrus-300x198.png\" alt=\"\" width=\"300\" height=\"198\">\r\n<p style=\"text-align: center;\"><span style=\"color: #007e7e;\"><strong><span style=\"color: #526fa1;\">Chasse \u00e0 l\u2019intrus,<\/span><\/strong><span style=\"color: #333333;\">comme son nom l'indique, il faut retrouver l'intrus parmi les 4 propositions.<\/span><\/span>\r\n[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-27984 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><strong><span style=\"color: #007e7e;\"><span style=\"color: #526fa1;\">ColorMind<\/span>, <\/span><\/strong><span style=\"color: #333333;\">m\u00e9morisez les couleurs et restituez-les !<\/span><\/p>\r\n<p style=\"text-align: center;\">[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-27980 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>Cascade Infernale,<\/strong><\/span> dans ce jeu, il s'agit de trouver les diff\u00e9rences, c'est le jeu pr\u00e9f\u00e9r\u00e9 tout profil de joueurs confondu (sur l'application Edith)<\/p>\r\n<p style=\"text-align: center;\">[\/column]\r\n[\/row]<\/p>\r\n\u00a0\r\n<p style=\"text-align: center;\">[row]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-28044 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>Sudoku<\/strong>,<\/span> confrontez-vous au plus c\u00e9l\u00e8bre des casse-t\u00eates japonais.<\/p>\r\n<p style=\"text-align: center;\">[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-28012 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><strong><span style=\"color: #007e7e;\"><span style=\"color: #526fa1;\">Mamie Cuisine,<\/span><\/span><\/strong><span style=\"color: #333333;\">dans ce jeu, il s'agit de m\u00e9moriser les ingr\u00e9dients et de recomposer la recette.<\/span><\/p>\r\n<p style=\"text-align: center;\">[\/column]\r\n[column lg=\"4\" md=\"12\" sm=\"12\" xs=\"12\" ]<\/p>\r\n<img class=\"aligncenter wp-image-28020 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"300\" height=\"199\">\r\n<p style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>Puzzle Plus<\/strong>,<\/span> reconstituez les puzzles des tableaux les plus c\u00e9l\u00e8bres.<\/p>\r\n<p style=\"text-align: center;\">[\/column]\r\n[\/row]<\/p>\r\n\u00a0\r\n<h2 style=\"text-align: center;\"><strong><span style=\"color: #526fa1;\">PARTAGEZ DE BONS MOMENTS\u00a0<\/span><\/strong><\/h2>\r\n\u00a0\r\n<p style=\"text-align: left;\">Vous pouvez \u00e9galement profiter de certains de nos jeux en mode 2 joueurs. Vous pourrez ainsi jouer avec vos enfants ou vos petits-enfants !<\/p>\r\n<img class=\"aligncenter wp-image-25903 size-large\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2019\/10\/jeux-a-plusieurs-edith-1024x213.jpg\" alt=\"\" width=\"750\" height=\"156\">\r\n<h3 style=\"text-align: left;\"><\/h3>\r\n\u00a0\r\n<h2 style=\"text-align: center;\"><strong><span style=\"color: #526fa1;\">UNE PLATEFORME DE SUIVI EN LIGNE\u00a0<\/span><\/strong><\/h2>\r\n[row]\r\n[column lg=\"6\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<p style=\"text-align: justify;\">La plateforme de suivi permet de suivre l'\u00e9volution des joueurs (taux de r\u00e9ussite, niveaux de difficult\u00e9 choisis, jeux pr\u00e9f\u00e9r\u00e9s...) afin de mesurer l'\u00e9volution et rep\u00e9rer les fragilit\u00e9s.<\/p>\r\n<p style=\"text-align: justify;\">Autant d\u2019informations qui peuvent vous \u00eatre utiles pour suivre vos r\u00e9sultats et anticiper les fragilit\u00e9s !<\/p>\r\nDe plus, <span style=\"color: #526fa1;\"><strong>Suzie votre coach c\u00e9r\u00e9bral<\/strong><\/span>, vous enverra tous les lundis matins un bilan de votre semaine, et vous conseillera sur les jeux de m\u00e9moire \u00e0 utiliser en fonction des objectifs \u00e0 atteindre.