Violence Prevention Flashcards
0
Q
The Escalation Cycle
-Nursing Actions
A
- If a pt is very agitated, the nurse should use FEW words.
- Pt can crash during de-escalation phase
- Check blood sugar and assess medical conditions - Pt’s feel remorse during recovery phase
- Can become suicidal during the recovery phase
1
Q
The Escalation Cycle
A
- Calm
- Trigger
- Agitation
- Acceleration
- Peak
- De-escalation
- Recovery
2
Q
Assessment Findings of High Risk Assault Patients
A
- Confusion
- Irritability
- Boisterousness
- Verbal threats
- Physical threats
- Attacks on objects
3
Q
Aggression & the Elderly
A
- Confusion is leading cause of aggression with elderly and medically compromised Pt’s
Ex:
-Dementia, Head Injury, Diabetic, Seizure, and Respiratory Pt’s
4
Q
Irritability & Assault
A
- Irritability can be a precursor to assault
5
Q
Factors that lead to Irritability
A
- Medication sensitivity
- Hormonal changes
- Stress related
- Environment
6
Q
Boisterousness & Assault
A
- Boisterousness is an obvious sign of pending assault
- Being boisterous is not normal state and should NOT be ignored
- Usually associated w/ fear and loss of control
7
Q
Verbal Threats
A
- Step right before assault
2. Take seriously and require action
8
Q
Physical Threats
A
- Require immediate response
2. Physical threats can provoke assault from others.
9
Q
Attacks on Objects
A
- Aggressive behavior that can quickly become an assault on staff or others
10
Q
Needs Assessment To Lower Risk of Assault
-Maslow
A
- Patients AND staff need to be assessed
2. Pt’s and Staff that don’t have needs met are at high risk of being involved in an assault incident
11
Q
Ways to Reduce Violent Events
A
- Assessing Environment
- Prevent violence proactively
- Build trust
- Meet Pt and Staff needs
- Keep focused on mission
- Respect, dignity, and professionalism
12
Q
Preventing Seclusion and Restraints
A
- Meeting needs of BOTH pt’s and staff needs
- Core values of empathy, honesty and integrity
- Escalation cycle can prevent further restraint/seclusion
- Personal philosophy of restrain prevention is a way of encouraging restraint free environment
