Crisis Intervention

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  1. What is Aguilera's Paradigm and Balancing Factors?
    • Precipitating event- (what sets off the crisis)
    • --Realistic or distorted?
    • --Minimizing?
    • Situational supports are supportive people
    • Coping mechanisms- 
    • Ways people usually handle what is going on
    • See model in Fig. 13-1 in textbook
  2. Etiology of a crisis vs. restored equilibrium?
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  3. How is crisis intervention different from traditional therapy?
    • Crisis intervention is:
    • Active
    • Anticipatory-help patient plan 
    • Goal:  Return to pre-crisis level of functioning
    • Equilibrium restored
  4. 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
  5. Techniques of Crisis Intervention
    • Catharsis-- Release of feelings
    • Clarification-- Help patient see 
    • relationship among events, behaviors & feelings to gain greater understanding
    • Explore solutions
    • 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
  6. Nursing interventions for ineffective behavior during crisis
    • Shock- 
    • 1:1 with active listening 
    • Allowing ventilation
    • Answer questions
    • Provide information
    • Confusion- 
    • Give support and allow regression  
    • Provide information

    • Denial-
    • May permit it at first
    • Get at primary concern
    • Provide information

    • Anxiety- 
    • Provide structure
    • Allow ventilation
    • Answer questions & focus on facts
    • Use other antianxiety techniques

    • Lethargy-
    • Encourage constructive activities

    • Overactivity/hyperactivity- 
    • Keep person busy
    • Allow their assistance as possible
    • Channel energy constructively
Card Set:
Crisis Intervention
2013-01-28 17:38:53

Mental Health
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