Crisis situations can negatively impact a person's productivity and relationships. Nurses must be equipped to help patients and families overcome crises. A crisis is perceived as an intolerable difficulty exceeding one's coping abilities. It is precipitated by identifiable events, personal in nature, acute, and time-limited. Nurses assess contributing factors and intervene using techniques like catharsis, clarification, and exploring solutions. The goal is to provide a correct understanding of the situation and help manage intense emotions, ensuring safety and strengthening coping skills to aid in resolution. Mobile crisis programs, hotlines, and health education aim to minimize crises' harmful effects.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice.
Professional etiquette is critical for presenting yourself as a polished, confident, and professional nurse.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washing Steps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice.
Professional etiquette is critical for presenting yourself as a polished, confident, and professional nurse.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washing Steps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Crisis is a state of disequilibrium resulting from the interaction of an event. it includes crisis and crisis intervention or its management.
it includes crisis types, characteristics , phases etc.
describes its definition, causes, clinical manifestations, diagnosis and rx.
feedback and inquiries; gufuabdikadir96@gmail.com
Urinary incontinence affects millions of people.Urinary incontinence is leakage of urine you can’t control. Also referred to as loss of bladder control. No matter what you call it, if you have it, you may feel like you’re the only one because people don’t really talk about it. But you’re not alone.
pericardial effusion, cardiac tamponade and myocardial rupturegufuabdikadir96
consists of P.E,cardiac tamponade and myocardial rupture and describes their definitions, pathophysiologies, clinical manifestations, dx, medical-surgical mgt and nursing mgt
for more inquiries/feedback; gufuabdikadir96@gmail.com
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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2. Intro
• Crisis can be viewed as an integral part of
everyday human life. A crisis situation can
minimize a person productivity and social
rshps. Its therefore essential for RN’s to be
equipped with the necessary techniques to
help patients, relatives and friends
pass/overcome this situation.
3. Definition of Crisis Situation
• Crisis is a perception or experiencing of an event
or situation as an intolerable difficulty that
exceeds the person’s current resources and
coping mechanisms.(James & Gilliland, 2001)
• Crisis is a state of disequilibrium resulting from
the interaction of an event with the
individual’/family’s coping mechanisms, which
are inadequate to meet the demands of the
situation (Taylor 1982)
4. Characteristics of a Crisis
• Crisis occurs to all indiv. at one time or another & not
necessarily equated with psychopathology.
• precipitated by specific identifiable events
• personal by nature. What may be considered a crisis
situation by one individual may not be so for another.
• Acute/ chronic, and will be resolved in one way or
another within a brief period.
• contains the potential for psychological growth or
deterioration.
• Time limited: Generally lasting no more than six weeks.
5. Types of criseS
• 3 TYPES;
i. Developmental/Maturational Crisis; occurs in
response to a transition from one stage to another in
the life cycle. Indiv required to make
cognitive&behavioral changes e.g parenthood
ii. Situational Crisis; occurs in response to a sudden
unexpected event in a person’s lifee.g loss of job
iii. Adventitious Crisis/ social crisis; not part of everyday
life. accidental, uncommon, unplanned and
unanticipated and results in multiple losses and radial
environment changes e.g earthquakes, rape assault.
6. Classes(6) of emotional crises, which
progress by degree of severity By
Baldwin (1978)
1. C1; Dispositional Crises-acute response to an external
stressor.
2. C2; Crises of anticipated life transitions-transitions
anticipated but may feel lack of control(normal life
cycle)
3. C3; Crises resulting from Traumatic Stress-precipitated
by unexpected external stresses over which the indiv
has little/no control.
4. C4; Maturational / developmental crises-internal
origin and reflect underlying developmental issues
that involve dependency, value conflicts, sexual
identity, control, and capacity for emotional intimacy
7. Ct
5. C5; Crises reflecting psychopathology-
precipitating the crisis led to psychopathology
that impairs/complicates adaptive resolution
6. C6; Psychiatric Emergencies-situation that
general functioning severely impaired&the indiv
rendered unable to assume personal
responsibility e.g acutely suicidal individuals,
drug overdoses, reaction to hallucinogenic
drugs , acute psychoses, uncontrollable anger,
and alcohol intoxication.
8. PHASES OF CRISIS(4)
• Phase 1; exposure to precipating stressor=solving
techniques&if normal coping abilities not successful>next>
• Phase 2; indiv further feel a great deal of discomfort at this
point. Previous coping abilities tested not succesful; pt feels
vulnerable.>increase anxiety>next>>
• Phase 3; employment of new techniques to the problem. If
succesful=resolution. If not able>next>
• Phase 4; tension mounts beyond a further threshold.
