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Identify and Describe a Challanging Behaviour

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Identify and Describe a Challanging Behaviour
Responding To Clients Who Present With Challenging/Self- defeating Behaviours

In the mental health nursing environment, nurses and their everyday role may repeatedly be subjected to or witness challenging and / or self-defeating behaviour (Health and Safety Executive 2006). In this assessment the aim will be for me to identify and describe a challenging behaviour. In this case the response was to aggressive behaviour which I witnessed on one of my practice placements as a student nurse. Part of the assignment will be written in the first person when referring to my personal account of the incident. Using literature and the relevant references the essay will critically analyse the incident, an action plan will be placed and a discussion on how it will be implemented (Rolfe et al, 2011). The Marks-Maran and Rose model of reflection will be used to reflect on the challenging behaviour I have chosen. The precipitating factors will be discussed along with the environmental, social and communication factors that can and may have contributed to the behaviour. My emotions and feelings towards the situation will be expressed and discussed. Management of the situation will be analysed through research literature. The conclusion will explain what I have learned from the incident and my awareness of promoting positive behaviour.

Although challenging behaviour was initially applied to people with learning disabilities, it is now accepted in a wide range of settings (Emerson and Einfield 2011). Challenging behaviour can be complex; Emerson (1995) defines it as the intensity, frequency or duration of the behaviour that the physical safety of the person or others is at risk. With this in mind the challenging behaviour which shall be the focus of this essay is on aggression (Emerson 2001).

Following anonymity and confidentiality in respect of the Data Protection Act (1998), (Department of Health 2009) and the Nursing and Midwifery Council (2010: 5) on confidentiality the



References: BARKER, P. J., 2004. Assessment in psychiatric and mental health nursing: in search of the whole person. London: Cengage Learning. BARKER, P., 2009. Psychiatric and mental health nursing: the craft of caring. 2nd ed. London: Edward Arnold. DEPARTMENT OF HEALTH, 2009. Data Protection Act, (1998). Protection and use of patient information. Department of Health. http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Healthservicecirculars/DH4002964. (Accessed on 01.07.12). ENERSON, E., 2001. Challenging behaviour: analysis and intervention in people with severe intellectual disabilities. 2nd ed. Cambridge: University Press. EMERSON, E. and EINFIELD, S. L., 2011. Challenging behaviour. 3rd ed. Cambridge: University Press. GROSS, R., 2010. Psychology: the science of mind and behaviour. 6th ed. London: Hodder Education. HARDY, P. and PANNETT, A., 2002. Managing challenging behaviour: health and social care. York: Elysium. HARRIS, J. et al., 2001. Positive approaches to challenging behaviour: promoting non-challenging behaviour and responding to people who are emotionally aroused. 2nd ed. Worcestershire: BILD. HARRIS, J. et al., 2001. Positive approaches to challenging behaviour: managing challenging behaviour. 2nd ed. Worcestershire: BILD. HEALTH AND SAFETY EXECUTIVE, 2006. Five steps to risk assessment. HSE. http://www.hse.gov.uk/pubns/indg163.pdf (Accessed on 01.07.12). HEALY, D., 2002. Psychiatric drugs explained. 3rd ed. London: Harcourt Publishers Limited. HERON, P. N., 2001. The shadow side of helping. In: P. N. WATKINS ed. Mental health practice: a guide to compassionate care. London: Elsevier. 2009, p. 205. IRWIN, A., 2006 The nurse’s role in the management of aggression. Journal of Psychiatric and Mental Health Nursing, 13, pp309 – 318. KYNOCH, K. et al., 2011. Interventions for preventing and managing aggressive patients admitted to an acute hospital setting: a systematic review. Worldviews on evidence–based nursing, 8, pp. 76-86. MARKS-MARAN, D. and ROSE, P., 1997. Thinking and Caring: New Perspectives on Reflection. In: D. Marks-Maran and P. Rose, eds. Reconstructing nursing: beyond art and science. London: Bailliere Tindall. p. 128. MCCORMACK, B. and MCCANCE, T., 2010. Person – centred nursing: theory and practice. West Sussex: Wiley – Blackwell. MILLER, J. and GIBB, S., eds. 2007. Care in practice for higher. 2nd ed. Paisley: Hodder Education. NHS TAYSIDE, 2011. Aggression and violence management policies. NHS Tayside Health and Safety Forum. NORMAN, I. and RYRIE, I., eds. 2009. The art and science of mental health nursing: a textbook of principles and practice. Maidenhead: Open University. NURSING AND MIDWIFERY COUNCIL., 2010: 1. The NMC code of professional conduct: standards for conduct, performance and ethics. London: NMC. NURSING AND MIDWIFERY COUNCIL., 2010: 5. The NMC code of professional conduct: standards for conduct, performance and ethics. London: NMC. ROLFE, G. et al., 2011. Critical reflection in practice: generating knowledge for care. 2nd ed. London: Palgrave MacMillan. TRENOWETH, S. et al., 2011. Nursing and mental health care: an introduction for all fields of practice. Exeter: Learning Matters. WAUGH, A. and GRANT, A., 2006. Ross and Wilson anatomy and physiology in health and illness. 10th ed. Edinburgh: Churchill Livingstone. WEBER LONG, S., 2004. Caring for people with challenging behaviours: essential skills and successful strategies in long-term care. Baltimore: Health Professionals Press.

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