Post by tt on May 21, 2007 18:19:25 GMT -5
Last night we were having a difficult time with an verbally aggressive Pt. who was threatening violence.
In the old days he'd have been put into full bed restraints, and seclusion, without questions.
But the trend now is to deal with situations in a more constrained manner. So if they are just stalking, and verbally threatening you sit on your hands, and try to wait out the situation. While offering therapeutic solutions to calm the Patient down. like the IM's we had given him 15 mins earlier.
At the peak of the tension I had this kind of: ( DeJa-"Something" ), thing happen. Where I knew I had experienced this whole thing before. I remembered having a vision or a dream about this whole scenario of events occurring, but I had this ( what ever you call it "vision" ) a couple of months ago.
I was sitting out on the ward last night when this Pt. was ranting and raving about the Anti-Christ and I said to myself I know I've seen this all before. But as I tried to recall how this situation actually turned out, I couldn't remember how it turned out. But I had a very bad feeling about the situation. In the vision I just remained seated as all hell, broke loose on the ward, and people were getting hurt. ( Not my fault! Sometimes things just go haywire fast and those people closest to the ignition point are first to be injured. ).
I knew I had to do something quick to alter the impending future. I had to change events to forestall the doom. So instead of waiting for the patient to attack someone, I got up and walked down the hall a ways towards the violent Pt.. Making sure he saw my looming hulking figure in the center of the hallway. With all my shorter statured coworkers nearby, I looked enormous to this short wirey Pt..
He looked at me with broad white glaring eyes, and questioned what I was doing. All I said was "I'm just standing here watching the situation.".
He rationalized that now was not the time to attack. Slowly he turned and went down the ward the opposite direction to cool down.
In the old days he'd have been put into full bed restraints, and seclusion, without questions.
But the trend now is to deal with situations in a more constrained manner. So if they are just stalking, and verbally threatening you sit on your hands, and try to wait out the situation. While offering therapeutic solutions to calm the Patient down. like the IM's we had given him 15 mins earlier.
At the peak of the tension I had this kind of: ( DeJa-"Something" ), thing happen. Where I knew I had experienced this whole thing before. I remembered having a vision or a dream about this whole scenario of events occurring, but I had this ( what ever you call it "vision" ) a couple of months ago.
I was sitting out on the ward last night when this Pt. was ranting and raving about the Anti-Christ and I said to myself I know I've seen this all before. But as I tried to recall how this situation actually turned out, I couldn't remember how it turned out. But I had a very bad feeling about the situation. In the vision I just remained seated as all hell, broke loose on the ward, and people were getting hurt. ( Not my fault! Sometimes things just go haywire fast and those people closest to the ignition point are first to be injured. ).
I knew I had to do something quick to alter the impending future. I had to change events to forestall the doom. So instead of waiting for the patient to attack someone, I got up and walked down the hall a ways towards the violent Pt.. Making sure he saw my looming hulking figure in the center of the hallway. With all my shorter statured coworkers nearby, I looked enormous to this short wirey Pt..
He looked at me with broad white glaring eyes, and questioned what I was doing. All I said was "I'm just standing here watching the situation.".
He rationalized that now was not the time to attack. Slowly he turned and went down the ward the opposite direction to cool down.
"TT"
