Anger And Aggression Flashcards
Is anger normal emotion?
Yes
What can anger lead to?
Aggression
What will aggression lead to and goal
Lead to verbal or physical attack with the goal to harm
Mental ill clients are more likely to harm who
Themselves than others
Risk factors of anger and aggression
Hx of violence or aggression
Poor coping skills (Cognitive issues, substance abuse)
Comorbidities (schizophrenia, bipolar, mood disorders)
Live in violent environment (domestic abuse, homeless)
What anger and aggression looks like
-energy
-sensitivity
-eye contact
-facial
-body
-breathing
-stance, posture
-verbal
-presence of what
Hyperactive (pacing, restless)
Hypersensitive (defensive)
Intense eye contact or no eye contact
Frowning, grimacing
Fists arm flailing
Rapid breathing
Posture tense, forward leaning or fighting stance
Verbal cues like loud voice, rapid talking
Intoxication
What do we do?
Safety first (pt and other safety)
-if need to get out of harms way
Follow policies
Assess for triggers (ask them) or events led up to this
Self assess (awareness of your emotions)
Respond how
Remain what
Have client express what
Let pt have what
Eye contact and stand how
Communicate how
Do not what
Give pt what
Reassure pt that what
Respond quickly
Remain calm and in control
Have pt express what is bothering them
Let pt have personal space
Eye contact and stand at their level
Communicate honestly
Do not make accusations or threats
Give pt options
Reassure that staff are there to help pt
How should we communicate
Ex
Tell them in a calm, clear manner what is expected
-i need you to lower your voice and walk with me here
How to use physical activity
Walking
Eating
To deescalate behavior
Let the pt know what will happen due to their behaviors
Consequences
Loss of privileges
When will we use pharmacological interventions?
When being calm, clear doesnt work
When physical activities doesnt work
When letting them know the consequences doesnt work
Then well use meds
How can we use extra staff to help
More staff in sight can “show of force”
(Without crowding them)
Haldol
Use
Route
Control aggressive and impulsive behaviors
IV or IM
Olanzapine or Ziprasidone
Use and more common because why
Route
What is good for daily PO
Same as haldol, but less adverse effects
-control aggressive and impulsive behavior
Route: IM or IV
Depakote (valporic acid) is good for daily PO
