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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
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
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
Crisis phase
-verbal limits are innefective
-external controlby staff is essential
-coordinated organized staff repsonse
-seclusion
-restraint
-stat medication
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
Crisis Phase: Retraint
-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!!
Crisis Phase: Staff and patient needs
-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
Rovery from trauma depends on
-severity of trauma-resourses of the vicitm
-nature of help provided immediatly after the event
Recovery from trauma
stages
-impact
-recoil
-reorganization
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