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The authors in the contribution give the most common communication problems with aggressive patients during exit EMS. Aggression is a behavior that shows the efforts toward certain objects or hostility and viciousness with a strong intent to harm. The main symptoms include aggressive behavior, verbal expressions, physical assault, damage to things, self-mutilation, nonverbal expressions. The escalation of aggression and violence in society has gradually spilled over into clinics, hospitals, ambulances, the relationship between health professionals and patients. Rescuers intervene often in exposed conditions in the intervention happens that aggression present witnesses an incident, or the family or the patient himself is directed against them. In the field, the ambulance EMS encounter most often in with aggressive patients, second only to drugs and about 10% confrontation with aggression is the underlying disease. Strategies for coping with aggressive patients begin appropriate verbal intervention. This is governed by certain rules, including, but also control our non-verbal expressions and the surrounding environment. When treating aggressive patient, it is essential that we respect his individuality in a hospital is required multidisciplinary collaboration with other medical fields, and subsequently the patient to ensure comprehensiveness and continuity of nursing care. It is one of the professional skills not only rescue worker, but also other health professionals know how to deal with non-standard situations and handle it best.
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In the article authors syndrome focuses on abuse and neglect of the child is referred to as CAN - Child Abuse and Neglect. The term covers not only the active forms of maltreatment, but also various forms of passive. Abuse and neglect of the child as a non-random, knowingly (or unknowingly) conduct a parent or other person to the child who is in the society unacceptable or rejected and which impair the physical, mental and social condition and development of the child and cause his death. The most common forms of committing domestic violence against children is repeated physical and emotional abuse, verbal abuse, especially threats. It is estimated that two thirds affected are children under the age of three years. The most effective means of reducing the number of children at risk of child abuse syndrome - is prevention. It is necessary to inform the general public about the issue of child abuse and to raise general awareness of the obligation to report any suspicion of child abuse and neglect in the vicinity. In Slovakia there is a system of care for abused children, in which they engage as state as well as non-state institutions. Report case can alone a child, or a person who suspects that a child‘s development is compromised for any reason. Children are in acute cases placed in the „Center for abused children“. This device is intended for children who need special and immediate assistance. This is particularly the children mentally and physically maltreated or sexually abused by their parents or by a stranger. The main coordinator of activities in Slovakia aimed at preventing child abuse to child victims of violence and respect of children‘s rights is a non-profit organization Center Slniečko from Nitra.
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