PIPRAMS

LESSON PLAN ON
TOPIC: CRISIS INTERVENTION
SUBJECT: PSYCHIATRIC

Submitted To: Miss. Garima Pant (Asst. Professor)

Submitted By: Surya Pratap (Bsc NSG 3rd Year)
Submitted On: 06/01/2023
 IDENTIFICATION DATA:
 NAME OF THE TEACHER: SURYA PRATAP
 NAME OF THE SUBJECT: MENTAL HEALTH NURSING
 NAME OF THE TOPIC: CRISIS INTERVENTION
 GROUP OF THE STUDENTS: BSC NURSING 3rd YEAR
 SIZE OF THE GROUP: 45
 DATE AND TIME OF PRESENTATION:
 VENUE/PLACE OF PRESENTATION: CLASS ROOM
 DURATION OF TEACHING: 45 MIN.
 AV AIDS: FLASHCARD, CHARTPAPER, PEMPLATES, BLACKBOARD
 PREVIOUS KNOWLEDGE ABOUT THE TOPIC: YES
 GENERAL OBJECTIVES:
At the end of seminar the student will gain knowledge ‘crisis intervention’ improve the
knowledge.

 SPECIFIC OBJECTIVES:
To introduce the crisis intervention.
To define the crisis intervention.
To describe the goal of crisis intervention.
To enlist the techniques of crisis intervention.
 To describe the purpose of crisis intervention.
To enlist the indication of crisis intervention.
To explain the phases of crisis intervention.
Summary
Conclusion
Bibliography

S NO TIME SPECIFIC CONTENT TEACHING LEARNING ACTIVITY/ EVALUATION

OBJECTIVE AV AIDs
1. 5min. To introduce  INTRODUCTION Lecture cum discussion with What is the
the crisis Crisis intervention refers to blackboard. introduction
intervention. methods used to offer of crisis
immediate, short-term help to intervention?
individuals who experience an
event that produces emotional,
mental, physical, and
behavioral distress or
problems. A crisis can be any
situation in which an individual
perceives a sudden loss of
ability to use effective
problem-solving and coping
skills. Any number of events or
circumstances can be
considered crises, including
life-threatening situations such
as natural disasters (e.g.,
earthquakes, tornadoes,
hurricanes), sexual assault or
other criminal victimization,
medical illness, mental illness,
thoughts of suicide or
homicide, or loss or drastic
changes in relationships (e.g.,
death of a loved one or
divorce).
  DEFINATION
2. 5min. To define the Crisis intervention is an active Lecture cum discussion. Define the
crisis but temporary entry into the crisis
intervention. life situation of an individual or intervention?
a group during a period of
stress (e.g. divorce, rape or
natural disaster).

 Goals of Crisis
3. 5min. To describe Intervention Lecture cum discussion with What is the
the goal of chartpaper. goal of crisis
crisis • Decrease emotional stress intervention?
intervention. • Protect client from
additional stress
• Assisting the client in
organizing and mobilizing
resources
• To return the client to a pre
crisis or higher level of
functioning.
  Techniques of Crisis
4. 10min. To enlist the
Intervention Lecture cum discussion. What is
techniques of technique of
crisis 1. Abreaction crisis
Intervention. intervention?
The release of emotional
feelings that takes place when
the client talks about
emotionally charged areas. The
nurse encourages the client on
he feels about a particular
incident.
2. Clarification

Encouraging the client to

express more clearly the
relationship between certain
events in his life. It helps the
client to understand his
feelings and the pattern of
developing these feelings into
crisis.
3. Suggestion
Nurse will suggest the client
and it influences him to accept
the idea and client will feel that
the nurse can help him to feel
better and optimistic, makes
him less anxious.

4. Manipulation

It is a way of influencing the

client, using the patient’s
emotions, wishes or values to
benefit the client in the
therapeutic process.
5. Reinforcement of
Behaviour

If the client exhibits adaptive

behaviour give positive
response by appreciating it.
6. Support of Defences
Encourage the client to use
healthy and adaptive
behaviour to cope up stressful
situations to maintain ego
integrity, at the same time
discourage the maladaptive,
unhealthy behaviour.
7. Raising Self Esteem

Help the client to regain the

feelings of self worth, active
participation, communicates
effectively, good listening skills,
accepts his feelings with
respect.
8. Exploration of
Solutions

Examining the alternative

ways of solving immediate
problem. The nurse and client
actively explore solutions to
solve crisis.
9. Disaster Work or
Disaster Response
By debriefing method disaster,
crisis can be resolved. It is an
organized planned intervention
for larger group of population.
 Nurses have to go to places
where the victims are likely
residing after disaster in post
disaster period to provide
services.

