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21 Cards in this Set
- Front
- Back
Anger
def |
- normal emotional respopnse to something percieved and a frustration of desires or a thraet to ones needs
|
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Verbal aggressiveness
|
-tends to provoke nproductive counter-reactions
-these people tend to deny other feelings -operate as if believing... |
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Passivness
|
-uanawre of anger-replace with fear
-can't say no -feel victimized -operate as if believing. |
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Passive aggressiveness
|
-anger is expressed indirectly
-dont like the way your roomate parks? Use her toaster oven to broil chicken and dont clean it afterwards -operate as if believing |
|
assertiveness ttraining
|
-teach behavioral skills to interact effectively with others
-role playing -homework assignemnts - focus on specific skills |
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Escalation phase
|
-out of control vs attempting to gain control
-nurse offers help by taking charge on behalf of the pt --do not threateen punishment --do states that you will help to regain control -calm, clear , firm -remember your own bosy language -time to use the quiet room -medication-oral or IM |
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Crisis phase
|
-verbal limits are innefective
-external controlby staff is essential -coordinated organized staff repsonse -seclusion -restraint -stat medication |
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Crisis Phase:
Seclusion |
-containment
-decrease stimuli -close supervison of pt -may be ope door or locked door -to insure no harm to self or others - dangerous items are removed |
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Crisis Phase: Retraint
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-team leader coordinates that approach
-one person talkes to pt: --the team is here to help, we will not hurt you, and we will not allow you to hurt anyone else --clear simply explanations of what is happenning -escort or take down, carry, restaint -close observation and ferequent care --assessment of MS- ready to come out? --hygeine , elimination and nurtitional needs met --assessment of vital signs, skin inteegrity and circulation --10 minute breaks and ROM -out as soon as possible!! |
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Crisis Phase: Staff and patient needs
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-immediatly after restraint or seclusion , nurses, couselers and other staff invloved should meet and discuss the incident
--were theire injuries --how was the situation handleds? --mutaual support and feedback --this is frightening. Other pts reactions to this incident should be openly discussed in a special meeting |
|
Anger
def |
- normal emotional respopnse to something percieved and a frustration of desires or a thraet to ones needs
|
|
Verbal aggressiveness
|
-tends to provoke nproductive counter-reactions
-these people tend to deny other feelings -operate as if believing... |
|
Passivness
|
-uanawre of anger-replace with fear
-can't say no -feel victimized -operate as if believing. |
|
Passive aggressiveness
|
-anger is expressed indirectly
-dont like the way your roomate parks? Use her toaster oven to broil chicken and dont clean it afterwards -operate as if believing |
|
assertiveness ttraining
|
-teach behavioral skills to interact effectively with others
-role playing -homework assignemnts - focus on specific skills |
|
Recovery Phase
& Post Crisi/Depression Phase |
-assure pts: not being punished
-once in controlencourage to discuss what has happenned and how a similar situation could be handled differently by the pt -quiet room for a while before re entry -contruct a plan with the pt for re entry |
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Rovery from trauma depends on
|
-severity of trauma-resourses of the vicitm
-nature of help provided immediatly after the event |
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Recovery from trauma
stages |
-impact
-recoil -reorganization |
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goals of reorganization
|
-to move from feeling like a victim tofeeling like a survivor by inegrating the memories
-move on with life with a functioning healthy self |
|
rape
impact stage |
saftey
info privacy care time |
|
rape
recoil stage |
-feeling safe
-worthwhile -assess for --depression --assrance that anger is natural --surving is what matters -suicide risk |