Download Crisis Intervention Training: Development and Response and more Exams Nursing in PDF only on Docsity!
Nonviolent crisis intervention CPI
CPI Crisis Development Model - Answer-1. Anxiety (change).....Supportive (show empathy)
- Defensive (lose rationality) .....Directive (decelerate an escalating behavior)
- Risk Behavior (risk to self or others)..... Physical Interventions (disengagement and/or holding skills used as a last resort)
- Tension reduction (decrease in physical and emotional energy).....Therapeutic rapport (re-establish communication) Anxiety - Answer-Noticable increase or change in behavior such as rocking, fists, crying,sweating, clenched jaw etc) Staff approach to Anxiety - Answer-Support - Show empathy be non-judgemental Defensive - Answer-Beginning stages of loss of rationality Staff role to Defensive - Answer-Directive - decelerate an escalating behavior Risk Behavior - Answer-behaviors that present a risk to self or others
staff role to Risk Behavior - Answer-Physical Intervention - disengagement and/or holding skills to manage risk behavior Only use as a last resort. Tension Reduction - Answer-A decrease in physical and emotional energy that occurs after a person has acted out. Regaining a rational state. Staff role in Tension Reduction - Answer-Therapeutic Rapport - re-establish communications with individual who is experiencing tension reduction. Proxemics - Answer-Personal Space - Area surrounding the body that is considered an extension of self. usually 1.5 - 3 feet. Factors include gender, size, relationship, past history, etc Kinesics - Answer-Body Language such as facial expressions, gesture, movements, etc. Haptics - Answer-Communicating through touch Supportive Stance - Answer--Communicates respect -nonthreatening -maintains safety 3 - P's - Answer-Position-where we are in relation to others Posture - how we hold and move our body Proximity - distance between individuals Paraverbal communication - Answer-The vocal part of speech excluding the actual words -tone - inflections and emotions -volume - loudness and softness
Staff intervention to Intimidation - Answer-Take all threats as potentially dangerous and seek assistance. Tension Reduction - Answer-A drop in physical and emotional energy Staff intervention to Tension Reduction - Answer-Establish therapuetic rapport by re-establishing communication in a positive manner. Keys to Limit Setting - Answer--simple and clear -reasonable -enforceable Approaches and Examples to limit setting - Answer-Interrupt and redirect - "John you are shouting, please speak quietly" When and then statement - "When you've cleaned your room, then we can go to the movies." If and then statement - " If you don't clean your room, then you will not be able to go to the movies." Precipitating Factors - Answer-Factors that influence behavior Rational Detachment - Answer-Ability to manage your own behavior and attitude (don't take it personally) Integrated Experience - Answer-Behavior Influences behavior Unproductive reactions as a result of staff fears - Answer-- Freeze
- Overreacting psychologically or physiologically
- Respond inappropriately either verbally or physically Productive reaction as a result of staff fear - Answer--increased speed and strength -increased sensory acuity -decreased reaction time (superman, spiderman, the flash) Ways for staff to control fear and anxiety - Answer-Understand your fears learn techniques to keep yourself safe learn techniques to keep PIC safe Use a team approach. Key Legal and Professional Considerations - Answer--accreditation and regulation -professional codes of practice -benchmarks for good practice -criminal/civil law -LAST RESORT for physical intervention Risk - Answer--the chance of a bad consequence considering likelihood and severity Likelihood vs Severity - Answer-likelihood - the CHANCE that an event or behavior may occur severity - the level of HARM if the event or behavior were to occur Physical Interventions Key Principals - Disengagement - Answer-- the 3 Ps (proximity, posture, position)
-Limit Range of motion Control Dynamics in Holding Skills - Answer--Manage the arms -Manage the incline -Manage mobility Postvention COPING Model - Answer-C - Control emotional and physical O - Orient yourself to the basic facts P - Patterns in triggers I - Investigate alternatives to the behavior N - Negotiate future approaches, expectations, and behaviors G - Give control back, provide support and encouragement Opt-Out Sequence - Answer-active decision making framework to enable staff to asses continued risks in order to minimize duration of restraint -how do changes impact risk? -people, behavior, and environment -physical and psychosocial impact -consider reducing level or restriction or change position (what are risks, how do we reduce risks, can we let go, why are we holding them?)
