These are measures that are undertaken to stop violent behaviour as soon as it is understood that it is about to happen. At the time things might happen too fast and result in injuries if the necessary action is not taken in an equal swiftness. This is why it is usually important to capitalize on primary prevention which is easier and less risky. Communication with aggressive patients in order for them to cool down is necessary as a de-escalation procedure. However, there should be a framework of approaching such a situation (Kemshall and Pritchard 1999 pp. 56-57).
The health care professionals should be trained and knowledgeable on how to assess the possibility of physical confrontation. This is because verbal de-escalation that may be misunderstood by the patient can result in worsening of the situation. The nurses should be trained on practical approaches in order to deal effectively with such a situation. They should be able to understand the possible stimulus that can lead to violence and injury. The use of verbal de-escalation by the author only aggravated the situation with Ms Perkins shouting even louder.
The author should have assessed the situation and understood that verbal de-escalation could not work. He was not cautious once he led the others to hold Ms Perkins that gave her a chance to slap the author. Moreover, the two health professionals were at the risk of being headbutted or spit at due to lack of a person to take care of the head. It seems that it was only by sheer luck that the woman did not do any such thing. However, cooperation between the author and the registered nurse was important in order to move the woman from the room.
It could have been difficult for one person to do it. In the induction of staff into the service, there should have been training on the different approaches of dealing with violent patients such as Ms Perkins. This could have saved the author from the wrath of the violent patient. Training plays a significant role in preparing the nurse in violent situations (Mason & Chandley 1999 pp. 71). The second nurse stood aside as Ms Perkins was led out of the ward by the author and the other nurse.
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