- SELF STUDY MODULES
- 1. Intro to TBI
- 2. Communication
- 3. Skills for independence
- 4. Cognitive changes
- 5. Behaviour changes
- 6. Sexuality
- 7. Case management (BIR)
- 8. No longer available
- 9. Mobility & motor control
- 10. Mental health & TBI:
an introduction - 11. Mental health problems
and TBI: diagnosis
& management - 12. Working with Families
after Traumatic Injury:
An Introduction - 13. Goal setting
5.6 Managing escalating situations
The key steps in managing an escalating situation are:
a) Maintain self control
- Avoid mirroring behaviour
- Control breathing
- Control voice
- Control stance
- Match verbal to non-verbal behaviours
b) Maintain a safe distance
- Danger zone is 0 .4 metre to 1 metre from the person (within hitting and kicking distance)
- The area either side of the danger zone is considered safe
c) Maintain a non confrontational body stance
- Keep hands open and in full view
- Stand slightly at an angle to the person
- Avoid staring or standing with your hands on your hips
- Avoid making fast movements
d) Analyse situation
- Is there anything reinforcing the behaviour?
- Is there anything frightening the person?
- Are they being over or under stimulated?
e) Decide on an intervention
- Intervention can include negotiation, leaving, no action, surprise, diversion, humour, isolating client, removal of other clients/people, requesting assistance and evasive self defence (only to be used if under attack / as a last resort)
f) Review intervention and decide on next step
- Monitor situation and intervention. This will help you decide whether or not to continue, modify or stop the current intervention.
g) Managing after a crisis
The body’s normal internal reaction to stress is a build up of tension.
Tension can be released by:
- Relaxation / breathing techniques
- Vigorous activity or aerobic exercise (physical release)
- Talking, laughter, crying (emotional release)
Things to avoid
- Self-administering drugs/overuse of prescribed medication
- Using alcohol, caffeine or cigarettes
- Using food as a means to cope
- Releasing tension by aggression and anger
Things to remember
- after any crisis, it is normal for a person to experience an emotional or physical change for up to six weeks
- don’t label yourself as crazy
- avoid making life-altering decisions within a few weeks of the crisis
- seek professional help if symptoms persist longer than six weeks.