IV.

Crisis Intervention
PREDISPOSING FACTORS PRECIPITATING FACTORS

Age of onset is at 20 Traumatic life event :

years old -Being left in altar
Female -Feeling of envious over a
Stress-Strained Family dream that was snatched away
relationship

STATE OF DISEQUILIBRIUM

BALANCING FACTORS

Perception of Events Situational Support Coping Mechanism

-The patient has distorted
thinking and point of view. She
still believed that she is well
loved despite her husband
leaving her at the altar and her
mother being cruel to her. Her
intuitions and deciphering
were mpaired.
She has a very difficult and Denial
complicated relationship with her Compens
family. The only support is her ation
sister, Alice who checks on her
from time to time, protects her
and allows her to visit sometimes
in their home.

CRISIS

Sees streetlights turning on on itself, hears voice over the phone, screams and thought the nurse
is abducting her, incoherent words, agitation, feeling of extreme sadness, picks off paint from
wall

CRISIS INTERVENTIONS (Ideal)

- Build trust, and be honest and
dependable, don’t threaten or make
promises you can’t fulfill.
-Be aware that brief patient contacts may
be most useful initially.
-When the patient is newly admitted,
minimize his contact with the staff.
-Don’t touch the patient without telling him
first exactly what you’re going to be doing
and before obtaining his permission to
touch him.
-Approach him in a calm, unhurried manner.
-Engage patient in reality-oriented activities
-Promote independence through
maximizing level of functiong
CRISIS INTERVENTIONS (Actual)
- Established rapport, trust and good nurse-
patient relationship
- Oriented patient to time, place, person
- Assisted and promoted activities of daily
living
- Utilized therapeutic communication
- Provided rest periods after interview
- Presented patient to reality
- Provided reality-oriented activities
- Promoted social skills

.
 - Encouraged expression and
-Avoid crowding your patient physically or verbalization
psychologically to prevent physical altercation of feelings
-Respond neutrally to patients condescending - Encouraged Identification of
strengths
remarks. Do not take offense and be and accomplishments
defensive -Provided self-enriching
-If a client tells you to leave him alone, do therapies (e.g
leave- but make sure you return soon. Self-portrait, zumba, paper
-Set limits firmly but without anger, avoid a bracelets, emotion
punitive attitude. thermometer, stress-ball
-Be flexible, giving the patient as much control making etc.)
as possible. Milieu Management
-Consider postponing procedures that require -Provided stress-relieving
physical contact with hospital personnel if the activities
patient becomes suspicious or agitated. (e.g watching movies, listening
-If the patients has auditory hallucinations, to favorite
explore the content of the hallucinations (what songs)
voices are saying to him, whether he thinks he -Provided a safe and calm environment
-Avoided situations that may cause anxiety
must do what they command). Deal with -Provided positive affirmations through verbal
hallucinations by presenting reality and non-verbal cues
-Protect patients right to privacy and dignity
-Promote compliance and monitor drug
regularly
-Encourage family involvement