I did a journal review this week, an article found by a collegue who has a subscription to the British Journal of OT. The title is “Occupational Therapists’ Perceptions and Management of Aggression related to Adults with a Brain Injury”, written by K.Beauliu (2007) 70(4).
The whole article raised some interesting points, including
- physical aggression towards OT is most common when helping with ADL’s
- agression is related to fear of failure when presented with challenging assessments
- OT’s dont tend to blame patients for their aggressive behaviour, instead they see it as a sympton of their TBI
- OT’s avoid the behavioural approach when managing aggression, instead opt for preventative strategies by eliminating the perceived cause of aggression
But most importantly – we need training!! This dramatically improves our confidence in managing aggressive behaviour, and therefore reduces the incidence of aggression.
It’s worth a looking into.