 PURPOSE
Crisis intervention has
several purposes. It aims to
reduce the intensity of an
individual’s emotional,
5. 7min. To describe mental, physical, and Lecture cum discussion. What is
the purpose of behavioral reactions to a purpose of
crisis crisis. Another purpose is to crisis
intervention. help individuals return to intervention?
their level of functioning
before the crisis.
Functioning may be
improved above and
beyond this by developing
new coping skills and
eliminating ineffective ways
of coping, such as
withdrawal, isolation,
and substance abuse. In
this way, individuals are
better equipped to cope
with future difficulties.
Through talking about what
happened, and the feelings
about what happened,
while developing ways to
cope and solve problems,
crisis intervention aims to
assist individuals in
recovering from the crises
and to prevent serious
long-term problems from
developing. Research
documents positive
outcomes for crisis
intervention, such as
decreased distress and
improved problem solving.

 Indications for
CRIIS
Intervention
• Paediatric, geriatric and
adolescent (maturational
crisis)
 • People who attempted
suicide
• Psychosomatic patient
6. 5min. To enlist the • Accident victims Lecture cum discussion. With flash What is the
indication of • Family crisis card. indication of
crisis • Severe depression crisis
intervention. • Severe anxiety intervention?
• Marital conflicts
• Suicidal thought
• Traumatic events or
traumatic experiences

 Role of Nurse in
Crisis
Intervention Phases and
technique of crisis
intervention are similar to
the steps of nursing process.
Phase I – Assessment
• Assess the following:
• Ability to perceive the
7. 8min. To explain the problematic situation. Lecture cum discussion. What is the
phases of crisis • Identification of precipitating phase of crisis
intervention. event or stressor and when it intervention?
occurred.
• Nature and strength or
adequacy of clients, supporting
system and coping resources
that can be used.
• Client’s abilities and
limitations in dealing with the
problem.
• Needs of the client.
• Nature of crisis and its effects
on the individual and family.
• Associated behavioural
problem, e.g. suicidal
potentialities.
• Physical and mental status of
the individual.
• H/O previous exposure and
adapted strategies.
• Exploration of problematic
situation.
Phase II – Nursing
Diagnosis After analyzing the
information gathered through
assessment, appropriate
nursing diagnosing can be
formulated to solve the
immediacy of the crisis
situation. Nursing diagnosis
may be related to any aspect of
the client’s life.
Phase III – Planning
Based on the assessment,
diagnosis, the short term and
long term goals will be
formulated with a specific and
appropriate plan of activities.
In formulating interventions
client’s abilities or strengths,
available resources for support,
alternative solutions to the
problem and steps for
achieving the solutions has to
be identified.
Phase IV – Implementation
of Intervention
Ashields described four levels
of crisis intervention. It will be
often helpful to consult with
others when deciding which
approach to be used.
Environmental Manipulation
It provides situational
support; it will directly change
the client’s physical or
interpersonal situations. For
example, if an individual is
facing problem in working
environment, to avoid stress,
he may change to another job.
General Support
Warmth, support,
acceptance, empathy, caring,
concern and reassurance has to
be provided to provide general
support.
Generic Approach
To reach high risk individual
and large groups as early as
possible a specific method will
be used to the persons who
have similar problem.
Debriefing a therapeutic
intervention will be used to
recall the traumatic events and
to clarify painful experiences
and to prevent maladaptive
responses. Individual Approach
Nurse has to understand
client’s specific
psychodynamics that lead to
the present crisis and must use
the intervention to develop an
adaptive response to the crisis.
Phase V – Evaluation of
Crisis Resolution
The nurse and client has to
evaluate and reassess whether
the intervention has resulted in
a positive resolution of crisis;
behavioural changes has been
achieved or not; whether the
client has returned to the
normative level of functioning.
If not achieved, modified
strategies have to be
reinforced

 Summary
Crisis intervention is a short-
term management technique
designed to reduce potential
permanent damage to an
individual affected by a crisis. A
crisis is defined as an
overwhelming event, which
can include divorce, violence,
the passing of a loved one, or
the discovery of a serious
illness.

 Conclusion
Crisis is a challenge, an
opportunity for learning and
growth and it is a sporadic
phenomenon that punctuates
our existence dramatically. If
proper guidance will be
provided at right time, the
victim will be able to solve the
problem and will be able to
handle future problems in life
in a better manner.

 BIBLIOGRAPHY
1. K P Neeraja, “Essentials of
Mental Health and Psychiatric
Nursing”, Vol-1, Jaypee
Brothers Medical Publishers (P)
Ltd, pg no: 304 – 314
2. Shebeer P Basheer, S Yaseen
Khan, “A concise Text Book of
Advanced Nursing Practise”,
Emmess Medical Publisher, pg
no: 632 – 638
3. Cecelia Monat Taylor,
“Essentails of Psychiatric
Nursing”, Fourteenth edition,
Moshy – Year Book Publisher,
pg no: 456 – 465