Question

7. At one point during the meeting, Fran becomes distressed and starts to cry. She then moves away and opens and shuts drawers and cupboard doors in the dresser, banging them continuously. Using the table below, describe the different validation strategies you can use to help de-escalate this behaviour. Your answers for each strategy must be between 20 – 60 words in length. Strategy Description a)

Allowing the expression of distress

Acknowledgement and validation

Empathy, reassuring words, phrases and body language?

Answer 1

#. ABC's of de-escalation strategies :-

A- acknowledge

B- be directive

C - cycle continues or resolves

Strategies :-

- Verbal de-escalation strategies

Verbal de-escalation can be successful in less than five minutes.

Taking the time to de-escalate the patient can be much less time consuming than using restraints.

Work around problems by offering alternative ways to respond.

#. Only one person should verbally interact with the agitated patient.

- Multiple people talking may increase agitation

- Introduce yourself and provide orientation and reassurance.

Avoid overreacting.

Focus on feelings more than the facts.

Allow silence for reflection.

- Active listening

Convey that you are really paying attention

Allow for ventilation if possible

Be empathic and nonjudgmental

Ignore challenging questions

Agree or Agree to Disagree

Decrease the stimuli

- Setting limits

Establish basic expectations

Give clear, reasonable, and enforceable limits

- Allow time to process information

Coach the patient on ways to stay in control

Repeat limits if needed

Offer choices, comfort measures

Chose wisely on what you insist upon

- Personal Space/ communication

Maintain at least two arm's lengths of distance between you and the agitated individual.

Patients may have a past history of trauma.

Violation of personal space could cause the individual to re-experience the trauma.

• Bodylanguage

• Nonverbalcommunication