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Chapter 24 Anger and Aggression. F. Menu. Violence: Warnings. Restlessness/hyperactivity Signs of anxiety and tension Profanity, argumentativeness Loud voice or stony silence Intense glaring eye contact Intoxication Carrying a dangerous object Recent acts of violence. B. F. Menu.
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Violence: Warnings • Restlessness/hyperactivity • Signs of anxiety and tension • Profanity, argumentativeness • Loud voice or stony silence • Intense glaring eye contact • Intoxication • Carrying a dangerous object • Recent acts of violence B F Menu
De-Escalating Techniques • Maintain client’s dignity and self-esteem • Stay calm • Assess situation; identify stressors and what client sees as his need • Use calm voice, non-threatening body language • Be empathetic, genuine, honest • Maintain large personal space • Don’t argue • Give clear options • Assess for own personal safety B F Menu
Seclusion/Restraint Guidelines • Use only to protect client or others from harm • Legal requirements - Team involvement - RMO signature - Client/advocate agreement • Assess - Client mental state - Risks to clients - Need for restraint - Least restrictive method B F Menu
Seclusion/Restraint Guidelines, cont. • Observe - Continually document q15 minutes - Monitor vital signs - Circulation - Safety - Emotional state - Early release possible? • Care - Release restraint q2h, (Limb ROM if limb motion restricted) - Provide nutrition - Hydration - Elimination B F Menu
Seclusion/Restraint Guidelines, cont. • Document - Precipitating behavior - Less restrictive alternatives tried and result - Ongoing observations - Care given q15 min - Circumstances of termination of restraint B Menu