Table 4.
A. Correlation between management actions and their effectivenessa | ||||
---|---|---|---|---|
Management | Self‐inflicted harmb | Harm/damage to other people/objects | Harm to communication taking place | Harm to an activity taking place |
Moving object/patient | 0.45 | 0.37 | 0.08 | |
Distraction | 0.26 | 0.20 | 0.28 | |
Irony | 0.05 | −0.06 | 0.43 | 0.17 |
Physical containment | 0.32 | 0.03 | 0.16 | |
Verbal reassurance | −0.17 | 0.09 | 0.09 | 0.13 |
Asking/receiving help | −0.10 | |||
Ignoring LNB | −0.46 | −0.39 | 0.14 | −0.30 |
Scolding | −0.24 | −0.54 | −0.38 | −0.16 |
B. Caregiver's mood during managementc | ||||
---|---|---|---|---|
Caregiver's mood | Interrupts | Does not interrupt | Total of LNBs | |
Upset | 29%d | 71% | 27% | |
Calm | 52% | 48% | 73% |
Management effectiveness in interrupting or preventing the LNB repetition. For each harm category positive values represent efficacious management; values close to 0 indicate lack of effectiveness, and negative values represent counterproductive effect of the management.
Removal of the object from patient's reach is the most efficacious strategy in case of Self‐Inflicted harm and harm to other/objects, while distraction and irony are the most efficacious ones in case of harm to communication and activity in progress. Ignoring the LNB and scolding, instead, almost always seriously worsen the self‐harming behavior.
Calmness is preferable, but not sufficient to prevent the LNB.
The percentages are calculated on the total number of LNBs observed.