Читать книгу PROtect Yourself! Empowering Tips & Techniques for Personal Safety: A Practical Violence Prevention Manual for Healthcare Workers - Rae Stonehouse - Страница 16

Many of those clients who lose control may never do so again; however, a past history of violence or aggressive behavior is the single most reliable predictor of future episodes. Information about a client’s past history is vital in determining risk and should be communicated to the care providers in contact with that client.

The more you know about your client or resident, the more you will be able to anticipate risk. All care providers require knowledge of the client history in order to be able to assess risk.

When taking a nursing history, it is important to gather information related to past incidents of violent behavior. Asking questions in a nonjudgmental, caring manner is very important and will help you to determine and assess risk of violence or aggression. Many care facilities include a precaution page as part of their clinical record. History of violence, the form of violence (verbal, physical), who it was directed at, involvement with law enforcement agencies, and suicidal ideation and/or gestures should all be noted on the precaution sheet.

Criteria: Prior history of assaultive behavior

Behavior:

•has assaulted in the past

•has been violent under stress in the past

•has never been assaultive in the past

Comment: One who has been violent in the past is likely to do so again. One who has never been violent and suddenly becomes so may be suffering from organic illness.

* See Cognitive Impairment