crisis

anger

normal emotion on cotnum

mild to sever

displeausre,/anoyance

not lead to violence

relase appropriate or not,

need to suppress and emotional regualtion

what can trigger anger

anxiety,frustration,powerlessness, vulnerable

aggression

result in physical/verbal attack

impulsive/defensive

lack harmful intent

hostile aggresion-violence

vilence

extrreme aggression

serious harm/kill

use to dominate ,contol over,revenge

vilence in H

psy,geriatric,demntia pt,er

why er for aggession

overcroading

long period of waiting time

restricted movement

comorbidity of aggresion

PTSD
susbatance use

personality-antisocial

psychosi

dementia

biological facttor of anger

-neuro:tumor,demntia,temoral tube dysfunction(amygdala),frontal tube damage,TBI

-serotonin,dopamine,GABA,gluctamate,Ach

psychological factor of anger

lack of controol

empowerment

behavirol therpay-learned response

cognitve therpay-belief,intepretation

social elaning0imitation ,modeling

assessmenty angger

-risk that predict

=hx of violence

=not meet need

-limit coping skill

-inadeuqtae support sytem

-prison

ss of anger

frucstration,irritability,demanding,raise voive, profanity,sarcasm,aggerssive posuring

anger ongoing assesment

verbal-threat,aurgument

loud voice

hyperactivity-pacing restlessness

increase anxity and tension,clenched jaw,rigid,tense facial expresiion,mubling,SOB,sweating

intense avoiid eye contact

use anything as weapon

throwing object

deesclatin tech

relaced,open,calm

audible but lower than pt volume

remove from source of irritation

listen to pt story,achknoeleg need,summarize what he siad

simple insutrction,offer choice

maintain space

have aseet,defusing anger,

never say calm down

reflect back

depersonalize-make u feel uncomfrotable,

team approach

rx use,seclusion,restraint,encure pt safety

antianxiety,haldol,atvan,bendryl

provide pt with info

code white

if thretening to him and other,unable to manage

team leadder,4pab,secuirty

team leader pla before seeingpt

health teaching for pt

asssit pt identify trigger

copingmechanism

enhance self awarenss, exert self mangemennt