PPT-Mental Health Nursing: Agitation and Aggression

By Mary B Knutson RN MS FCP Definition of Agitation Restlessness and increased psychomotor activity that is usually an expression of emotional tension Agitated patients may have purposeless restless activity pacing talking crying laughing to release nervous tension from anxiety fear or other mental stress. Aggression . Any action that is intended to injure, harm, or inflict pain on another living being or group. Could be physical, or verbal hostility. Eg. . Yelling, road rage, child abuse, war. Frustration . : Treating Agitation & Aggression in Veterans with Alzheimer’s Disease. Lucy Wang, M.D.. A 74 year old veteran with Alzheimer’s disease is referred for assistance in managing agitation. He is living in a nursing home, and he is combative with care on a daily basis. This includes physically resisting, yelling out, and occasionally trying to bite staff when they try to help him with necessary care (dressing, toileting, bathing). Staff are questioning whether he can safely stay at their facility.. Niki Hester. Maureen Clifford. Heather Woodard. Jennifer Stephens. Objectives. Define delirium and how delirium impacts the patient.. State the purpose of daily interruption of sedation (DIS). . Describe RASS and explain range.. CO-OCCURRING MEDICAL PROBLEMS. Merlin L. Taylor, Ph.D., CCC-SLP, BCBA-D. Speech-Language Pathologist. Behavior Analyst. Aspie. Co-Occurring Medical Problem = . Comorbid Condition. “existing simultaneously with and usually independently of another medical condition”. Austin Lin and Jordan . Kodner. Background. Social learning . theory - belief . that learning is the primary factor in personality development. Previous research showed that children imitated behavior of adult models. PHILOSOPHIES OF AGGRESSION. Blood Attraction. Neural Effects. Genetics. BLOOD CHEMISTRY. Marks the nerve system . When tipsy. When testosterone is high. NEURAL ENCOURAGEMENTS. Assists aggression. Affects both wildlife and humans. Hormonal mechanism. The role of testosterone on aggression. What do you know about hormonal mechanisms in relation to aggression?. Unclear. . picture however it does seem to play a role. Explanations. What is Agitation?. Agitation is defined as "excessive verbal and/or motor behavior" that can be loud, disruptive, hostile, sarcastic, threatening, hyperactive, and/or combative”. Can be caused by a mental health condition such as depression or bipolar disorder, or may be related to intoxication. Many other medical conditions can cause someone to become agitated, such as a head injury.. A01. 1. 2. Essentially the argument is. Neural. Brain abnormalities. Hormonal. High levels of . testosterone. . . ..... are associated with aggression. 3. Hormones & agrression. What is a hormone?. Penelope Hale. Robert . Trivers. 1917. Sociobiology: the evolutionary theory to social behavior. Many social behaviors have been shaped by natural selection for reproductive success . Feelings and emotions. to . Self . and . Others . Brooke Lloyd, Psy.D.. Consulting Psychologist. Peter Tolisano, Psy.D. . DDS Director of Psychological . Services. Achieving a better understanding of the risk assessment process. Stephanie . Godleski. , Ph.D.. Department of Psychology. Rochester Institute of Technology. Outline. Aggression . Forms of aggression. Developmental pathways and outcomes. Risk Factors. Hostility and emotion regulation. Ann D. Collier, Ph.D.. Psychology Department. Northern Arizona University. Bullying. typically refers to direct aggression, or an overt physical act or assault. Relational Aggression (social aggression) . Anticholinergic burden. BPSD. Agitation, Aggression and antipsychotics. Areas covered today. 2 types. Cholinesterase inhibitors – licensed for mild to moderate AD. Donepezil. Galantamine. Rivastigmine.