1. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 0

2. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 1 Chapter 30 Preventing and Managing Aggressive Behavior

3. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 2 Behavioral Responses Passive behavior—Subordinates own rights to his or her perception of the rights of others Assertive behavior—Conveys a sense of self- assurance and communicates respect for others Aggressive behavior—Ignores the rights of others

4. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 3 Figure 30-1 Intergenerational transmission of violence. (From Volavka J: J Neuropsychiatry Clin Neurosci 2:307, 1999.)

5. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 4 Figure 30-2 Structures of the brain that are implicated in aggression.

6. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 5 Figure 30-4 Hierarchy of aggressive and violent patient behaviors.

7. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 6 Figure 30-6 Continuum of nursing interventions in managing aggressive behavior.

8. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 7 Nursing Strategies to Prevent and Manage Aggressive Behavior Self-awareness Patient education Assertiveness training Communication strategies Environmental strategies Behavioral strategies Psychopharmacology

9. Copyright © 2005 Mosby, Inc. All rights reserved. Slide 8 Rationale for the Use of Seclusion Containment—Patients are restricted to a place where they are safe from harming themselves and other patients Isolation—Patients can distance themselves from relationships with others Decrease in sensory input—A quiet atmosphere can provide relief from sensory overload