3 hours There are times when a nurse must provide care for a client who is agitated and verbally or physically aggressive. The client may be psychotic, but the nurse must, in each case, remain in control of his/her own feelings, and intervene in the most appropriate manner. After watching a segment regarding a violent client at Bellevue Hospital, answer the questions below. It’s not necessary to critique the staff in the video, just think of how you might respond.
In the field of healthcare, nurses often encounter situations where they have to provide care for clients who are agitated and display verbally or physically aggressive behavior. These clients might be experiencing psychosis, placing the nurse in a challenging position. In such cases, it is crucial for the nurse to maintain control over their own emotions and intervene appropriately. This essay aims to explore strategies for responding to a violent client based on the video segment featuring a violent client at Bellevue Hospital.
When faced with a violent client, it is important for the nurse to first prioritize safety. The safety of both the nurse and the client should be the primary concern. Assessing the immediate environment for any potential dangers is a crucial step. The nurse must ensure that there are no objects that can be weaponized or used to cause harm to anyone involved, including other patients or staff members. Additionally, evaluating the level of aggression displayed by the client is necessary to determine the appropriate level of intervention required.
In the video segment, it is observed that the client is exhibiting verbal aggression towards the staff. In such a situation, verbal de-escalation techniques can be employed to diffuse the tension and decrease the likelihood of physical violence. The nurse should approach the client calmly, maintaining a non-threatening posture and demeanor. It is important to speak in a calm and clear manner, using simple and concise statements. Acknowledging the client’s feelings and validating their experiences can help establish rapport and decrease agitation.
Furthermore, assessing the client’s basic needs is imperative in managing their aggression. The nurse should evaluate if the client is in pain, hungry, or fatigued, as these factors can exacerbate their agitation. Addressing these needs by providing pain relief, snacks, or rest can help alleviate the aggression. Creating a peaceful and supportive environment by adjusting the lighting, temperature, or noise level can also contribute to a calmer atmosphere.
In some instances, a physical altercation might occur, necessitating the use of physical interventions. However, physical interventions should only be used as a last resort and in accordance with institutional policies and guidelines. It is essential for the nurse to prioritize the least restrictive approach and protect the client’s dignity and rights. Restraints, if deemed necessary, should be applied safely and in collaboration with other members of the healthcare team. Proper documentation of the events leading to the physical intervention must be maintained to ensure transparency and accountability.
However, it is crucial to note that prevention is key in managing violent episodes. Regular monitoring and assessment of clients’ mental health status can help identify early signs of agitation or aggression. Collaborating with the interdisciplinary team, including psychiatrists and psychologists, can facilitate the development of individualized care plans and interventions to manage the client’s behavior.
Moreover, education and training for healthcare providers should be emphasized to enhance their skills and knowledge in managing aggressive clients. Effective communication, de-escalation techniques, and conflict resolution strategies should be incorporated into the curriculum and reinforced through regular training sessions. Developing a culture of safety within healthcare facilities can promote open discussions regarding workplace violence and encourage the reporting of incidents.
In conclusion, when faced with a violent client, nurses must prioritize safety and employ appropriate strategies to manage the situation. Verbal de-escalation techniques, addressing basic needs, and creating a supportive environment are effective approaches to prevent aggression escalation. Physical interventions should only be used as a last resort, adhering to institutional policies and guidelines. Prevention through regular monitoring, interdisciplinary collaboration, education, and training is crucial in managing and preventing aggressive behaviors in healthcare settings. By implementing these strategies, healthcare professionals can effectively provide care to clients in a safe and supportive manner.