Week 3 Flashcards
how do we define abnormal behaviour?
deviation from the normal.
If a person is not being themselves over time.
What are some characteristics of abnormal behaviour?
- changes in a persons thinking processes, memory, perception and judgement
- work efficiency will be reduced
- forgetful, unhappy, unable to cope
- Anxious, worried, disturbances in daily activity
- no respect of others or self
- lack of gratification, lack of self confidence
What questions need to be asked when assessing risk?
- What is the risk
- Who si the risk
- what is the likelihood of risk occuring
- what are the consequences of the risk
- how immediate is the risk
- what hazards might increase or decrease the risk
- How can we control hazards
How far away from an attacker with a knife do you need to be
21 ft
What do you do if a patient refuses to talk to you?
talk in quiet tone dont make it an interrogation allow extra time to respond show patience and empathy build rapport
What do you do if a patient is extremely talkative and disorganised in thinking and speech?
try and focus their attention
use their name
What do you do if the patient is confrontational?
withdraw
de-escalate
WHats the best way to communicate with delusional patients?
- lower your voice, change your demeanour, take time to actively listen
- treat as you would any other patient
- no need to talk slow or loud
- be aware of your body language
What are some strategies for dealing with patients?
The approach - distance Introduction - use of names Getting the patients co-operation and consent Use of touch Patience Communication tools
What are some communication toosl used when dealng with a patient?
Acknowledge emotion and issues causing it
Empathy
active listening - reflection and mirroring
Make observations
enquire about what happened
simple questions, often repeated
What techniques can you use when implementing active listening?
minimal encouragements paraphrasing emotion labelling mirroring or reflecting open ended questions "I" messages Effective pauses
define de-escalation?
the gradual resolution of potentially violent and or aggressive situations through the use of verbal and physical expressions of empathy, alliance and non-confrontational limit setting that is based on respect
Why do we need to deescalate?
- reasoning with an enraged person is not possible
deescalation is to reduce the level of arousal so that discussion becomes possible
What is the 3 step process to de-escalation?
- validation
- help find options
- allow for that choice
What patients have special considerations in approaching them?
Suicidal risk
Thought disorders
They lose their competency
