Anger, Hostility and Aggression Flashcards
Catharsis
alleviate or increase feeling of anger
Hostility
verbal
Aggression
physically acting out
Hostility & aggression is thought to be because of an imbalance of what neurotransmitters?
decrease in serotonin & an increase in dopamine & norepinephrine
older Adults with dementia & agitation use what?
benzos
Agitation or aggression & psychotic symptoms use?
Haldol and Ativan combined
5 stages of aggression
Triggering, Escalating, Crisis, Recovery, Postcrisis
Triggering phase s/s
restless, anxious, pacing, talking loud, angry
Triggering interventions
encourage verbal expression of feelings, suggest meds., go for a walk
Escalation phase s/s
flushed face, yelling, swearing, clentched fist, cant think
Escalation interventions
Talk firmly, show of force, offer meds
Crisis phase s/s
screaming, fighting, total loss of control
Crisis interventions
Give med IM, restraints
Recovery phase interventions
talk about situation or trigger, document
Post crisis interventions
remove client from restraint, discuss behavior
Relieving event (PTSD)
dreams or intrusive thoughts
Flashbacks (PTSD)
person feels or acts as if the traumatic event were recurring
hyperarousal (PTSD)
example: hearing fireworks triggers something
3 things that increase chances of a good outcome with PTSD
diagnosed early, promotly begin treatment, assure a support system
Dissociation
subconscious defense. Mechanism used to protect emotional self from recognizing full impact of a horrific or traumatic event by allowing mind to forget or removing itself from painful memory or situation. Occurs during and after event
Dissociative Disorders
Dissociative amnesia, Dissociative identity disorder (multi personality disorder), depersonalization disorder
Treatment for PTSD
SSRI: Paroxetine (Paxil), sertaline (Zoloft)
What is a concern with PTSD
suicide