\r\n\r\n\u00a0\r\n\r\n[\/column]\r\n[column lg=\"6\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<img class=\"aligncenter wp-image-26865\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2019\/12\/suzie.png\" alt=\"\" width=\"476\" height=\"284\">\r\n[\/column]\r\n[\/row]\r\n\r\n\u00a0\r\n<h2 style=\"text-align: center;\"><strong><span style=\"color: #526fa1;\"><span style=\"color: #526fa1;\">LES ATOUTS DU PROGRAMME DE JEUX DE M\u00c9MOIRE, STIM'ART EDITH<\/span><\/span><\/strong><\/h2>\r\n<img class=\"wp-image-18725 alignright\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/\" alt=\"\" width=\"192\" height=\"158\">\r\n<ul>\r\n \t<li>Le joueur n\u2019est <strong><span style=\"color: #526fa1;\">jamais mis en d\u00e9faut<\/span><\/strong><\/li>\r\n \t<li>Les <span style=\"color: #526fa1;\"><strong>r\u00e9f\u00e9rences culturelles sont adapt\u00e9es<\/strong><\/span> et lui permettent de prendre du plaisir \u00e0 jouer<\/li>\r\n \t<li>L\u2019<span style=\"color: #526fa1;\"><strong>ergonomie est simplifi\u00e9e et adapt\u00e9e<\/strong><\/span> aux difficult\u00e9s li\u00e9es \u00e0 l\u2019\u00e2ge<\/li>\r\n \t<li>Le joueur se sent <span style=\"color: #526fa1;\"><strong>revaloris\u00e9<\/strong><\/span> du fait d\u2019utiliser une tablette comme ses petits-enfants<\/li>\r\n \t<li>Les jeux fonctionnent <span style=\"color: #526fa1;\"><strong>sans Wifi<\/strong><\/span><\/li>\r\n \t<li>La plateforme web permet de suivre l\u2019\u00e9volution des performances \u00e0 distance, mais surtout l<strong>\u2018<span style=\"color: #526fa1;\">\u00e9volution du bien-\u00eatre<\/span><\/strong><\/li>\r\n<\/ul>\r\n\u00a0\r\n<h2 style=\"text-align: center;\"><span style=\"color: #526fa1;\">UNE ETUDE SCIENTIFIQUE DU PROGRAMME STIM'ART EDITH<\/span><\/h2>\r\n<p style=\"text-align: left;\">[row]\r\n[column lg=\"6\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\nUne \u00e9tude scientifique \"Adoption and Use of a Mobile Health Application in Older Adults for Cognitive Stimulation\" - Etude r\u00e9alis\u00e9e par Mobin YASINI et Guillaume MARCHAND - sur l'adoption et l'utilisation du programme de stimulation cognitive Stim'Art chez les seniors r\u00e9alis\u00e9e sur une dur\u00e9e de 6 mois au c\u00f4t\u00e9 de 15 seniors \u00e2g\u00e9s de 79 \u00e0 88 ans a d\u00e9montr\u00e9 les \u00e9l\u00e9ments suivants :<\/p>\r\n\r\n<ul>\r\n \t<li>Un <span style=\"color: #526fa1;\"><strong>taux de r\u00e9ussite globale en progr\u00e8s<\/strong><\/span> qui atteint 70,84% au bout de 6 mois<\/li>\r\n \t<li>Une <span style=\"color: #526fa1;\"><strong>\u00e9volution du bien-\u00eatre<\/strong><\/span><\/li>\r\n<\/ul>\r\n\u00a0\r\n\r\n<a href=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2018\/10\/Etudes-DMD-StimArt.pdf\"><img class=\"aligncenter wp-image-28735 size-medium\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2020\/04\/Bouton-en-savoir-plus-300x90.png\" alt=\"en savoir plus\" width=\"300\" height=\"90\"><\/a>\r\n[\/column]\r\n[column lg=\"6\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<img class=\"wp-image-10244 aligncenter\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2018\/10\/VisuelFinalEtudeClinique.png\" alt=\"\" width=\"602\" height=\"372\">\r\n[\/column]\r\n[\/row]\r\n\r\n\u00a0\r\n<h2 style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>ABONNEZ-VOUS A PRIX DOUX ! <\/strong><\/span><\/h2>\r\n<h2 style=\"text-align: left;\">[ARPrice id=110]<\/h2>\r\n<h2 style=\"text-align: center;\"><span style=\"color: #526fa1;\"><strong>LA FAMILLE EDITH<\/strong><\/span><\/h2>\r\n<h2 style=\"text-align: left;\">[ARPrice id=116]<\/h2>\r\n<h2 style=\"text-align: center;\"><\/h2>\r\n<\/div>\r\n<\/div>\r\n\u00a0\r\n<div class=\"row rdk-mb rdk-mt\">\r\n<div class=\"rdk-download animated fadeInUp delay1 