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Acute Behavioural Disturbance Flashcards

1
Q

Acute Behavioural Disturbance
4 General Categories

A
  • psychiatric disorders
  • substance related
  • organic disorders
  • situational
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2
Q

Acute Behavioural Disturbance
Presentations
(8)

A
  • agitation
  • panic
  • anxiety
  • delusions
  • hallucinations
  • thought disorders
  • impulsivity
  • unpredictability
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3
Q

Acute Behavioural Disturbance
S.A.F.E.T.Y.

A

S - Safety
A - Aggression
F - Fix
E - Evaluate
T - Tactical
Y - Yes

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4
Q

Acute Behavioural Disturbance
S.A.F.E.T.Y.
S
(2)

A

Safety
- POP assessment
- constant reassessment of ALL parties

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5
Q

Acute Behavioural Disturbance
S.A.F.E.T.Y.
A
(1)

A

Aggression
- be aware of common triggers of aggression

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6
Q

Acute Behavioural Disturbance
S.A.F.E.T.Y.
F
(2)

A

Fix
- find and fix organic causes
- focus on de-escalation

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7
Q

Acute Behavioural Disturbance
S.A.F.E.T.Y.
E
(6)

A

Evaluate
- VSS
- PSA
- RSA
- NSA
- SAT score
- SAMPLE

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8
Q

Acute Behavioural Disturbance
S.A.F.E.T.Y.
T
(6)

A

Tactical
- communication
- active listening
- empathy
- rapport
- influence
- behaviour change

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9
Q

Acute Behavioural Disturbance
S.A.F.E.T.Y.
Y
(3)

A

Yes
- QPS
- CCP
- further back up

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10
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS

A

L- Life or Limb
I - Insult
F - Family
E - Environment
M - Mates
O - Order
R - Resources
T - Tribe
S - Stopped

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11
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
L

A

Life or Limb
- self-defence against a perceived threat

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12
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
I

A

Insult
- verbal of physical

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13
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
F

A

Family
- instincts tell us to protect our nearest and dearest

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14
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
E

A

Environment
- personal space

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15
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
M

A

Mates
- can be perceived as attractive

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16
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
O

A

Order
- threat to disrupt an established system of rules

17
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
R

A

Resources
- money or valuables

18
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
T

A

Tribe
- defend those with whom we identify

19
Q

Acute Behavioural Disturbance
Triggers of Sudden Aggression
LIFEMORTS
S

A

Stopped
- being obstructed by a situation or person

20
Q

Acute Behavioural Disturbance
De-escalation Strategies
(5)

A
  1. approach the situation with right attitude and maintain self control
  2. non-aggression - voice and body language
  3. match energy levels
  4. empathy and active listening
  5. focus on issue at hand
21
Q

Acute Behavioural Disturbance
Suspicions of organic aetiology
(6)

A
  • 1st presentation at 40+yrs
  • disorientation/ALOC
  • altered VSS
  • visual, tactile or olfactory hallucinations
  • sudden onset
  • fluctuation of conscious state
22
Q

Sedation Assessment Tool
Response/Speech
+3

A
  • combative, violent, out of control
  • continuous loud outbursts
23
Q

Sedation Assessment Tool
Response/Speech
+2

A
  • very anxious and agitated
  • loud outbursts
24
Q

Sedation Assessment Tool
Response/Speech
+1

A
  • anxious/restless
  • normal/talkative
25
Sedation Assessment Tool Response/Speech 0
- awake and calm/cooperative - speaks normally
26
Sedation Assessment Tool Response/Speech -1
- asleep but rouses if name is called - slurring or prominent slowing
27
Sedation Assessment Tool Response/Speech -2
- responds to physical stimulation - few recognisable words
28
Sedation Assessment Tool Response/Speech -3
- no response to stimulation - nil
29
Acute Behavioural Disturbance EEA - Name
Emergency Examination Authority
30
Acute Behavioural Disturbance EEA Criteria (3)
- behaviour indicates they are at risk of immediate harm - the risk appears to be the result of a major disturbance in the persons mental capacity - the person appears to require urgent examination, treatment or care
31
Acute Behavioural Disturbance EEA - Time Limit
- 6 hours - can be extended to max 12 hours
32
Acute Behavioural Disturbance EEA Describe the persons behaviour (5)
- primary survey- - what happened when we arrived on scene - what is the patient telling us is happening - reports from credible witnesses on what happened before our arrival - important to note any behaviours that triggered the EEA
33
Acute Behavioural Disturbance EEA Describe the reason for the behaviour (5)
- secondary survey, history/symptoms - precipitating events - stressors/triggers - unchanged history - degree of planning/premeditation - capacity to make good decisions

Mental Health (9 decks)

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