Anxiety may reach panic levels. Cognitive functions are
disordered, emotions are labile(easily break down), and
behavior may reflect the presence of psychotic thinking.
9. Signs and symptoms of crisis
• Anxiety;
• Depression
• Feelings of guilt
• Neglect his responsibilities
• Withdrawal
• Hyperactivity
• Attention seeking
10. Factors Influencing Normal Resolution
of Crises
1. Being realistic of the precipitating event-
recognize rshp btw the event&feelings
2. Availability of support systems e.g. friends,
family and health worker find a confidant
3. Availability of coping measures over a life-
time: a person develops a series of successful
coping strategies to enable him to identify
and resolve stressful situations.
11. Resolution Process/ Mechanisms
i. Pseudo resolution; client represses&pushes
out of consciousness the incident&emotions
assoc. with it= indiv functioning as before.
Feelings can relapse if the incident occurs in
the future. More difficult to resolve because
the feelings associated with the earlier crisis
are neither expressed nor handled at that
time.
12. Ct
ii. Unsuccessful resolution; victim employs
maladaptive mechanism to the incident. Doesn’t
accept the loss and keeps remembering the
incident. E.g prolonged grief rxn. May lead to
Depression
13. Ct
iii. Successful Resolution; victim may go through
the various phases of crisis, but reaches phase III
where various coping measures are utilized to
resolve the crisis situation. The victim develops
better skills and problem solving ability, which
can be and will be used in various crisis
situations in future
14. CRISES INTERVENTION
AIM;
• Provide a correct cognitive perception of the
situation.
• Assist the indiv in managing the
intense&overwhelming feelings associated
with the crisis
15. Principles of crisis intervention
• Specific, concise statements, and avoid irrelevant Qs.
• Encourage the expression of feelings.
• Calm; reassures the client that the nurse can help.
• Listen; for facts&feelings, seek clarification, paraphrase .
• Allow indiv to process information and ask Qs
• Legitimizing feelings by letting ‘em know others in similar
situations
• Clarify distortions by getting persons to look at the situation
realistically, focus on what can be changed versus what can;t.
• Empower person and allow ‘em to make informed choices.
• Assist person in confronting reality.
• Encourage the person to focus on one implication at a time.
19. Techniques of Crises Intervention
• Catharsis: the release of feelings that takes place as the pt talks
emotionally charged areas
• Clarification: encouraging the pt to express more clearly event
• Manipulation: using the pt’s emotions, wishes /values to benefit the pt in
the therapeutic process.
• Reinforcement of behavior: giving the patient +ve reinforcement to
adaptive behavior.
• Support of defenses: encouraging the use of healthy, adaptive defenses
and discouraging those that are unhealthy or maladaptive.
• Increasing self- esteem: helping the patient to regain feelings of self
worth.
• Exploration of solution: examining alternative ways of solving the
immediate problem
20. Role of Nurse in Crises intervention
ASST
• Precipating factors
• Time of event occurrence
• Indiv mental/physical status
• Coping methods&results
• Suicidal/homicidal potentiality
• Adequacy of support system
• Personal strengths&weaknesses
• Indiv&subst Abuse
21. Ct
NURS. DX
• Knowledge deficit r/t limited info abt the disease
as evidenced by pt asking a lot of Qs
• Anxiety r/t disease process as evidenced by
restlessness
• Chronic self esteem r/t crisis intervention as
evidenced by substance abuse
• Ineffective indiv coping r/t coping abilities as
evidenced by suicidal thoughts
• Disturbed thought process
22. Ct
PLAN OF ACTION
• Ensure client experiences on/minimal injury to
self
• Teach behaviors to prev further harm
• Manage anxiety to normal level
• Instill beliefs and values about spiritual issues
23. Ct
INTERVENTION
• Teach pt that the incident is real& accept
• Safety purposes; admit pt with suicidal intentions and
not left alone
• Help strengthen self esteem; e.g. how special the pt is.
• Teach healthy problem solving techniques e.g. by
discussing with close associates
• Identify hobbies
• Link to external alternatives e.g former drunkards club
• Administer medication e.g antidepressants and anti
axiety drugs e.g diazepam
24. Measures for Crisis Intervention
• Mobile crisis programs; conducting frequent visits to
families, patients and students and teach them on crisis
intervention
• Telephone contacts; establish toll free hotlines where indiv
can call and get advices
• Group work; forming groups for people with same stressor
exposure so that they can brainstorm each other and come
up with solutions to their problem
• Disaster response; esp. for adventitious crisis where nurse
will set up camps and help the victims
• Crisis intervention centers; e.g rehabs and mental
institutions and VCTs
• Health ed. In print media
