...someone in need. In order for nurses to be successful when caring for patients, he or she must be able to apply several different framework pillars into their style of caring. South University provides each of its nursing students with a list of five pillars, which include Caring, Communication, Critical Thinking, Professionalism, and Holism. (SUHP, 2015, P.6) Each nursing student is educated to learn and understand these pillars, for this is the way each student will...
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...research on the effects of patient/nurse incidents and traumas, I decided that assisting her while she recovers from her injuries would be an excellent experience for this essay. My paper will focus on post traumatic stress disorder (PTSD) as well as nurses who work with mental patients. The long-term effects on nurses caused by mental patients are a very influential part of the nurses’ lives. After assisting my aunt, a recent victim and candidate for PTSD, I hope to gain a better understanding and respect for these nurses, as well as witnessing first-hand what being a victim truly means. Depression and Anxiety contained a research article about PTSD in nurses. Their research did not include nurses who have experienced a traumatic event, as my aunt has, but, nevertheless, is related to my topic. The research suggests that nurses in general are more likely to develop degrees of PTSD just from the trials and tribulations of their jobs than people in other, lower-stress jobs. Also, several nurses experience trauma and death as an everyday aspect of their job, which can result in PTSD as easily as being a victim can. Nursing, especially in high risk positions such as my aunt’s, can result in symptoms of PTSD. My aunt is at an even higher risk to developing this disorder due to the recent trauma she experienced at the hand of a patient. The Journal of Advanced Nursing also contained articles with insights into PTSD, trauma victims, and working with mental patients. One article...
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...Post Traumatic Stress Disorder Aria Hospital School of Nursing Abstract Post traumatic stress disorder is a severe anxiety disorder that affects “5 million people each year,” (Valente, 2010). PTSD effects more women than, with approximately 58% of at risk individuals including combat veterans. If left untreated, PTSD leaves those affected with quality of life issues, social interactions, daily functioning, and psychological issues. Over the years, there has been an increase in the awareness of post traumatic stress, and the impact of its diagnosis, (Bastien, 2010). Treatment relies on a multidimensional approach, including supportive patient education, cognitive therapy, and psychopharmacology. This paper will review PTSD, including clinical manifestations, diagnosis, medical and nursing management and community resources available to those affected by this disease. Description of Disease “Posttraumatic stress disorder (PTSD) is an anxiety disorder with a sustained and dysfunctional emotional reaction to a traumatic event, threat of injury or death, and pain,” (Valente, 2010). A traumatic event can be military combat, natural disasters, terrorist incidents, serious accidents, or physical or sexual assault. Most people who are exposed to a traumatic event will have stress reactions for the immediate days or weeks following the incident, however with some time will be able to deal with the event and return to normal. However, some people will have stress reactions...
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...Trauma, Development, and Spirituality According to the American Association of Children’s Residential Centers (AACRC), trauma is considered to be the result of occurrences of mental or physical injury such as sexual or physical abuse sexual abuse, seeing brutality, or natural tragedy (AACRC, 2014). But trauma is not limited to events per se; alternatively, trauma can also be brought about by occurrences of daily living that are emotional in nature and not quite as obvious. Traumatic stress can be evoked by trials surrounding relationships, physical issues, severe neglect, or by circumstances that overpower a person’s ability to adjust (American Association of Children’s Residential Centers, 2014). This essay will discuss how culture can influence traumatic experiences, the impact of trauma on neurobiological development, and how spiritual development can counter the effects of trauma. Cross Cultural View of Trauma Research conducted in Western countries has typically revealed a disproportionately large percentage of accounts of abuse of children among ethnic minority groups. However, mistreatment is not primarily connected to any particular ethnic group, but has been regarded as a global issue (World Health Organization [WHO], 2002 as cited by Cyr, Michel, & Dumais, 2013). The intricacy of examining child abuse from a culturally diverse viewpoint can be made clear by a number of components impeding the progress of awareness about this issue. Specifically, despite the fact...
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...Post-traumatic stress disorder (PTSD) develops as a person enters into later life. Re-living or even a perception, or fear of a reoccurrence of a traumatic event can manifest itself into PTSD. My PICO question asks: for sepsis related ARDS patients, does the use of counseling reduce the risk of PTSD, compared with patients without counseling? My research on this question could not be fully supported. It is suggested that biological influences and life experience play a much larger role in PTSD than counseling. Post-traumatic stress disorder is a psychological and physical response to a life-threatening trauma. The perception of the trauma is characterized as an individual perception and is different for each person. The psychological response can include re-experiencing the trauma, intrusive thoughts and memories, overwhelming fear, depression and disassociations with the trauma. The physical response can include, but are not limited to, nausea, headache, palpitations, diarrhea, vomiting and insomnia. Without treatment, psychological disabilities can manifest into substance abuse, physical abuse and mental disorders. In order for patients to recover, learning how to expand on the relationship between mental health and physical health and determining if counseling is needed in order to avoid any potential and further psychological and physical threats should be priority. PTSD usually presents in clusters within one month after a traumatic event. Cluster A-fearful response after...
