It is important to note that the tool does not guarantee against acute changes or future exacerbations of chronic illness. Risk Description assessment The module on Identifying and Managing and scales Seclusion and Restraint Risk Factors A Core for Strategy: A Primary Prevention Tool used by the assessing Victorian Creating Safety Program provides a and discussion of individual, environmental and managing medical factors risk factors relevant to the task of escalating managing the potential for adverse events arising behaviours from an of distress and aggression. and levels of Environmental triggers identified include danger frustration and anger precipitated by the enforcement of hospital policies, a sense of unfair treatment and intervention, and long wait times or problems in the health care system. The tool presented, the Lalemond Behaviour Scale, provides staff with a common language in which five levels of behaviour are identified on a continuum from the lowest to the highest level of concern. The Scale provides a structure that encourages clinical judgement in conjunction with a standardised checklist of observations. It also provides a way for staff to hear the second level messages of patients. The five levels and their associated messages are: agitated (I’m distressed); disruptive (pay attention or listen); destructive (losing control; dangerous lost – control); and lethal (stop me). Source National Executive Training Institute, 2005127 Risk Relevance assessment Provides clinicians with a tool to guide them in and scales matching the appropriate responses to the for presenting behaviour. The tool also assists assessing clinicians to identify and then focus on alleviating and underlying distress. The tool promotes managing communication and rapport building at the earlier escalating levels rather than later when exertion of control behaviours and authority might be indicated. The emphasis is and levels of also on a team approach to assessment, clinical danger decision making and care management.
It is important to note that the tool does not guarantee against acute changes or future exacerbations of chronic illness. Risk assessment and scales for assessing and managing escalating behaviours and levels of danger Description The module on Identifying and Managing Seclusion and Restraint Risk Factors A Core Strategy: A Primary Prevention Tool used by the Victorian Creating Safety Program provides a discussion of individual, environmental and medical factors risk factors relevant to the task of managing the potential for adverse events arising from an of distress and aggression. Environmental triggers identified include frustration and anger precipitated by the enforcement of hospital policies, a sense of unfair treatment and intervention, and long wait times or problems in the health care system. The tool presented, the Lalemond Behaviour Scale, provides staff with a common language in which five levels of behaviour are identified on a continuum from the lowest to the highest level of concern. The Scale provides a structure that encourages clinical judgement in conjunction with a standardised checklist of observations. It also provides a way for staff to hear the second level messages of patients. The five levels and their associated messages are: agitated (I’m distressed); disruptive (pay attention or listen); destructive (losing control; dangerous – lost control); and lethal (stop me). Source National Executive Training Institute, 2005127 Risk assessment and scales for assessing and managing escalating behaviours and levels of danger Relevance Provides clinicians with a tool to guide them in matching the appropriate responses to the presenting behaviour. The tool also assists clinicians to identify and then focus on alleviating underlying distress. The tool promotes communication and rapport building at the earlier levels rather than later when exertion of control and authority might be indicated. The emphasis is also on a team approach to assessment, clinical decision making and care management.
Recognising-and-responding-to-deterioration-in-mental-state.-A-scoping-review.docx