The Crisis Escalation Spiral

Seductions or hallucinations with violent C] General over-simulation of vital signs. Increased OR,BP,HRS, Sweating C] Verbal threats or gestures CLC Twitching Al Dilating pupils CLC Replicating words C] Increased volume of speech 0 Increase movements episode spacing, irritation Prolonged eye contact C] Refusal to communicate Questioning/Challenging Information – rational questioning seeking a rational response. Power – authority questions seeking a power struggle or attempt to evade the real issue. Refusal Non-compliance with a direct instruction or expectation (an unreasonable response to a reasonable request).E. G. Are you K? – Why you want to know? This behavior often indicates the beginning of a loss of rational control. Venting Verbal â€Å"acting out† behavior. Release of emotional energy Behavior characterized by yelling swearing, and unfocused or non-specific threatening (I. E. , â€Å"angry at the world†). Threatening/limitation Focused, ta rgeted threat of violence or direct intimidation. This unfocused or non-specific threat has now become Focused on you, another, or property. The risk of physical acting out is high.Physical Acting Out Auscultative and displayed physical behavior is a risk in many crisis situations. Behaviors can include self-harm, damage to property and/or assault towards others or staff Post-Crisis Response In the Post-Crisis Response De-escalation can occur at any point during an interaction with an individual in crisis. Tension reduction will always occur, as the energy output in any crisis cannot be sustained indefinitely. Most communication will be both verbal and non verbal. An individual who is losing rational control ill â€Å"feel† our presence and hear our words.Therefore, we wish to create a Supportive, attentive, engaging presentation towards the individual in crisis or conflict. It is important to use CLC Body language is non-threatening and demonstrates us port and confidence. C LC Personal space is respectful and does not violate the space of the individual in crisis. The need for greater personal space increases as the crisis escalates. C] Eye contact is a soft gaze and projects attentiveness, not invasiveness or threat. CLC Respond to the non-verbal â€Å"cues† of the individual in crisis. Facilities moving out of harms way and prevent harm the person in crisis and to self. 2. Projects confidence and support to co-workers during the crisis. The team intervention leader needs to A. C. T.