Class Powerpoints

Class Powerpoints - DEALING WITH PSYCHIATRIC PATIENTS...

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DEALING WITH PSYCHIATRIC PATIENTS
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PREDISPOSING FACTORS Known history of violence adult or childhood Paranoid personality Antisocial personality Profound sense of entitlement Command hallucinations Psychosis Overwhelming displaced anger Intoxicated
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PREDISPOSING FACTORS Mania Poor impulse control or poor judgment in potentially dangerous situations Anxiety Accessibility to weapons Loss of self-worth History of alcohol, drug abuse, or debilitating substances History of sexual abuse History of physical abuse
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PREDISPOSING FACTORS Health risks e.g. diabetes, seizures Issues with authority Bar fights Developmental factors Juvenile delinquency Child abuse and neglect Poor job or school performance Fire setting
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PRECIPITATING STRESSORS Fear of loss of control Vulnerability Situational stress Environmental e.g. noise, crowding, rules Unclear limits Loss of independence Loss of support
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PRECIPITATING STRESSORS Demands for compliance/regimentation Recent changes in medication Encroachment on personal space Change in relationships Non-directed energy Confusion/disorientation Low frustration tolerance Pain
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ANGER/AGGRESSION WARNING SIGNS Irritable motor activity Pacing Rising level of agitation Can’t sit still Scanning the environment Hanging around nurses’ station Looking out windows Muttering Humming Glaring eyes Forward leaning posture when speaking Hyper-alert state Confrontational Loud, strident voice Defensive posture Rapid pressured speech
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This note was uploaded on 02/17/2011 for the course NURS 411 taught by Professor Astle during the Spring '11 term at South Carolina.

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Class Powerpoints - DEALING WITH PSYCHIATRIC PATIENTS...

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