Anger, Agression and Violence Flashcards
what is anger
emotional response to frustrations/challenges
what is rage
uncontrollable, violent state of anger, once started person cannot think clearly
what is aggression
action or behaviour that results in verbal or physical attack
what is violence
behaviour intended to do harm to another person, the act can be planned or spontaneous
where is violence most common in the hospital setting
emergency department
psychiatric units
geriatric units
in what illnesses is anger a diagnostic criteria
intermittent explosive disorder
borderline personality disorder
bipolar disorder
What are the factors that increase the expression of anger
substance use
depression
anxiety
psychosis
personality disorders
how do you approach a patient that is angry
with a calm voice and be confident
what are the assessments for an angry patient
general assessment
trauma informed care
self assessment
what are going to be your interventions for a patient that is angry and you want to calm them down
psychosocial interventions
staff safety
pharmacological interventions
trying to de escalate the situation
what is seclusion
involuntary confinement alone in a room, patient cannot leave
what are restraints
equipment that restricts the freedom of movement
what is psychosis
misinterpretation of stimuli
increase in impulsivity
confusion, fear, paranoia can all contribute to acts of violence
what is the primary intervention for a patient in psychosis
combination of an antipsychotic with a benzodiazepine, given to help calm the patient and reduce distortions
- restraints or seclusion may be necessary
what increases the risk of violence in a psychotic patient
concurrent substance use
emotional instability is increased
