Taking a Look at Trauma Nursing

I attended a seminar entitled Trauma Informed care which was presented by Center for Urban Community Services the Institute for Training & Consulting. The facilitator opened the training by defining Trauma informed care which is an engagement technique that recognizes the presence of trauma history and acknowledges the role of trauma in the lives of survivors’. The training provided an overview of the new diagnostic criteria from DSM-5 of Post Traumatic Disorder and other trauma related disorders (generalized anxiety, panic disorder, dissociative disorder) as well as other symptoms and behaviors that can result from trauma. The trainer also discussed vicarious trauma and its impact on staff supporting clients with trauma history.

As a support worker, it is necessary that organisation would need to have a foundational understanding of how to identify trauma associated responses. Similarly, there needs to be understanding when initiating treatment interventions for trauma-related symptoms, it is aimed to be conducive and empowering to the individual (Trauma-Informed Care: A Sociocultural Perspective, 2014). Also, all support workers should be skilled in identifying the symptoms of trauma, as well as not disregarding the probability of substance abuse and co-occurring disorders (Trauma-Informed Care: A Sociocultural Perspective, 2014). Hence, when creating an individual treatment plan, all likelihoods of self-medicating and individualised coping mechanisms should be reflected

The case study begins for a 911 call for a 40 year old male who was assaulted and thrown from a rooftop and landed in a stairwell below. Upon arrival, the advanced life support crew was greeted by Alaska State Troopers who mentioned that the patient had been moved from the stairwell and placed in the snow for ease of access. EMS personnel immediately began to

Jane is a nine year old girl who has been brought in to therapy by her mother for stealing, being destructive, lying, behaving aggressively toward her younger siblings, and acting cruelly to animals. Jane has also been acting clingy and affectionate toward strangers.

Trauma-informed care refers to a strength-based framework that is based on an understanding of the impact of trauma. This practice emphasizes on psychological, physical, and emotional safety for the providers, the survivors, and it creates an opportunity for the survivors to rebuild themselves and get a sense of control and empowerment. This practice is based on the growing knowledge about several negative impacts that are brought by psychological trauma (Withers, 2017). To understand more about trauma-informed care, this excerpt will examine what the concept entails, how one can change his or her practice to be more trauma-informed and incorporate Eric's experience in the discussion.

Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.

The intervention model that will be used for therapy session is Cognitive Behavioral Therapy (CBT). According to Rabinowitz and Cochran (2002), “CBT is a psychotherapeutic approach that addresses dysfunctional emotions, maladaptive behaviors and cognitive processes and

A major public health concern is the exposure of children in the child welfare system to potentially traumatic events. These children require trauma-informed care so as to prevent further trauma and to mitigate the effects of the traumatic effects the child is already experiencing. Both the welfare system and the parent under whom the child is placed have a role to play in ensuring this. This essay reviews two research articles that research on the impact of educating the staff in the child welfare system and the parents on trauma-informed care and how this impacts the well-being of the child.

An apartment complex in Denver, Colorado is testing out a new approach to addressing homelessness by introducing trauma-informed care principles into housing.

I would like to give you some insight as to the daily operation of a major Emergency Department in this city. Not unlike many other “ER’s” the nursing staff is tasked with the triage or assessment of patients in order to sort by priority. The nurse is then tasked with maintaining flow of the department and ensuring the timely care and physician evaluation of patients. This requires clinical nursing judgement and expertise which is tested constantly. To explain this plainly, nurses are faced with a meat grinder which cannot stop. There may be twenty patients in the lobby with ambulances lining up. The room nurses are trying to

Human rights and trauma informed care must be taken into consideration when initiating any plan. The main human rights issue to consider in an education non-profit is Article 26, which states “Education shall be directed to the full development of the human personality and to the strengthening of respect for human rights and fundamental freedoms“ (National Association of Social Workers, 2016). The focus of an organization within the non-profit education sector is to improve the safety and enhance the effectiveness of schools. Article 23, which states “Everyone has the right to work, to free choice of employment, to just and favorable conditions of work and to protection against unemployment” (National Association of Social Workers, 2016), is also relevant in this sector, which often has high expectations of parental involvement

In the third case study, Sarah suffered from sexual assault when a stranger broke into her home. Like physical abuse, sexual abuse is an interpersonal trauma, which causes the most severe outcomes because the trauma is intentional. Sarah feels ashamed and guilty about the assault. She questions whether she should have resisted the attacker more when he began advancing at her. She also feels as though it is her fault for playing her music to loud which caused her to not be able to hear the intruder. After the attack, she has felt stupid and dirty and she has begun withdrawing from others including her husband and children. She thinks about the event constantly and imagines different scenarios happening. She has started experiencing intrusive

The priority population is the staff of a school where I am introducing a trauma informed care program based on a prepared program based on A.C.E.S training. All of the school staff is included in this cultural shift. This is to insure that students will be consistently treated the same way whether they have an encounter with a cafeteria worker, a paraprofessional, or a teacher. The adults in the school will be the example and the leadership that models the program to the students and it will be important to involve in them implementation process.

On Wednesday, September 7, 2016 at about 1541 hours while represent at Brooklyn Special Victim Unit, located at 653 Grand Ave, Brooklyn, Sgt. Smolarsky, SVU and I interviewed Ms. Ryan-Mary Roberts. The following is a detail description of what transpired;

The nurses receive brief report from the paramedics and sign the report. Because the patients normally have multiple signs and symptoms, the ER nurses need to perform a focused assessment and head to toe assessment. They find out the causes of the chief complains and conduct several tests. The nurses ask pertinent questions in regard to additional signs and symptoms. In trauma, they perform immediate treatment and to prevent respiratory distress by following ABC’s rule.