Clinical placements

Using positive reinforcement to manage violence and aggression

Reminding a service user with learning disabilities how much her behaviour had improved helped nursing student Bradley Squirrell successfully de-escalate a violent situation 
de-escalation

Reminding a service user with learning disabilities how much her behaviour had improved helped nursing student Bradley Squirrell successfully de-escalate a violent situation

In my first year of training, I was on placement on a challenging behaviours unit for people with a learning disability.

I was on a night shift, and it was about 11.30pm, when a service user, who I will call Charlotte, became physically and verbally aggressive towards staff members. This was due to an incident earlier in the day with another service user.

Primary and secondary de-escalation methods, such as distraction techniques and asking Charlotte what had caused her to become upset, had been unsuccessful. Staff therefore had to use physical intervention to keep her, as well as other service users and staff members, safe.

Supervised de-escalation

I was

...

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