front 1 Robert's 7 Stages
Stage 1 - Psychosocial and Lethality Assessment | back 1 Conduct a rapid but thorough biopsychosocial assessment. |
front 2 Robert's 7 Stages
Stage 2 - Rapidly Establish Rapport | back 2 - The counselor uses genuineness, respect and unconditional
acceptance to establish rapport w/client
- Skills such as
good eye contact, a nonjudgmental attitude, flexibility, and
maintaining a positive mental attitude are important.
|
front 3 Robert's 7 Stages
Stage 3 - Identity the Major Problems or Crisis Precipitants | back 3 - Identify the precipitating event that has led the client to
seek help at the present time.
- Identify other situations
that led up to the precipitating event.
- Prioritize major
problems w/ which the client needs help.
- Discuss client's
current style of coping , and offer assistance in areas where
modification would be helpful in resolving the present crisis and
preventing future crises.
|
front 4 Robert's 7 Stages
Stage 4 - Deal W/Feelings & Emotions | back 4 - Encourage the client to vent feelings, provide validation.
- Use therapeutic communication techniques to help the client
explain his or her story about the current crisis situation.
- Eventually, and cautiously, begin to challenge maladaptive
beliefs and behaviors, and help the clients adopt more national and
adaptive options.
|
front 5 Robert's 7 Stages
Stage 5 - Generate and Explore Alternatives | back 5 - Collaboratively explore options with the client
- Identify coping strategies that have been successful for the
client in the past.
- Help the client problem-solve
strategies for confronting current crisis adaptively.
|
front 6 Robert's 7 Stages
Stage 6 - Implement an Action Plan | back 6 - There is a shift at this stage from crisis to resolutions
- Develop a concrete plan of action to deal directly w/ the
current crisis
- Having a concrete plan restores the client's
equilibrium and psychological balance.
- Work through the
meaning of the event that precipitated the crisis. How could it have
been prevented? What responses may have aggravated the
situation?
|
front 7 Robert's 7 Stages
Stage 7 - Follow-Up | back 7 - Plan a follow up visit with the client to evaluate the post
crisis status of the client.
- Beneficial scheduling of the
follow-up visits include 1 month and 1 year anniversaries of the
crisis event.
|
front 8 Nurses Role Phases
Phase 1 - Assessment | back 8 - Crisis helper gathers information regarding precipitating
stressor and resulting crisis that promoted individual to seek
professional help.
- Ask individual to describe event that
precipitated crisis
- Determine when it occurred
- Assess individual's physical & mental status
- Determine if methods of coping were used and if so, what was the
result.
- Assess suicide or homicide potential, plan, and
means
- Assess adequacy of support system.
|
front 9 Nurses Role Phases
Phase 2 - Planning of Therapeutic Intervention | back 9 - Select appropriate nursing actions
- Consider the type
of crisis, individual's strengths and available support
resources.
|
front 10 Nurses Role Phases
Phase 3 - Intervention | back 10 - Use a reality-oriented approach - the focus of the problem is
on here and now.
- Remain w/individual experiencing panic
anxiety
- Establishing a rapid working relationship by showing
unconditional acceptance - active listening and attending immediate
needs
- Discourage lengthy explanations or
rationalizations
|
front 11 Nurses Role Phases
Phase 3 - Intervention - pt 2 | back 11 - Set firm limits on aggresive, destructive behaviors - as these
tend to occur at high levels of anxiety - establish what is
acceptable and MAINTAIN consistency.
- Clarify the problem
that individual is facing - describe your perception of the problem
back to the client.
- Help individual determine what he or
she believes brought on the crisis.
- Acknowledge feelings of
anger, guilt, helplessness and powerlessness - avoid giving such
feelings positive feedback.
|
front 12 Nurses Role Phases
Phase 3 - Intervention - pt 3 | back 12 - Guide individual through problem solving process - confront
source of problem, encourage discussion of changes to make - make
sure they are realistic
- Encourage exploration of feelings
about aspects that can't be changed - assess coping.
- Discuss alternative strategies for creating changes
- Assist individual in choosing alternative coping
strategies.
|
front 13 Nurses Role Phases
Phase 4 - Evaluation | back 13 - Have positive behavioral changes occured?
- Has the
indivudal developed more adaptivie coping strategies ? Are they
effective?
- Has the individual grown from the experience by
gaining insight into his/her responses to the crisis
situations?
- Does individual believe he/she should respond w/
healthy adaptation in future stressful situations.
- Can the
individual describe a plan of action for dealing w/similar
stressors?
|