duration1\">\r\n<h2 style=\"text-align: center;\"><strong><span style=\"color: #526fa1;\"><span style=\"color: #526fa1;\">CELA PEUT VOUS INT\u00c9RESSER\u00a0<\/span><\/span><\/strong><\/h2>\r\n\u00a0\r\n\r\n[row]\r\n[column lg=\"3\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<p style=\"text-align: justify;\"><a href=\"http:\/\/formation-tablette-senior.com\/\"><img class=\"aligncenter wp-image-7144\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2013\/06\/formations.png\" alt=\"\" width=\"244\" height=\"163\"><\/a><\/p>\r\n<p style=\"text-align: justify;\"><span style=\"color: #526fa1;\"><strong>Dynseo Academy<\/strong>, la formation au num\u00e9rique pour les seniors.<\/span><\/p>\r\n[\/column]\r\n[column lg=\"3\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<p style=\"text-align: justify;\"><span style=\"color: #526fa1;\"><strong><a style=\"color: #526fa1;\" href=\"https:\/\/www.dynseo.com\/nos-produits\/evocation-souvenirs\/\"><img class=\"aligncenter wp-image-7702\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2015\/02\/E-souvenirs.png\" alt=\"\" width=\"243\" height=\"162\"><\/a><\/strong><strong>E-souvenirs<\/strong>, est une application sur tablette utilisant l\u2019e\u0301vocation de souvenirs, pour les seniors et leur famille, a\u0300 des fins de stimulation cognitive et de bien- e\u0302tre.<\/span><\/p>\r\n\u00a0\r\n\r\n[\/column]\r\n[column lg=\"3\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<p style=\"text-align: justify;\"><strong><a href=\"https:\/\/www.dynseo.com\/nos-produits\/dynseo-family\/\"><img class=\"aligncenter wp-image-7705\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2015\/02\/1111-300x178.png\" alt=\"\" width=\"294\" height=\"175\"><\/a><\/strong><\/p>\r\n<span style=\"color: #526fa1;\"><strong>DYNSEO Family <\/strong>: plus besoin de cr\u00e9er de compte mail, d\u00e9couvrez notre messagerie simplifi\u00e9e.<\/span>\r\n\r\n\u00a0\r\n\r\n[\/column]\r\n[column lg=\"3\" md=\"12\" sm=\"12\" xs=\"12\" ]\r\n<p style=\"text-align: justify;\"><strong><a href=\"https:\/\/www.dynseo.com\/fr\/moodme\/\"><img class=\"aligncenter wp-image-7375\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2015\/02\/MoodMe.png\" alt=\"\" width=\"246\" height=\"154\"><\/a>\r\n<\/strong><span style=\"color: #526fa1;\"><strong>Avec Moodme<\/strong>, suivez l'humeur de vos proches \u00e0 distance, et soyez pr\u00e9sent d\u00e8s qu'ils en ont besoin.<\/span><\/p>\r\n\u00a0\r\n\r\n[\/column]\r\n[\/row]\r\n\r\n\u00a0\r\n\r\n<\/div>\r\n<\/div>","_et_gb_content_width":"","footnotes":""},"categories":[3582],"tags":[],"class_list":["post-507295","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice-from-our-coaches"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Managing Physical Aggression in Establishments: Securing Without Restraint - DYNSEO - Educational apps &amp; brain training apps for all<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dynseo.com\/en\/managing-physical-aggression-in-establishments-securing-without-restraint\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Managing Physical Aggression in Establishments: Securing Without Restraint - DYNSEO - Educational apps &amp; brain training apps for all\" \/>\n<meta property=\"og:description\" content=\"\ud83d\udee1\ufe0f Security &amp; Dignity Managing Physical Aggression in Institutions: Ensuring Safety Without Restraint Protocols and techniques for managing physical aggression in a professional and respectful manner, prioritizing the safety of all without compromising dignity Physical aggression in elderly people with cognitive disorders represents one of the most feared and delicate situations to manage in institutions. 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