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...MHA device related conference call Incidence The incidence of device related pressure ulcers nationwide is unknown. An analysis of Minnesota AHE reports from Oct 7 2008 to Aug 1 2009 showed an average of 25% of hospital acquired stage III, IV, and unstagable pressure ulcers were caused from medical devices. Types of devices associated with pressure ulcers • Respiratory equipment like oxygen tubing, CPAP masks, endotrachial tubes (ETT) • Nasogastric (NG) tubes • Orthotics (splints and collars) Good news This group of AHE includes zero pressure ulcers caused from antiembolism stockings as seen in previous years Risk Factors for device related pressure ulcers • Use of a medical device • Impaired sensory perception (impaired ability to respond meaningfully to pressure-related discomfort). Patients without sensory perception impairment remove or request removal of shoes, stockings, or medical devices that feel uncomfortable or too tight. Conversely, patients with sensory perception impairment may not adequately communicate discomfort such as with confusion, disorientation, over-sedation or unresponsiveness. Patients who are alert and oriented may also be unable to communicate discomfort if they are orally intubated, speak a different language than their caregivers, or cannot feel pain due to paralysis or neuropathy. • Moisture may be a cofactor for the development of device related pressure ulcers making the skin less resilient...
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... information about testing and diagnoses, different types of treatments, and support. Affairs, U.S. Department Veteran. "PTSD: National Center for PTSD." Home. National Center for PTSD, 20 Jan. 2015. Web. 08 Apr. 2015. The National Center for PTSD keeps up with the latest research in regards to PTSD. Their goal is have the latest information available to those suffering from PTSD. According to the website “The National Center for PTSD is dedicated to research and education on trauma and PTSD. We work to assure that the latest research findings help those exposed to trauma.” The website has a public section for people who have PTSD and their family and friends. There is a professional section for those who work with people with PTSD. This website has information on where to get help, PTSD awareness, treatment and coping. There is a test available for people who want to see if their symptoms are consistant with PTSD. Westgard, Elizabethe .. "LWW." Journals. American Journal of Nursing, 1 May 2009. Web. 07 Apr. 2015. The author, Elizabethe Westgard, is a professor at Temple University in Philidelphia. Her journal article, Coming Home with PTSD, discusses the statistics about PTSD and the stigma that Veterans face when they come home from combat with PTSD. According to the article, “Veterans with PTSD face special barriers in seeking care. According to the Walter Reed Army Institute of Research, the stigma associated with mental health treatment prevents many veterans...
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...Clin Soc Work J (2014) 42:323–335 DOI 10.1007/s10615-014-0496-z ORIGINAL PAPER Trauma Through the Life Cycle: A Review of Current Literature Shulamith Lala Ashenberg Straussner Alexandrea Josephine Calnan • Highlight every key term that refers to the following key concepts: 1) "trauma" generally a) "large T trauma" b) "micro-trauma" 2) "resilience" Published online: 31 May 2014 Ó Springer Science+Business Media New York 2014 Abstract This paper provides an overview of common traumatic events and responses, with a specific focus on the life cycle. It identifies selected ‘‘large T’’ and ‘‘micro’’ traumas encountered during childhood, adulthood and late life, and the concept of resilience. It also identifies the differences in traumatic events and reactions experienced by men compared to women, those related to the experience of immigration, and cross generational transmission of trauma. Descriptions of empirically-supported treatment approaches of traumatized individuals at the different stages of the life cycle are offered. Keywords PTSD Á Large-T and micro-traumas Á Neurobiology Á Gender differences Á Immigrants Á Treatment approaches The past is never dead. It’s not even past. William Faulkner The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. Judith Lewis Herman S. L. A. Straussner (&) Silver School of Social Work, New York University, 1 Washington...
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...therapeutic treatments, while many of these patients are on antipsychotic drugs which futermore produces unwanted side effects. Individuals with PTSD tend to have problems with transferring short-term to long-term memory. However, there is not a specific way patient memories are affected. PTSD affects more than 3 million people in the U.S alone. This paper will further analyze insights and reports from other experts on managing Posttraumatic stress disorder more proficiently. Introduction This topic center concerns mental and emotional problems people experience in the wake of 'trauma', where trauma is understood to refer to an event involving being a victim of or witness to atrocity, violence, true horror and/or the death of another or near death of one’s self. Examples might include rape, murder, torture, accidents, terrorism, etc. Diagnostic and Statistical Manual (DSM) describes two trauma disorders: acute stress disorder, and posttraumatic stress disorder. In a nutshell, acute stress disorder occurs in the time frame between just after exposure to a traumatic event to six months later, and posttraumatic stress beginning at the six month point and extending thereafter. This paper aim at explaining and exploring the signs, symptoms, treatments and preventions of post traumatic stress disorder. The phenomena of mental...
