Acute behavioural disturbance

Question 1

Name some factors that are included in a violence risk assessment

Answer 1

static + dynamic factors
what timescale
severity/impact
HCR-20 (structured clinical risk assessment)

Question 2

Causes of violence in healthcare setting

Answer 2

excessive or unreasonable application of demands and rules
lack of positive social interaction
exposure to situations that mirror past traumatic experiences
emotional distress eg. following bereavement
antagonism, aggression or provocation on the part of others
difficulties with communication
state of confusion
physical illness/pain

Question 3

What are the phases of the assault cycle?

Answer 3

triggering phase
escalation phase
crisis phase
recovery phase
post-crisis depression phase

Question 4

What medications can be used for rapid tranquilisation?

Answer 4

IM lorazepam 1-2mg
IM haloperidol 5mg
IM olanzapine 5-10mg

Question 5

What should be monitored post-rapid tranquilisation?

Answer 5

side effects
temperature
pulse
level of consciousness
blood pressure