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Crisis Theory.
Crisis Theory.
Vicki Notes
And the amount of help (people who can be supportive to the person) OR
hindrance from significant others.
Types of crisis
What refers to a crisis precipitated by the normal stress of development?
A maturational crisis
What refers to a crisis precipitated by a sudden traumatic event?
A situational crisis
Crisis Intervention
The goal is to assist the person in distress to resolve the immediate problem &
regain emotional equilibrium.
Your role as the nurse, or intervener is one of active participation however
you do not take over & make decisions unless the person is suicidal or
homicidal. Intervention is a partnership & the belief is that with help people can
help themselves.
What does the nurse do? Helps the person analyze the event, encourages
expression of feelings, affirms the right to those feelings no matter what they
are, reinforces strengths & abilities, explore other ways to deal with the
stressors & encourages support from family, friends & other resources.
Planning
The major goal of crisis intervention is to assist the patient in
reestablishing equilibrium.
The goals of crisis intervention are different form the goals of other therapies.
Interventions
Assist the patient to reexamine any feelings that might block adaptive coping &
realize the potential for growth.
Teach the patient that it is alright to ask for help, people who place high value
on independence may have difficulty.
Encourage adaptive coping methods such as expression of feelings, progressive
relaxation, and physical exercise, as well as drinking warm milk or herbal tea to
aid in relaxation & sleep.
Assist the patient to focus on the problem & specific goals leading to its
resolution.
Another approach to care includes a crisis team possibly consisting of a
psychiatrist, nurse, psychologist, social worker, aide, minister & students. The
disadvantage of this approach is a possible loss in continuity of care which
should be monitored closely.
Crisis Groups
Crisis Groups are an option to one-on-one crisis intervention.
Groups may work best for people who have difficulty with interpersonal
relationships (feel more comfortable in a group), and those who have difficulty
accepting information from psychiatric professionals or people in positions of
authority.
Advantages are - people feel less isolated, make social contact, see others have
similar problems - which helps them to open up about their problems.
Disadvantages are - an inability to focus on one patients problems &
suggestions of maladaptive or destructive coping methods by group members.
Groups are usually 5-7 people that meet 1 to 2 hours once a week for 6
weeks.
A closed group does not accept new members after it is formed & continues for
a specified time.
ADDITIONAL NOTES: