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HEALTH TALK

ON
ANGER MANAGEMENT

SUBMITTED TO :
DR.GHANSHYAM TAK
Ph.D. , M.Sc. nursing (Mental Health Nursing)
HOD, (Mental Health Nursing)
SINPMS, BADAL

SUBMITTED BY :
KIRANBIR KAUR
M.SC NURSING 2ND YEAR
MENTAL HEALTH NURSING
02
HEALTH EDUCATION
Name :- Kiranbir kaur

Class :- M.Sc. (N) second year

Ward :- Psychiatry

Hospital :- GGS hospital , Faridkot .

Date :- December , 2018

Topic :- ANGER MANAGEMENT

Language :- English , Punjabi

Av. Aids :- Charts , Flash cards

Time :- 20-25 minutes

Supervisor :- Ms. Ramandeep Kaur

OBJECTIVES : -

GENERAL OBJECTIVES :-
To make proper awareness about anger , cause, clinical features, management and prevention so
that at the end of teaching people will be able to know all about intellectual disability.

SPECIFIC OBJECTIVES :-
A group is able to:-

 Definition of anger
 Causes of aggressive behavior
 Clinical Features of aggressive behavior
 Management of anger
 Prevention of aggressive behaviour
Sr. OBJECTIVE TIME CONTENT A.V EVALUATION
NO. AIDS
1. Maintain IPR 1min. SELF INTRODUCTION
With group. I am Kiranbir Kaur student of M.sc
nursing first year, SINPMS, Badal. I
am here to educate you intellectual
disability.

V
2. Define anger 2 min DEFINITION OF ANGER: E What is anger ?
Anger: An emotional state that may range R
in intensity from mild irritation to intense B
fury and rage. Anger may have physical A
effects such as raising the heart rate, blood L
pressure and the levels of adrenaline and L
noradrenaline.
Y

CAUSES OF ANGER:
Explain causes 3-4 What are the
3.
of anger min causes of anger ?
Anger may happen instinctively in
humans and other animals to protect
territory, offspring and family
members, secure mating privileges,
prevent loss of possessions or food, and
other perceived threats.
V
Factors that commonly make people
E
angry are:
R
B
 Grief, on losing a loved one
 Sexual frustration A
 Disappointment or failure L
 Rudeness and injustice L
 Tiredness Y
 Hunger
 Pain
 Use of or withdrawal from alcohol,
drugs, medications, or other
substances
 Physical conditions, such as pre-
menstrual syndrome
 Physical or mental illness
 Being teased, bullied, or
humiliated
 Embarrassment
 Stress, for example, over deadlines
or financial problems
 Traffic jams
 Sloppy service
 Infidelity
 Burglary
 Being told you have a serious
illness.

Enlist effects of 3-4 EFFECTS OF ANGER ON What do you know


4. anger on health min about effects of
HEALTH :When a person is angry, the
body releases stress hormones, such as anger on health ?
adrenaline, noradrenaline and cortisol.
The heart rate, blood pressure, body
temperature and breathing rate
increase.

Regular anger can eventually make


people ill, because recurrent, F
unmanaged anger can result in a L
constant flood of stress chemicals. This A
can lead to metabolic changes that S
eventually undermine the individual's H
health.

The following physical health problems


may occur:

 Backache C
 Headaches A
 Hypertension, or high blood R
pressure D
 Insomnia S
 Irritable bowel syndrome, or other
digestive disorders
 Skin disorders
 Stroke
 Heart attack
 Lower pain threshold
 Weakened immune system,
resulting in more infections, colds,
and influenza.

Emotional and mental consequences of


frequent, uncontrolled anger include:
 Depression and moodiness
 Eating disorders
 Alcohol or drug abuse
 Self injury
 Low self-esteem.

Explain clinical 3-4 CLINICAL FEATURES OF V What are clinical


Features of min ANGER: E features of anger
5. Emotional symptoms that may develop
aggressive R state ?
behaviour as a person moves from irritation to B
rage include: A
L
 A desire to escape from the
L
situation
 Irritation Y
 Sadness or depression
 Guilt
 Resentment
 Anxiety
 Desire to lash out verbally
 Desire to lash out physically.

The following signs may also occur:

 Rubbing the face with the hand


 Fidgeting, or clasping one hand
with the other
 Pacing around
 Becoming cynical or sarcastic
 Losing the sense of humor
 Becoming rude and abusive
 Crave substances that the persons
thinks will relax them, such as
alcohol, tobacco, or drugs
 Speaking louder
 Screaming or crying.

Physical symptoms that can occur


include:

If not treated, anger problems can lead


to further psychological problems such
as anxiety and depression.

 Grinding teeth
 Clenching the jaw
 Upset stomach
 Elevated heart rate
 Sweating
 Rapid, shallow breathing C
 Hot flashes in the face or neck H
 Trembling hands, lips or jaw A
 Dizziness R
 Tingling at the back of the neck. T

Explain about 3-4 MANAGEMENT OF ANGER What do you know


6. Anger management therapy may be in
management of min about management
anger group sessions, or one-on-one with a of anger ?
counselor or psychotherapist.

If the person is diagnosed with a mental


health condition, such as depression,
anger management should take this into
account.

In anger management training, a person


learns to:

 Identify what makes them angry


 Respond in a non-aggressive
way to anger triggers, before
getting angry
 Handle the triggers
 Identify moments when thought
processes are not leading to
logical and rational conclusions,
and to correct their thinking
 Return to a state of calm and
peace when anger surges
 Express feelings and needs
assertively in situations that
normally lead to anger and
frustration, without becoming
aggressive
 Redirect energy and resources
into problem solving rather than
anger.

First, the person needs to learn to fully


recognize their anger. The following
questions may help:

 How do I know when I am


angry?
 What type of people, situations,
events, places, triggers make me
angry?
 How do I respond when I am
angry? What do I do?
 What impact does my angry
reaction have on other people?

7. Explain 5 min PREVENTION OF ANGER : What do you know


prevention of 1. Communication – When you’re about prevention of
anger communicating with the person, keep anger?
in mind anything you learnt from
following the steps above. Think about
what you’re saying, how fast you’re
speaking and what tone you’re using.
Good body language can also help the
person feel they are being respected
and listened to.

2. Music – Music may help to reduce


aggressive behaviour. It may be
listening to a favourite piece of music,
enjoying music in groups (singing,
playing instruments) or music therapy
(with a trained professional).

3. Social interaction and stimulation –


Most people have a need to spend time
with other people. Lack of social
interaction can make someone feel
bored, isolated and unhappy. Make sure
that the person with dementia regularly
receives some good one-to-one
interaction. It could just be a chat or
reading together, but it is important to
have proper time for this, when they
can have your or someone else’s full
attention.

4. Reminiscence – Reminiscence or life


story activities involve recalling and
talking about past experiences, such as
sharing photos of the person’s family or
events from the past. These should be
positive and personally significant,
such as a family event, favourite
football match or places they’ve
visited. Activities like these have been
found to improve the mood of many
people with dementia, reducing the risk
of aggressive behaviour.

5. Changes to the environment –


Think about the person’s surroundings,
as these will have an effect on their
behaviour. It may be that you can make
small changes to the person’s home that
will make it a better environment for
them. For example:

 Is there enough light?


 Is it too hot or too cold?
 Can the person with dementia find
the toilet?

Using signs on kitchen cupboards and


drawers can also help, to show the
person what’s inside them. For
example, you could put a picture of
knives and forks on the cutlery drawer.

6. Exercise – Physical activity and


exercise can help to reduce agitation
and aggression, as well as improving
sleep. It can help to use up spare energy
and act as a distraction. It also provides
opportunities for social interaction with
others and can provide you with a
break. Other methods that may help
include:

 hand massage
 aromatherapy
 stimulating the senses, for example
with nature sounds or familiar,
repetitive actions such as folding
clothes or sorting buttons
 cognitive stimulation – this
involves activities and exercises
that are designed to improve
memory and communication skills.
Activities are based on day-to-day
interests, reminiscence and
information relating to the current
time and place
 light therapy or bright light therapy
– this involves a person sitting in
front of a light box for a set
amount of time each day
 animal-assisted therapy
 doll or toy therapy
 arts therapy (including dance,
drama, drawing or painting).

Summarization 2 min Today , we discussed about :


8. of topic

 Definition of anger
 Causes of anger
 Effects of anger on health
 Clinical features of anger state
 Management of anger
 Prevention of aggressive behavior

 What is anger ?
Recapitalizatio 2 min  What are causes of anger ?
9. n  What are effects of anger on
health ?
 What are clinical features of
anger state ?
 What is management of anger ?
 What are preventive measures
for anger?

Bibliography :

 Sadock BJ, sadock VA. Kaplan


&Sadock’s Synopsis of
psychiatry. 10th ed. Lippincott.
 Mary CT. Psychiatric Mental
Health Nursing. 4th ed.
F.A.Davis.