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...The first nursing intervention for this nursing diagnosis is to give “permission” to express and deal with anger at the situation in acceptable ways. Being free to express anger appropriately allows it to be dissipated, so underlying feelings can be identified and dealt with. Thus, strengthening the patient’s coping skills (Doenges, 2016, pg. 635). The second nursing intervention for this nursing diagnosis is to discuss the use of psychotropic medication. Notably, medication may be used to decrease anxiety, lift mood, aid in the management of behavior, and ensure rest until the patient regains control of own self. Lithium may be used to reduce explosiveness; low-dose psychotropics may be used when loss of contact with reality is a problem (Doenges, 2016, pg. 636). These nursing interventions can be properly evaluated by the patient expressing his own feelings and reactions during the nurse’s shift. The patient and family should be inculcated about the potential side effects of all prescribed drugs and the importance of reporting any adverse effects. The patient should also be guided on the support groups, community resources, and counseling services that are available to the...
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...Nurses Impact Lives Beyond: Case Studyd Nurses Impact Lives Beyond: Case Study Nurses Impact Lives Beyond Pre-hospital Phase: It was cold and dark, when the helicopter was dispatched to a scene flight for motor vehicle crash with double entrapment one May morning at 0230. Two of the three patients, are unresponsive and in critical and unstable condition. This is the first encounter our patient would have with a registered nurse providing and directing his care. The nurse possesses both acute care and pre-hospital expertise and would work collaboratively with police, fireman, good Samaritans, EMT’s and paramedics to access the patient, provide timely triage, life -saving interventions and rapid transport to the closest trauma center. Each team member has a pre-defined and respected role; the nurse is the senior health care provider and assumes the leadership role with a calm, confident demeanor that is reassuring to the team. This patient was a 25 year old man, unrestrained driver of a vehicle that hit a brick wall head-on at a high rate of speed. Of his two passengers, one of them is a brother, all require 20 minutes of extrication time from the severely damaged vehicle. After freeing our patient, the team works together to assess and stabilize him. His initial vital signs are worrisome, with a BP of 140/80, pulse of 160 and spontaneous respiratory rate of 8. The nurse assumes his care and quickly supports his respiratory rate by bagging and suctioning...
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...like rebuilding a car. It breaks things down and then figures out how all of the departments and pieces fit back together in that system. Input and output as well as feedback are all necessary for this type of organizational theory. The hospital is the main system with each department being the different pieces. Each portion of the puzzle needs the other in order for it to run smoothly and be a productive organization. The hospital I work for just became a level 3 trauma center. I work up on the med-surg floor so I am not down in the heat of the moment but we all feel the effects of when a trauma is called. This is a perfect example of a systems theory. When a trauma is called the emergency room staff obviously is there to meet the patient, however, there are many more departments that are needed. A lab tech goes to the ER and takes the necessary blood work that the physician orders. In the radiology departments the radiologists themselves stop reading whatever film they are working on and wait for the trauma films to arrive. This process means that everyone that is waiting for results is going to wait that much longer in order to take care of this critical patient. Without all of these departments working together and knowing just exactly what to do a patient’s life is in danger. There are many changes within the healthcare field, current management theories and practices may fail to deal with the...
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...is to select a concept, which is comfort. The next step is determining the purpose of the analysis. The purpose is to define what comfort means and what comfort measures are and how they are used in nursing. The third step is to identify the uses of the concept of comfort. This includes definitions of term comfort and a literature search. The fourth step is to determine the defining attributes of comfort. This allows for insight into the concept and includes the characteristics of comfort. Comfort can mean many things to many people. Comfort can be caring words, caring touch, warm blankets, pain relief or encouragement. The fifth step is a model case or a real life example of the concept that includes the attributes of the concept and a borderline and related case. The sixth step is to identify consequences and antecedents and consequences. The final step is to define empirical referents or measurable ways to show the occurrence of comfort. Purpose The concept of comfort is used frequently in nursing practice; however, it is not always clearly defined. It is a basic value of nursing care and interventions and is frequently described as comfort measures. A basic understanding of the concept of comfort and the definitions is essential in understanding its use in bedside nursing practice. The purpose of this concept analysis is to explore and clarify the meaning of comfort. A concept analysis gives the framework and purpose and is essential in analyzing claims of knowledge...
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...Preparation 6 Step 2- Preoxygenation 6 Step 3- Pretreatment 7 Step 4- Rapid sequence Induction and Paralysis 7 Step 5- Protection and Positioning 7 Step 6- Placement of the Endotracheal Tube in the Trachea 8 Step 7- