Behavior Level Defensive: Angry, verbally abusive and lost rationality, patient is loud and threatening self and others, rapid pacing and physical demonstration of increasing agitation.
• Behaviors may include: • Increase in cognitive arousal • Acceleration of activity • Sense of growing tension • Clenching of fists and hands • Further increase in rate of volume & speech • Demanding • Verbal assaults or threats • Hyper-vigilance | ||
Staff Attitude/Approach Directive: A directive approach in which a staff member takes control of a potentially escalating situation by setting limits.
• Suggested Interventions: • Set limits – clear, simple, reasonable and enforceable. • Verbal or written contract for improved behavior. • Mediation by a third party. • Offer PRN medication. • Provide opportunities for brief “time out” in patient’s room or designated area | ||