At that moment, I got a page, a trauma alert was coming in 20 minutes. As you may know, I like to attend traumas. And this time even more because it was past 5 pm and I had not gotten any trauma. Therefore, I called Eileen, who was in triage, so she could stay with Dianne while I went to the trauma bay. Eileen and Anne came to the 9th floor and I let Eileen know what was happening. She stayed with Dianne, while Anne and I walked to the trauma bay. In the corridor, we found Dianne’s sister, so we escorted her to the nurse’s station where Dianne was. Then, Anne and I went to the trauma room. While we were walking, she asked me to reflect on something: Why did I prefer going to the trauma bay instead of staying with Dianne and her family? The first answer I gave was: Because I like attend traumas and this is the first one I get. Also, because …show more content…
Evaluation of your Verbatim
a. Family dynamics: Mom is at the hospital and her daughter was with her when she suffered a complication. Dad and the other daughter are on their way to the hospital.
b. Role of patient’s cultural background: N/A.
c. Theological or spiritual themes: Death was a possibility in front of us, especially for the very hopeless scene that the doctor presented to us. And apparently God did not have room in the situation.
d. Factors in my history that helped me to connect with the patient: Being without family at that moment made me reflect on the importance of my presence to stay with her.
e. I was different from her because I have not experienced the death of a close family member. Nor I have been at a hospital visiting someone when something goes wrong.
f. Pastoral identity: I felt my pastoral identity was validated for the doctors and nurses who were waiting for a chaplain to accompany Dianne and offer her emotional support. They were thankful with words and bodily gestures. I felt Dianne felt accompanied by me and supported too. She was grateful when I left and Eileen came to stay with
C. She would confuse much younger family members as being her parents or a friend she had not seen since grade school.
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.
First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their
A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to report to the healthcare provider immediately?
Family as context is the first approach that focuses on the patient while the family is in background. The family
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.
D. The children's mother is a housewife and her family treats her in that way.
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.
An apartment complex in Denver, Colorado is testing out a new approach to addressing homelessness by introducing trauma-informed care principles into housing.
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 occasion, I felt unimportant in my patient’s lives because they often forgot who I was. I struggled with the idea that I was not
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;
C. Link to audience: Imagine that someone in your family, your mom, dad, or sibling were to be killed by a driver who was sending a text message. Was that text worth losing someone you love?
D. Now days, I have often met and discussed something with many people, including prosecutors, my supervisor, colleagues, prisoners etc.
Thompson and colleagues (2009): Physical and sexual abuse was moderately positively correlated with positive symptom severity (especially grandiosity) among ethnic minority participants (N=17), while general trauma was positively correlated with affective symptoms among Caucasian participants (N=13).