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Crisis is what?
- Imbalance
- Threat to homeostasis
- Usettling
- Danger and opportunity
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Type of crisis
- Maturational
- Situational
- Adventisious
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Maturational
- Normal developmental strage
- G&D stage transition
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Situational
Sudden, unavoidable
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Adventition
Natural disaster
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External
Even causes extreme distress outside of your control, and can be physical or psychological
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Internal
Threat to core beliefs. Preciptited by external crisis
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Phase one
- Precipitating event
- Anxiety increases
- Usual coping mechanisms activated
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Precipitating event, what phase?
1
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Anxity increases, what phase?
1, 3
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Usual coping mechanisims are activated, what phase?
Phase 1
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Phase Two
- Attempt to carry on
- Usual coping skills fail
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Attempt to carry on, what phase?
2
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Usual coping skills fail, what phase?
2
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Turning point, what phase?
3
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Feel compelled to reach out, what phase?
3
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Try new coping mechanisms, what phase?
3
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Redefine the threat, what phase?
3
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Old coping skills will now work, what phase?
3
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Adapt and return to what we have, what phase?
4
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Develop new coping skills, what phase?
4
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Decompensate, lose ability to function, what phase?
4
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Active crisis, what phase?
4
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Stress and anxity are intolerable, what phase?
4
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Attention span is short, what phase?
4
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Behavior is impulsive and unpredictable, what phase?
4
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Less aware of environment, what phase?
4
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Feel like you are losing your mind, what phase?
4
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Identify the crisis (put it in writing) is part of
Planning
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Ongoing assessment of function level is part of
planning
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Establish a time frame is part of
planning
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Specify areas of responsibility is part of
planning
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Re-establish equilibrim is a
goal of intervention
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How to re-establish equilibrium
- Resolve curent crisis
- Unreasolved issues from the past
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Restore patient functining is a
Goal of intervention
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What level do you want to restore pt functioning?
Previous or higher levels
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Psychological first aid is a
strategy
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Explore feelings is a
strategy
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Teach the client is a
strategy
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Enable the client is a
strategy
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May take a period of time to develop
Crisis symptoms
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Length of crisis resolution
4-6 weeks
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Identify risk factors is important in
prevention
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Provide anticipatory guidance is imporatant in
prevention
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Utilize community resources is important in
Prevention
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Provide referrals is immportant in
prevention
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