Card Set Information
What is Aguilera's Paradigm and Balancing Factors?
Precipitating event- (what sets off the crisis)
--Realistic or distorted?
Situational supports are
Ways people usually handle what is going on
See model in Fig. 13-1 in textbook
Etiology of a crisis vs. restored equilibrium?
How is crisis intervention different from traditional therapy?
Crisis intervention is:
Anticipatory-help patient plan
Goal: Return to pre-crisis level of functioning
What are the steps of Crisis Intervention?
Identify the problem
List alternatives. Encourage and enable usual coping mechanisms so long as they are not destructive.
Choose from among alternatives. Must remind individual that drugs/alcohol are not effective coping techniques.
Considering the pros and cons
Implement a plan. Encourage individual to not make any lasting decisions in the midst of a crisis.
Evaluate the outcome
Techniques of Crisis Intervention
Catharsis-- Release of feelings
Clarification-- Help patient see
relationship among events, behaviors & feelings to gain greater understanding
Reinforce healthy behavior
Support defenses— Support healthy defenses and discourage unhealthy ones
Raise self-esteem– Help patient regain sense of self-worth by communicating confidence patient can cope
Nursing interventions for ineffective behavior during crisis
1:1 with active listening
Give support and allow regression
May permit it at first
Get at primary concern
Answer questions & focus on facts
Use other antianxiety techniques
Encourage constructive activities
Keep person busy
Allow their assistance as possible
Channel energy constructively