Power point de escalation

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Information about Power point de escalation

Published on February 27, 2014

Author: bdhyde

Source: slideshare.net

DEFINITION • A REDUCTION OF INTENSITY OF A CRISIS THE CALMING DOWN OF A HEATED SITUATION

KEEP IN MIND THAT PATIENT BEHAVIOR MAY ESCALATE VERY QUICKLY THE BRAIN HAS SEVERAL PARTS • • • • • • • AUTONOMIC FUNCTION TELLS YOU TO BREATH, THE HEART TO BEAT, SO THAT YOU DON’T HAVE TO THINK ABOUT IT CONTROLS THE EMOTION THINKING AND ANALYSIS WHEN SOMEONE IS ANGRY OR OUT OF CONTROL, THESE PARTS OF THE BRAIN CAN BE AT ODDS WITH EACH OTHER THERE IS A FLIGHT/FIGHT RESPONSE . WHEN THE SURVIVAL BRAIN IS IN FULL GEAR THE THINKING BRAIN SHUTS DOWN FROZEN STATE ( WHEN BOMB GOES OFF) AND THEN EITHER FLIGHT OR FEAR ( I DON’T KNOW WHAT TO DO) WHEN THIS HAPPENS, YOU MUST STOP AND THINK WHAT CAN I DO NOW, TO HELP HIM/HER GET BACK IN CONTROL

SIGNS AND SYMPTOMS THAT SOMEONE IS “ESCALATED” • VOICE IS RAISED, SOMETIMES IN HIGH PITCHED TONE • GESTURING EXCESSIVELY • PACING • HAND WRINGING OR HEAD IN HANDS • SHAKING • BALLED FISTS • FIDGETING • AGGRESSIVE POSTURING

BEFORE YOU ATTEMPT TO DEFUSE GET IN CONTROL • NO MATTER WHAT, KEEP A LEVEL OF RESPECT/NEVER GET DEFENSIVE • GOOD EYE CONTACT • GIVE YOUR UNDIVIDED ATTENTION • LOOK CALM AND SELF ASSURED • FIRM BUT FLAT VOICE • VALIDATE FEELINGS • TOLERATE SILENCE • BE NON-JUDGMENTAL

TAKE NOTE OF YOUR BODY LANGUAGE! • NEVER POINT OR SHAKE YOUR FINGER • KEEP A RESPECTFUL DISTANCE, NEVER EVER TURNING YOUR BACK • DO NOT SMILE • TOUCH IS RARELY ACCEPTABLE/ALWAYS ASK • NEVER CROSS YOUR ARMS OR ASSUME THE DISCIPLINARY ROLE • ALLOW THE PATIENT TO VENT

YOUR MANTRA IS WE CAN HANDLE THIS • SHOUTING OUT “ HELP ME HELP ME” RARELY WORKS • LIMIT WHO SPEAKS WITH THE PATIENT/RESIDENT • REMEMBER WHAT YOU HAVE PRACTICED • WORK TOGETHER CALMLY.

VERBAL DE-ESCALATION • NEVER TALK OVER SOMEONE WHO IS AGITATED • ALWAYS LISTEN AND SPEAK CALMLY • BE CAREFUL WITH YOUR RESPONSE, BUT ASSUME THAT THE QUESTIONS ARE REAL • KEEP YOUR ANSWERS SHORT AND CLEAR

WHAT YOU SHOULD DO AS A TEAM • WORK TOGETHER TO UNDERSTAND THE BEHAVIORS OF PATIENTS • DEVELOP A PLAN TO DEAL WITH DISRUPTIVE PATIENTS • ALWAYS KNOW WHEN AND HOW TO CREATE A SHOW OF FORCE • MYSTERY WORD • FOLLOWING DEFUSING…DEBRIEF

WHEN THE INCIDENT IS OVER • THIS REMAINS A SENSITIVE TIME • TAKE CARE NOT TO RE-ESCALATE THE SITUATION • MAKE CERTAIN THAT EVERYONE HAS BEEN ATTENDED TOO • DON’T FORGET THE AFTERMATH FOR THE OTHER PATIENTS • DEBRIEF/MAKING CERTAIN YOU ARE PREPARED FOR THE NEXT TIME

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