Aggression Flashcards
What are actions to prevent aggression?
De-escalation
Observations
Room layout etc.
What are intervention actions to deal with aggression?
Restraint
Seclusion
Rapid tranquilisation
What is the management of aggression?
Environment e.g. admitting to open or locked ward
Manage any substance withdrawal
Observe a lot
What does section 329 of the Scottish mental health act state?
A patient is a person who has or appears to have a mental illness
How long does an Emergancy Detention last?
Max of 72 hours
Does a person under emergancy detention have the right to appeal?
No
Is tranquilisation a suitable approach to aggression?
Yes, but only after no-drug approaches have been tried e.g. use of distraction, seclusion and attempting to talk to the patient
If sedation is required, what should be used?
Benzodiazepines, not just an increased does of antipsychotics
Whats the lowest possible dose of an antipyschotic?
At least a 2 week trial
What antipsychotic should be used?
One that the patient and/or carer prefer
A decision based on the patients age, weight, physical health
What kind of antipsychotic is usually used first line?
Atypical
What can be used with as treatment resisrant illness?
Clozapine
What drugs can be used as mood stabilisers?
Lithium
Sodium valporate
Carbamazepine
Lamotrigine
What drugs can be used to sedate?
Lorazepam
Haloperidol
What else can help with aggresion?
Antidepressants
ECT
