CRISIS

RESULTS WHEN AN INDIVIDUALS HABITUAL COPING MECHANISM BECOMES INEFFECTIVE TO MEET THE DEMANDS OF THE SITUATION.

SUDDEN, TEMPORARY, OVERWHELMING EMOTIONAL REACTION.

CAUSED: A STRESSFUL EVENT PERCEIVED AS THREAT.
NORMALLY LAST FOR 4-6 WEEKS - GRADUALLY MOVING ON
RESOLVES IN 6 MONTHS - MOVING FORWARD
CRISIS INTERVENTION:
 IS SHORT IS A SHORT-TERM MANAGEMENT METHOD USED BY NY HEALTH PROFESSIONALS IN CT. EXPERIENCING A CRISIS. ‘
 TIME-LIMITED INTERVENTION USING A SPECIFIC TYPE OF PSYCOTHERAPEUTIC APPROACH.

TYPES OF CRISIS
MATURATIONAL/DEVELOPMENTAL SITUATIONAL EXISTENTIAL

PREDICTABLE UNPREDICTABLE R/T TO ONES LIFE MEANING PURPOSE,

EXPECTED OCCURANCES RANDOM & FREEDOM
UNEXPECTED
EXAMPLES: EXAMPLES:
GRADUATION EXAMPLES: REFLECTS ON LIFE & ACCOMPLISMENTS:
NEW JOB SEVERE ILLNESS FEELS UNFUFILLED & DISSATISFIED
MARRIAGE JOB LOSS
BIRTH OF THE CHID UNWANTED
RETIREMENT PREGNANCY
MENOPAUSAL - MATURATIONAL DIVORCE
DEATH OF LOVED ONE

SOCIAL CRISIS - DUE TO ENVIRONMENTAL ISSUES LIKE TYPHOON; AFFECTED A LOT OF PEOPLE

4 PHASES
1. TRIGGER EVENT: ANXIETY IN RESPONSE TO THREAT
2. ESCALATION: INCREASING ANXIETY & AGITATION
3. CRISIS: OUTBURST, VIOLENCE OR SHOUTING
4. POST CRISIS DISORGANIZATION & DEPRESSION: E.G. CT. STATES “ I FEEL LIKE O CAN BARELY GET OUT OF BED IN THE MORNING”
STAGES OF A CRISIS:
1. DENIAL -
2. INCREASED TENSION
3. DISORGANIZATION
4. ATTEMPTS TO REORGANIZE

GOALS OF CRISIS INTERVENTION:

1. IDENTIFY WHAT LED TO THE CRISIS
2. RESTORE PRE-CRISIS FUNCTIONING - PRIORITY!!
3. DEVELOP COPING STRATEGIES
4. LEARN FROM THE PAST EXPERIENCE (CONNECT CRISIS TO THE PAST)

STEPS IN CRISIS INTERVENTION

COMMUNICATION DEFINE THE PROBLEM

MEDICATION ENSURE SAFETY
PHYSICAL RESTRAINT AND SECLUSION PROVIDE SUPPORT
EXAMINE ALTERNATIVES
PLAN ;
OBTAIN COMMITMENT
SIMPLE NURSING:
1. COMMUNICATION:
 EXPLAIN ALL ACTIVITIES OF CARE CLEARLY & CALMLY
 ELIMINATE THE TRIGGER
 LOW-STIMULATION ENVIRONMENT - NOT NEAR NURSES STATION
 DETERMINE THE SOURCE OF ANGER
 ACKNOWLEDGE THE CT.S EMOTIONS
2. PHARMACOLOGY
 ANXIOLYTICS BENZO’S “PAM AND LAM” = LORAZEPAM (ATIVAN)
 ANTI PSYCHOTICS: HALOPERIDOL (HALDOL)
ZIPRASIDONE (GEODON)
3. PHYSICAL RESTRAINTS - LAST RESORT