(Blank)
least restrictive environment
free of restraint or seclusion unless necessary- start with least restrictive as possible.
assault
actions that instill fear or harm
hospice
end stage palliative care- terminally ill with 6 months or less
triggering phase of nursing process
approach in non threatening, calm manner
encourage verbal expression of angry feelings
inter generational transmission process
children see bahviors in parents and develop them too
short term use of restraints or seclusion requires
face to face eval within an hour and then 8 hrs for adult 4 for kids
doc order every 4 hrs adult/2 chil
documented assessment every 1-2 hrs by nurse
one to one monitoring for first hr
2 fingers between restraint and pt
offer ADLs q2hrs
battery
unwanted harmful contact
five stages of grieving
denial
anger
bargaining
depression
acceptance
escalation phase of nursing process
take control
provide directions in a firm calm voice
presentation of child abuse
drinking, truancy, running away, prostitution
adults who were victims frequently abuse their children
confidentiality
HIPPA of 1996
duty to warn third parties is only exception
false imprisionment
unjustified detention
disenfranchised grief
loss that cannot be acknowledged in public or openly.
crisis phase
restraints as last resort
rape kits, protocol
requires consent
negligence
failure to do what reasonable/prudent person would do
autonomy, beneficence, and nonmaleficence
A- right to self determination, independence
B- duty to benefit others and promote good
N- requirement to do no harm
important part of nursing process during grief
promoting coping behavior- expression of feelings/storytelling
recovery phase
talk about situation or trigger
tx for rape
immediate support- physiological needs
sedatives/benzo such as "pam" drugs.
malpractice
professional negligence
justice, veracity, and fidelity.
J- fairness
V- honesty, truth
F- obligation to honor commitments and contracts
nursing process assessment
history of violent or aggressive behavior
how client handles anger
post crisis phase
calmly discuss behavior ( no lecturing)
PTSD
60 percent of at risk individuals develop (veterans, natural disaster, or violence victims)
intense fear, helplessness, terror
disturbing pattern of behavior by someone who has experienced, witnessed a traumatic event.