Does the use of seclusion and restraints lead to a positive behavior change in the client

1. List some of the possible co morbid disorders that go along with aggressive behavior.

There are many co morbid disorders that go along with aggressive behaviors such as PTSD, bipolar disorder, substance use disorders and schizophrenia. These disorders often have hallucinations or irrational thinking which causes aggression behaviors. Aggressive behavior in bipolar disorder occurs mainly during manic episodes, but it remains elevated in euthymic patients in comparison with controls (Volavka, 2014).

2.  Does the use of seclusion and restraints lead to a positive behavior change in the client?  why or why not and explain your answer?

The use of seclusion and restraints does not lead to a positive behavior change in clients. Oftentimes when restraints are used the clients are more agitated because they think that they are being punished which can cause them to act out even more. Restraints and seclusion rooms should be used as a last resource when all other options have failed.

3.  Review the cycle of violence –  how can a person stop this cycle?  what would you as a nurse need to teach both the abuser and the victim?  Does this cycle sound familiar to you- have you used it or seen others in this cycle?

Intimate partner violence or domestic violence and abuse often has a huge psychological or physical impact on the lives of women (Alshammari, 2018). The cycle of violence consists of different stages: Tension Building Stage, acute explosion, honeymoon stage and denial. Victims have a difficult time leaving an abusive relationship because the cycle just keeps on going. A person can stop this cycle by leaving the relationship and seeking help. Nurses are mandated to report all suspected abuse. I would teach the abuser and victims that violence is not the answer and if they are not happy in the relationship then they should go to counseling or end the relationship. Yes I have seen the honeymoon cycle used in others and the women have a hard time leaving because the man would be very nice to them and later the abuse will start up again.

References

Taylor, R. M., Crichton, N., Moult, B., & Gibson, F. (2015, January 29). A prospective observational study of machine translation software to overcome the challenge of including ethnic diversity in healthcare research. Wiley Online Library. https://onlinelibrary.wiley.com/doi/10.1002/nop2.13.

Volavka J. (2014). Comorbid personality disorders and violent behavior in psychotic patients. The Psychiatric quarterly, 85(1), 65–78. https://doi.org/10.1007/s11126-013-9273-3

Jasmine

1.  List some of the possible co morbid disorders that go along with aggressive behavior.

Borderline personality disorder – One of the diagnostic criteria for borderline personality disorder is impulsive behavior, which includes physical aggressiveness.

Antisocial personality disorder – Patients with antisocial disorder have aggressive and impulsive conduct patterns. It is frequently marked by psychopathic characteristics. Patients with psychopathic features are more likely to engage in violent and impulsive behavior.

Substance use Disorder- Patients with substance use disorders have a higher rate of violent conduct in the past, and aggression is linked to their addiction.

Intermittent explosive disorder -Describes a pattern of impulsive, aggressive, or violent behavior or angry vocal outbursts that is out of proportion to the situation.

Bipolar disorder – Aggressive conduct is more common in bipolar disorder during manic episodes.

Describes a pattern of impulsive, aggressive, or violent behavior or angry vocal outbursts that is out of proportion to the situation.

2.  Does the use of seclusion and restraints lead to a positive behavior change in the client?  why or why not and explain your answer?

When other interventions have failed, seclusion and restraints should be employed as a last resort, although studies have shown that this results in negative behavior change in clients. The majority of research involving restrained patients found little evidence that physical confinement improves patients’ feelings of safety and security. Patients who have previously been restrained describe emotions of susceptibility to danger and injuries, powerlessness, isolation, panic, helplessness, anxiety, worry, wrath, and hostility, as well as being misunderstood. Furthermore, they were unaware of the cause for their confinement. Patients who had been victims of childhood trauma and abuse, for example, suffered abuse flashbacks as a result of the restriction. As a result, traumatization may occur. Another example is women who have been sexually or physically abused in the past; the constraint experience triggers feelings of abandonment and impotence. Helping patients develop anger management skills and providing them the choice to regulate their hostility would be necessary for aggression control. Physical restraint, on the other hand, does not result in true or desired behavioral improvements.

3.  Review the cycle of violence –  how can a person stop this cycle?  what would you as a nurse need to teach both the abuser and the victim?  Does this cycle sound familiar to you- have you used it or seen others in this cycle?

The longer you stay in this abusive relationship, the more aggressive he will become, and the more difficult it will be for you to escape it. You’ll rapidly become sad and anxious, and you may even begin to believe his lies, believing that his violent behaviors are justified and that you deserve it.

Nurses can make a significant contribution to society by allowing battered women to transition to a more protected lifestyle via the implementation of comprehensive interventions.

Physical interventions include the treatment and care of any physical injuries sustained by the victim, as well as the separation of the victim and the perpetrator.

Taking Care of Patients’ Physical Health Needs

Taking Care of Women’s Safety

Making Recommendations-

Referring women to a variety of places or personnel, including counseling services, the police, the Judicial Medical Officer, and/or temporary shelters, was described by participants.

Providing Help-Participants stated that they gave psychological, informational, instrumental, and financial support to battered women.

The person can stop the cycle of violence by leaving the relationship. Also the cycle can be stopped if the person who sis doing the doing the abusing gets help.

When violence comes into the picture, stay watchful so you’ll recognize these indicators and be prepared to exit the relationship.

The first step in putting an end to abuse is to tell someone. Talk to a friend, a relative, or anyone else who will listen.

Be brave and tell your tale. Whether or not you choose to quit your relationship, you may get the support you need to move on and escape the cycle of abuse.

The nurse should teach the patient this behavior is not going to stop.

Reference

Townsend, M. C., & Morgan, K. I. (2020). Essentials of psychiatric mental health nursing: concepts of care in evidence-based practice. F.A. Davis Company.

Nettina, S. M., & Brunner, L. S. (2019). Lippincott manual of nursing practice. Wolters Kluwer.