Term
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Definition
| emotional response to perception of frustration and desires, threat to one's needs, or challenge |
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Term
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Definition
| harsh physical or verbal action that reflects hostility, rage, or potential for physical or verbal distinctiveness |
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Term
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Definition
| Negative act with actual injury |
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Term
| Children co-morbidities with MI |
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Definition
| ADD, ADHD, and impulsivity |
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Term
| Adult Co-morbidities with MI |
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Definition
| unipolar depression, PTSD, mania, personality disorder, depression, Tourette's, schizo, major depression, or bipolar disorder |
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Term
| Biological etiology for anger |
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Definition
| Brain abnormalities, serotonin levels, and genetics |
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Term
| Psychological etiology for anger |
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Definition
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Term
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Definition
1. Risk for other-directed violence
2. Risk for self-directed violence
3. Ineffective individual coping
4. Stress overload |
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Term
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Definition
1. Reduces overwhelming environmental stimuli
2. To prevent patient from harming others, self, or staff
3. Prevents destruction of personal property or property of others |
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Term
| Indications for Restraint use |
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Definition
Protect patient from self-harm
Prevent patient from assaulting others |
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Term
| Legal requirements for restraints |
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Definition
Physician's signature
Patient advocate/relative notification
Patient agreement |
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Term
| Documentation for Restraints |
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Definition
Patient record
Restraints documentation
Day report |
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Term
| Assessments for Restraints |
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Definition
Patient's mental state
Risks to patient |
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Term
| Observations for Restraints |
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Definition
Nurse in constant attendance,
written record q 15 minutes
Release limbs from restraint q2h,
stretch limb through ROM
Monitor VS
Observe blood flow
Provide for nutrition, hydration, and elimination needs |
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Term
| Release procedure for restraints |
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Definition
| Don't release bilaterally at the same time |
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Term
| Prior to secluding patients |
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Definition
1. All least restrictive measures must be tried
2. Assess for contraindications
3. Organize team
4. Inform patient of team's intent and reasons for actions
5. Consistently communicate to patient in calm manner |
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Term
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Definition
Have safe back-up
Know layout of area
Don't stand directly in front of client or doorway
Provide feedback for escalation of anger
Set time from for verbal intervention |
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