Management of anger agression and violence

what is the definition of anger

a strong uncomfortable emotional response to a provocation that is unwanted and incongruent with ones values beliefs or rights

what is maladaptive anger

anger that is too frequent, too intense, and managed in unhealthy ways

what diseases is excessive outwardly direct anger linked to

CHD

MI

Metabolic synrome

what diseases is suppressed anger linked to

arthritis

breast and colorectal cancer

chronic pain

HTN

what do we do in assessment of anger

evaluate underlying conditions

STAXI- Spielberger state trait anger expression inventory 

presence of soothing techniques?

cultural or gender considerations

western cultures and anger

promote more aggressive behavior in males and more conciliatory (peace making) in women 

eastern cultures and anger

disapproval of anger for both genders

what is taught in CBT for anger

avoidance of provoking stimuli

self monitoring cues of anger arousal 

stimulus control 

guided practice of more effective anger behaviors

what is the definition of agression

overt behavior intended to hurt, belittle, take revenge or achieve domination and control

what are the verbal and physical aspects of aggression

verbal: sarcasm, insults, threats 

physical: property damage, slapping, hitting

what is impulsive aggression

occurs in situations of anger and anxiety when the idividual lashes out

what is instrumental aggression

goal oriented- premeditated, uncrelated to immediate feelings of frustration or threat; is meant to secure a goal or reward

Does not lead to violence!! healthy aggression

what is said avout violence and correlation with aggression

all violence= aggression but not all aggression= violence

when is homicide the highest risk in schizophrenia 

prodromal phase

Prodromal = Paranoid + Planning → Potentially Dangerous

what other delusion in schizophrenia can cause violence behaviors 

persecutroy delusions 

what are some predictive characteristics of aggression and violence 

schizophrenia

ETOH

drug misuse

hostile dominant interpersonal style

what is a nursing assessment tool used to recognize early warning signs of anger and aggression in patients.

S- Staring and eye contact 

T- Tone and volume

A- Anxiety 

M- Mumbling &

P- Pacing

what are some nursing interventions for prompting safety

use of communication skills and theraputic nurse patient relationship

listening to patient illness experience and his or her concerns

providing validation 

providing appropriate choices 

what are some cognitive strategies for the patient 

providing education and prevention strategies 

reducing stimulation from the environment 

learn when it is the best time to teach the patient techniques for managing anger 

what are some nursing steps to take while a patient is getting agressive and violent

calm, neutral body

de- escalation techniques include safe distance, remaining between the patient and door, and verbal de-escalation 

allighning goals with the patient