A trauma informed model of practice should centre upon a perspective that asks the client user ‘what happened to you’ rather than ‘what is wrong with you’ (Bloom and Farragher). This approach promotes the base line for which the service should be impliemented; an approach which enable to cliet to connect how their trauma has influence their behaviour, feelings, coping mechanisim and general perspective (Felitti et al. 1998). Staff within the home should have a good degree of trauma informed care as this enable for a deeper understanding of how the trauma can impact upon the individual and allow for holistic care (Harris and Fallot, 2001) and enables better support and help reduce to protential for re-tramatisation via triggers and uncousious re-enactment of trauma (SAMHSA, 2010). Implementing the above approach the client can receive the holistic carer they require in order to begin to overcome the trauma they have experienced.
While interning in the Children's Clinic, I had the incredible opportunity to go and visit the NICU. This program had also introduced me how to write a medical research paper. Mini med school gave me a lot of informative information everyday by health professions which they discussed about the ongoing medical issues and other problems like drug use and criminal issues our community is facing. I have also taken classes in High School such as Ap Biology, Ap chemistry, and AP Psychology that exposes me to everyday medical terminology that health professionals use. Information offered by these classes made it easier to communicate and understand doctors.I have taken every opportunity to better prepare myself to the challenges of the medical field. During the internship, I mainly focused on the nursing branch, I shadowed nurse practitioners and registered nurses in action and how they handled medical issues and was also given the opportunity to learn and ask about their challenges in nursing school and how they had overcome it. I was able to learn about the responsibilities and special skills required to be a nurse and received advices from the nurses on how to be successful in nursing school. I have also been self studying Human Physiology and Anatomy. Its the medical field that best describes me. I love to give back to my
The professional I selected to interview was Victoria Sanders. I chose to interview this professional because I admire the work she does. I am still not sure what I want to do with my MFC when I obtain it, but for now I would like to work with children victims of abuse and families. I want to help children with their trauma and help them grow in a positive manner. Children are the future generation therefore they need all the support and understanding they can get. I gain a sense of happiness and fulfillment when I work with children. I have previous experience working with children and I enjoyed every opportunity. Children are fun, happy and love to play. I wouldn’t mind having a career where all I do is play. In the beginning I want to focus on that population and then explore out. One of my overall goals is to own my own practice and give back to the community.
It will be important to conduct the trauma based assessment as early as possible. However, it is vital that a therapeutic rapport be established with the client before proceeding in asking questions regarding the trauma. It takes time for a traumatized individual to trust and be willing to disclose their experiences. When it is felt that the client is ready it is important to let the client know that they have the right to not answer questions. It is important to discuss why we are asking the questions and ensuring the client that we have their best interests in mind and can provide them with a safe and secure location to work through the trauma.
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.
Ever since I can remember, I have always been around healthcare. The love of helping people runs through the family. My grandma worked in the Operating Room and my aunt is a Dialysis Technician. My mom is a Certified Nursing Assistant (CNA). Trauma Nurse appeals to me due to helping others and the adrenalin rush. My goal in relation to this career is to help people and give them inspiration.
The career that I will be researching throughout Capstone is an Urgent Care Doctor. Throughout my six weeks at Mercy Urgent Care I observed many exams, treatments, and patients. I assisted the doctor in exams, viewed and gave my opinion on X-rays and CT’s, and read over patient history with the doctor. I gained valuable knowledge from the doctors at Mercy Urgent Care.
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.
Imagine the following scenario: A 43 year old male and his 41 year old wife have just finished celebrating their twentieth wedding anniversary at a local restaurant. The husband had a cocktail at the bar while waiting for the table, and then had a couple of glasses of wine with dinner. After dinner, the happy couple drive their vehicle home on a snow covered highway. The car begins to swerve on the ice and enters oncoming traffic and hits a semi cab head-on. After an extended extraction of the driver by paramedics, the driver is found to be unconscious, has multiple head lacerations, chest contusions from the steering wheel, and his left leg is bleeding profusely from a compound femur fracture. The female is conscious, in shock, and states that she is 36 weeks pregnant and has pain in her abdomen. Both victims are flown via helicopter to the nearest level 2 trauma center where 2 teams of emergency room doctors, trauma surgeons, respiratory therapists, x-ray technologists, phlebotomists, chaplains, social workers, and of course, trauma nurses, are waiting to assess the patients and provide life-saving care. This scenario is not the exception in a level 2 trauma care center of the emergency-room, it is the average situation that a trauma nurse will find his or herself in every day. Because of the fast paced situations that require split-second critical decisions, the advanced life support training that is required, and the often unrewarded care, a career in trauma
When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.
Describe strategies you gained from the course for improving outcomes of care and patient safety in the setting in which you are engaged in. Provide examples and rationale.
Athletics played a large role in my life growing up. During my senior year of high school, I transferred to a new school where I intended to play football. However, during the last practice before the season started, I developed a stress fracture which caused me to miss our first four games. I was a few inches taller than six feet, and weighed around two hundred and twenty pounds, which made me one of the biggest guys at the small private school I attended. The time I spent recovering from my injury provided ample time for me to ponder what I would learn from the experience. My brother is three years older than me, which allowed me to have relationships with individuals who were living my potential future. I began to seek advice from friends
I am passionate about both education and the practical services it can be used for. My goal was formed as I gained understanding in both the classroom and clinical setting watching skilled physicians serve the community they cared deeply about. As a physician assistant, I firmly believe that it is all about serving and bettering the community. As a part of the medical community, I will dedicate myself to doing what is best for others. This first starts by admitting I do not know everything which is why I so deeply value continual education Secondly I believe in approaching all scenarios humbly. Everyday provides an opportunity to learn, grow and gain a greater understanding of the needs of the community. Without continual growth, there is little difference made in society. I see the physician assistant as a needed asset in today’s high demand for medical
The client Maria has several issues that are very concerning. The first being domestic violence. The second is her health with an unexpected pregnancy. The third problematic issue is her disassociation from her family and friends. These traumatic events are causing her to have emotional imbalance such as feeling sad, anxious, and depressed. As a counselor, it prevalent to make the following assessments on Maria. The types of assessment are DSM 5 Disorder-Specific Severity Measures—Severity of Posttraumatic Stress Symptoms, (National Stressful Events Survey PTSD Short Scale [NSESS]) and Early Development and Home Background—Cultural Formulation Interview, Informant Version.
Trauma occurs when a child has experienced an event that threatens or causes harm to her emotional and physical well-being. Events can include war, terrorism, natural disasters, but the most common and harmful to a child’s psychosocial well-being are those such as domestic violence, neglect, physical and sexual abuse, maltreatment, and witnessing a traumatic event. While some children may experience a traumatic event and go on to develop normally, many children have long lasting implications into adulthood.