A Report On An Acute Crisis Stabilization Unit

1309 Words6 Pages
Vignette Discussion This is a not an uncommon scenario on an acute crisis stabilization unit. One should have a high index of suspicion for trauma. Some clues that one may be dealing with posttraumatic stress disorder are 1) re-experiencing, which can manifest itself as nightmares, flashbacks, or reactivity; 2) avoidance, which can present itself as denial, refusal to answer questions, social withdrawal, and even substance abuse; and 3) hyperarousal, which can take the form of irritability, insomnia, and verbal aggression. Avoidance can shield patients from experiencing shame, minimize emotional arousal, preserve self-esteem, and offer a sense of safety. Unfortunately, it can also hamper the healthy resolution of trauma (1). What is…show more content…
They surveyed 17,421 participants at Kaiser Permanente’s Health Appraisal Center in San Diego. They studied eight categories of adverse childhood experiences: psychological, physical, or sexual abuse; violence against mother; or living with household members who were substance abusers, mentally ill, suicidal, or ever imprisoned; and where the parents were separated, divorced, or in some way lost to the patient during childhood. It was also discovered that ACEs are vastly more common than they are recognized or acknowledged. 28% of participants reported physical abuse and 21% reported sexual abuse. ACEs tended to occur in clusters. Due to the difficulty of understanding their impact by studying individual effects, many later studies have instead looked at the cumulative effects of ACEs (7). ACEs are strongly associated with high-risk behaviors such as smoking, alcohol, substance misuse, and promiscuity and negatively impact safety, effects which increase with the number of ACEs experienced. ACEs are also correlated with unintended pregnancies, sexually transmitted diseases, severe obesity, heart disease, liver disease, cancer, lung disease, and a shortened life span. ACEs in any category increased the risk of attempted suicide 2- to 5-fold. Compared with persons with no such experiences, the adjusted odds

More about A Report On An Acute Crisis Stabilization Unit

Open Document