Crisis

Question 1

Trauma

Answer 1

Anything that overwhelms a persons’ capacity to cope

Question 2

Crisis

Answer 2

• Instability, Danger
  To “sift” (from Greek word) – to discern
• is a matter of perception. One persons crisis will not be crisis for another person
• Psychiatiry: a very tempory state. 4-6 weeks of intense disequilibrium

Question 3

Short-term treatment and care aimed at re-establishing equilibrium

Answer 3

Early intervention

Stabalization of current crisis/traumatic experience. Help to return person to routine. It’s about containment of the problem

Facilitating understanding. We need to help person come to their own understanding of what’s going on. What feelings/body senestions/emotions were going on during the event/problem

Focus on problem solving. Get back to equilibrium/routine as quick as possible. Once nervous sys is back to regulation then thye can deal and figure out what went on.

Encourcing self reliance. We need to help the person develop their OWN plan. Then they can develop a sence of mastery. We want this to be a learning opertunity

Question 4

Steps for Crisis Intervention

Answer 4

LISTEN

ASSESSMENT:
-Asssess for safety first. Immedite risk or physical harm. Are they or someone else hurt/in danger?
-Do they have immediate physical needs? Do they need water, rest, food, a bath, clean clothes
-then coping after the first 2
-more info drug reaction, brain trauma, using any substances.

ACTION PLAN
-increase obsercation if needed (suicide obs)
-very short term, focused on prob solcing

TERMINATION
-No immediate safety concerns
-Realistic perception of the event
-Adequate supports & coping mechanisms

Question 5

Trauma Informed Care
- anger
- rage
- aggressson

Answer 5

Based on safety, choice, control, & cultural safety
Seclusion and/or restraint in mental health settings are only to be used when there is an imminent risk of violence or harm

Ex. If ther person’s cultural makes it so she cannot be touched by men then you call for an all female code white team, reuest a female security guard, etc.

Anyone is at risk of developing anger in an acute care setting. It’s a scenario that makes you vulnnerbale, powerless, etc.

Rage: loss of control, expression of anger, overwhelming, all incompasing, uncontrollable factor, outburst. Risk of uncontrollable behaviour

Agression: outward display. Can be self-protected in a way to establish equilibrium

Question 6

Imminate risk for harm

Answer 6

grievace bodily harm) violence, aggression to others

Question 7

Precipitate Anger

Answer 7

buildup of frustration. Don’t like something but you have to deal with it still (loss/asence od control). Rejected, invalidated ,scared, inadqeuqate, powerless, tired, vulnerable

Question 8

Indications for Use of Seclusion

Answer 8

• Other patients or staff at imminent risk for harm
• All other interventions tried and unsuccessful
  *Nurse assessed their own reactions
• It is clear seclusion is not a punishment
  It is clear seclusion is not a substitute for staffing shortage
• A team approach is required

Question 8

Aggressive Incident Scale (AIS)

Answer 8

Level/ Item Description
9
Critical incident
Violent assault. Sexual assault. Victim requires medical attention
8
Violent unprovoked assault
Assault with no apparent precursors
7
Violent assault
Physical aggression
6
Push/shove
Aggressive push/shove
5
Destruction of property
Aggression to environment
4
Improper physical contact
Not assaultive
3
Intimidating, threatening, violating personal space
Words and/or body language is threatening
2
Intimidating, raised voice
Yelling, using profanities
1
Rude, argumentative
Challenging authority

Question 9

Broset Violence Checklist (BVC)

Answer 9

Scores of 2 or more are at risk of violence an we might need more interventions.
Higher BVC the higher the interventions. Sensory interventions, talk, medications, staff supervision, restraint, etc.

Behaviour
- Confused
- Irritable
- Boisterous
- Attacking objects
- Verbal threats
- Physical threats

Question 10

Protection for Persons In Care Act

Answer 10

a law to help protect adults from abuse and neglect while receiving care in personal care homes, hospitals or any other designated health facility.

Question 10

Critical incident

Answer 10

Sudden, unexpected situations than disrupt values & beliefs & challenge basic assumptions of how the world works