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Trauma
From ANCC Review
| Question | Answer |
|---|---|
| Definition of Trauma Informed Care | a thorough understanding of the profound neurological, biological, psychological and social effects of trauma and violence on the individual an appreciation for the high prevalence of traumatic experiences in persons who receive mental health services |
| Trauma is | an overwhelming experience involves threat results in vulnerability and loss of control leaves people feeling helpless and fearful interferes with relationships and fundamental beliefs |
| Types of trauma resulting in serious and persistent mental health problems | interpersonal in nature: are intentional, prolonged, repeated, severe occur in childhood and adolescence and may extend over an individuals life span |
| traumas that do not usually result in persistent/serious MH problems | single blow events - rape, natural disaster |
| Examples of psychological trauma | violence in home, personal relationships, workplace, school, systems/institutions, commu maltreatment/abuse exploitation - sexual/financial/psych change in living sit- eviction, nursing home neglect/deprivaiton war/conflict natural/human disaster |
| Impacts of trauma | biopsychosocial and neurological changes in neurobiology social, emotional, cognitive impairment adoption of health risk behaviors as coping mechanisms severe and persistent behavioral health, health and social problems early death |
| Adoption of health risk behaviors as coping mechanism = | eating d/o smoking substance use self harm sexual promiscuity violence |
| The ability to form healthy relationships is highly dependent on | learned social skills |
| children's social skills are directly related to | the characteristics of their environments |
| disordered environments = | dysfunctional skills |
| violence teaches | withdrawal anxiety distrust over-reaction and or aggression as coping behaviors |
| extreme behaviors are rooted in | dysregulated emotional states |
| traumatized children | appear guarded and anxious are difficult to re-direct reject support have difficulty settling after outbursts hold onto grievances do not take responsibility for behavior make the same mistakes over and over |
| the purpose of the trauma assessment | used to identify past or current trauma, violence, abuse and assess related sequelae provides context for current symptoms and guides clinical approaches and recovery progress informs the treatment culture to minimize potential for retraumatization |
| Trauma measurement tools do this | increase diagnostic reliability |
| Trauma measurement tool examples | post traumatic diagnostic scale for adults child PTSD symptom scale trauma symptom checklist for children child stress disorders checklist (CSDC) |
| The trauma assessment should minimally include | type age who assessment of symptoms |
| Trauma Assessment - type | sexual physical emotional neglect exposure to disaster |
| Trauma Assessment - age | when the abuse occurred |
| Trauma Assessment - who | perpetrated the abuse |
| Trauma Assessment - assessment of symptoms | dissociation flashbacks hypervigilance numbness self injury anxiety depression poor school performance conduct problems eating problems |
| trauma assessment must be integrated with | safety planning continued follow up preferably with same provider s suggested due to sensitivity of issue |
| continued follow up for trauma should be | preferably with same provider s suggested due to sensitivity of issue |
| immediate concerns that require intervention | continued trauma experiences including domestic or partner violence lack of safety in the home, commu, tx setting presence of other external stressors that create hypervigilance/anxiety need to collaborate w or report to other agencies |
| Trauma informed services incorporate | knowledge about trauma - prevalence, impact, and recovery in all aspects of service delivery |
| The NP should | minimize re-victimization facilitate recovery and empowerment maintain positive relationship offer referrals for services |
| intervention goals | break silence about trauma/abuse shift blame from survivor if relevant, establish short term safety plan pt given control/choice contextualize/normalize experience validate coping strategies integrate trauma factors in conceptualize/address prob. |
Created by:
jonquil
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