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Criteria: Sensitivity to disruptive events:

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Comment:

Certain events and circumstances may be particularly stressful to patients/clients and may raise their anxiety levels. Events that may lead to violence or aggression include:

•Personal care — feeding, bathing, toileting, mobilizing

•Visits involving family, friends, and the resulting fatigue

•Treatments such as dressing changes or physiotherapy that may cause pain or disrupt visits, rest, or leisure activity (for example, watching television)

•Treatment delays (real or perceived)

•Discharge time, which involves increased levels of noise and activity at a time when the patient/client may be feeling quite anxious

•Regimented wake-up calls and bedtimes, rigidly scheduled meal times, predetermined duration of meal times, a set amount of time for personal hygiene, and other routines that may become frustrating to patients/clients, particularly those requiring long-term care

•Noise, sleep disruption

•Lack of information from medical staff concerning diagnosis, care, test results, or prognosis

•Fear of going home

PROtect Yourself! Empowering Tips & Techniques for Personal Safety: A Practical Violence Prevention Manual for Healthcare Workers

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