Crisis & Disaster, Types of Abuse & Forensic Nursing PDF

Chapter 26 (Review Questions ; Book)  Crisis and Disaster Crisis Character - Disturbance caused by a stressful eventor athreat - Distupts an individual's homeostasis or equilibrium normal mechanisms fail coping - Results...

Chapter 26 (Review Questions ; Book)  Crisis and Disaster Crisis Character - Disturbance caused by a stressful eventor athreat - Distupts an individual's homeostasis or equilibrium normal mechanisms fail coping - Results to function as usual in inability - - Equilibrium is displaced coldisequilibrium Successful Outcome - Realistic perception of the event - Adequate situational supports mechanism - Adequate coping  ↑ of Crisis Types Maturation - new developmental stage is reached old coping skills no longer effective - teads to increased tension anxiety Situational - Arise from events that are extraordinary external Loften unanticipated · Examples death loss change - Psych -job or in finance - maritual status or change Adventitious Natural Lepidemics ,floods,fires , - earthquakes Human of terrorism, wars , riots - ~ one on one violence, acts - Accidental Airline crashes, structural collapses, nuclear power plant  Phases of Crisis Phase I -serious stressor or problem results in - increased anxiety -the usual coping methods and defense mechanisms in an effort to address the problem decrease Phase 2 anxiety - Defence mechanisms fail threat persists - producing Anxiety increases,discomfort feels of extreme - - functioning trial benor becomes attempts disorganizedsolving be is Phase 3 - fail Trial and error attempts to severe or panic level - Anxiety can escalate behaviors mobilizedwithdrawal isflight - Automatic relief form of resolution may be devised (compromising needs - some Phase & skills ineffective Problem is unsolved coping are - - Anxiety overordms person - can lead to; Depression, confusion ,serious personality disorganization  Levels of Prevention primary promotes mental health and reduces mental illness - to decrease the incidence of crisis secondary - Intervention during an acute crisis to prevent prolonged anxiety & Tertiary (Groups) -Provides for those long-termasupport who have experienced crisis  Critical Incident Stress Debriefing Atelitary prevention tool · L seven phase group meeting Examples · debrief staff on an inpatient following - unit a patient suicide - debriet schoolchildren school personnel aftera school shooting who - debrief rescue health care workers have responded to a natural disaster  Treatment Modalities (not ideal) - Emergency rooms Behavioral - Crisis Care Services crisis call lines warm lines Crisis intervention teams Crisis stabilization facilities  Directive Plan Psychiatric Advance Proactively addressing a crisis - situation before it occurs Stipulates wishes such as - Streatment choices ,facilities ↳ providers designated support person to be involved in decision making  Global Disaster Large-scale · Crisis extsunamishucanewirlargesa stock exchange collapses ; pandemics Disaster preparedness · Develop resilient communities Assess disaster risks on a local level Extend to networking communities Lextend societal is national problem Disaster Response FEMA's Four-Phase Disaster Management Continuum - Mitigation Preparedness - - Response Recovery -  Chapter 28 Types of Abuse Economic PhysicalEmotional - - Sexual-Neglect -  Crisis Situation situation that puts stress on family w/violent member - a Perpetrator member who is violent toward anothe Any household - Vulnerable Person whom abuse is propetrated - family member - other tenus ;victim ,survivor, or victor/survivor survivor: recognizes recovery i healing process -  Child Abuse Acts ofCommission - Deliberate's intentional Acts of omission - Hegbet ; when a childs physica basic a emota a a or educational from harm child is not protected  comorbidity - The occurrence of one type of abuse is a strong predictor of the occurence of another type - Lifetime secondary effects 2 Anxiety L Suicidal Ideation L Depression L MDDBPTSD Risk Factors Characteristics of Abusive Parents  Risk Factors (male Perpetrators) - may believe in male dominance : need to bein charge lends power - belief that physical aggression · pathological jealousy · substance or alcohol use disorder "Resentment toward pregnancy or baby evidence mayescuate the when woman to leave e  Violence Cycles of otension building stage · Acute battering stage Honeymoon stage · · Repeat uperiods of calm B safety diminish overtime ↳ repitation  Older Adult Abuse(underchildra · mistreatment - failure to provide basic needs - failure to protect Physical · sexual abuse financial · abuse Risk Factors Documentation Verbatim who i when ; State  Prevention of Abuse Primary measures taken to prevent the occurrence of abuse - secondary - early intervention in abusive situations to minimize their disabling or long-term effects Tertiary Providing support - the healing rehabilitative Facilitatingcurvivors process - to t well healthy being -Assisting  Chapter 33 forensic nursing care that focuses -nursing on of populations affected by violence and trauma Provides - education , prevention, detection treatment of the effects of violence in individuals ,families ,community expert court testimony in casesrelated to - their areas of practice expertise & input on policy changes within forensics - - settings evaluation and diagnoses for both victims and perpetrators Trauma InformedCare - Always provide it, never want to retraumatize them  Evaluator (Masters Doctors competency or Determine Legal Competence of Defendant - Assess mental health or illness Conduct a forensic - interview - Provide documentation Testify - Complete formal reporto - t court  Fact Witness US Expert Witness Fact Witness What was heard , performed personally seen or - or documented Expert witness - Recognized by the Court as having a certain levelof expertised in a designated area