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    Aggression Cycle

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    Armie Tolentino
    The document discusses various aspects of aggression, abuse, and violence including: 1. The aggression cycle which involves triggering, escalation, crisis, recovery, and post-crisis stages and corresponding nursing interventions. 2. Guidelines for use of restraints which require a physician's order and focus on safety, shortest duration, and frequent assessment. 3. Types of abuse like child abuse, elder abuse, sexual assault, and domestic violence. 4. Treatment modalities for addressing abuse and violence including milieu therapy, cognitive therapies, individual and group psychotherapy, and behavioral therapies.

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    Aggression Cycle

    Uploaded by

    Armie Tolentino
    220 views17 pages
    The document discusses various aspects of aggression, abuse, and violence including: 1. The aggression cycle which involves triggering, escalation, crisis, recovery, and post-crisis stages and corresponding nursing interventions. 2. Guidelines for use of restraints which require a physician's order and focus on safety, shortest duration, and frequent assessment. 3. Types of abuse like child abuse, elder abuse, sexual assault, and domestic violence. 4. Treatment modalities for addressing abuse and violence including milieu therapy, cognitive therapies, individual and group psychotherapy, and behavioral therapies.

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    The document discusses various aspects of aggression, abuse, and violence including: 1. The aggression cycle which involves triggering, escalation, crisis, recovery, and post-crisis stages and corresponding nursing interventions. 2. Guidelines for use of restraints which require a physician's order and focus on safety, shortest duration, and frequent assessment. 3. Types of abuse like child abuse, elder abuse, sexual assault, and domestic violence. 4. Treatment modalities for addressing abuse and violence including milieu therapy, cognitive therapies, individual and group psychotherapy, and behavioral therapies.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    220 views17 pages

    Aggression Cycle

    Uploaded by

    Armie Tolentino
    The document discusses various aspects of aggression, abuse, and violence including: 1. The aggression cycle which involves triggering, escalation, crisis, recovery, and post-crisis stages and corresponding nursing interventions. 2. Guidelines for use of restraints which require a physician's order and focus on safety, shortest duration, and frequent assessment. 3. Types of abuse like child abuse, elder abuse, sexual assault, and domestic violence. 4. Treatment modalities for addressing abuse and violence including milieu therapy, cognitive therapies, individual and group psychotherapy, and behavioral therapies.

    Copyright:

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    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 17

    AGGRESSION CYCLE

    Behavior

    Nursing Intervention

    Triggering
    Restlessness, muscle tension, anxiety, voice quality changes Flushed face, screaming, anger, agitation, threatening gestures Loss of physical and emotional control Decreased body tension, accusations, voice lowers Crying, apologies, reconciliation, repression

    Empathic support Encourage deep breathing Use clear calm, simple statements Ask patient to maintain control Facilitate problem solving PRN: quiet area / prn meds Take charge and provide calm and firm direction Give patient time out in a quiet room Give prn meds as ordered Show of determination Prn involuntary seclusion, restraints or medications as ordered Provide intensive nursing care Assess patient for injuries Process incident with staff and other patients

    Escalation

    Crisis

    Recovery

    Post Crisis

    Process the incident with the patient Discuss alternative to the situation and feelings Gradually decrease the degree of seclusion or restraints

    RESTRAINTS

    R equires physicians order; consent E mergency, get MDs order ASAP S hortest duration, least restrictive T o protect patient and others R enew order q 24hrs A ssess q 15-30 mins I ndividualized Supervision N ever use as punishment T otal documentation S eclusions as last step

    ABUSE & VIOLENCE

    CYCLE OF BATTERING

    Tension- Building

    Tolerance to the victim is dereasing Physical violence Begs for forgiveness, often use charms Goes back to this stage after several weeks or months

    Acute Battering

    Honeymoon

    Tension Building

    CHILD ABUSE

    Intentional injury to a child RA 9262 RA 7610 Manefestation


    Unresponsive to parent or adult Fearful to physical contact Inconsistent history or injury Lack of reaction to frightening events Uncooperative during care Accepts pain Becomes aggressive Unusually affectionate & outgoing Superficial relationship Extreme behavior

    RED FLAGS OF CHILD ABUSE


    Unexplained bruises Bruises of different stages Injuries reflecting shape of article used Unexplained burns Rope burns on arms, leg and neck Injuries inconsistent w/ information Unexplained lacerations, or fractures Immersion burns

    ELDER ABUSE
    Maltreatment of older adults by family members, significant others and caregivers 75 y/o older Physical, sexual, psychological, neglect, financial exploitation and denial of suffice medical treatment

    SEXUAL ASSAULT

    Rape act of aggression not passion


    Date

    rape & marital rape

    DOMESTIC VIOLENCE

    Home violence RA 9262 VAWC RA 7610 Special protection of children against child abuse 98% women- 23 y/o Father most frequent abuser THE CYCLE WILL GO ON UNLESS
    The man takes responsibility of the behavior and genuinely change The woman leaves the violent situation and or takes legal steps to halt the violence and abuse

    INTERVIEWING ABUSE VICTIMS


    Sensitive questioning Ask relevant questions. Avoid WHY!! Avoid using words such as alleged rape Should be done in a private room

    PHYSICAL EXAMINATION AND EVIDENCE COLLECTION


    Brief concrete explanation Determine what the survivor wants (advocate) PROVIDE PRIVACY when exposing sensitive areas BE GENTLE

    TREATMENT MODALITIES
    Milieu Therapy Cognitive therapies Individual psychotherapy Group therapy Behavioral therapy

    MILIEU THERAPY

    Scientific structuring of the environment

    COGNITIVE THERAPY

    Recognizing and modifying automatic thoughts

    INDIVIDUAL PSYCHOTHERAPY
    One-on one Nurse-client relationship

    GROUP THERAPY
    Psychotherapy Task Family Educational Support Self- help

    BEHAVIORAL

    Classic and operant conditioning Shaping Modeling Extinction Premack principle Extinction Contingency contracting Token economy Time-out Reciprocal inhibition Overt sensitization Covert sensitization Systematic desensitization Flooding

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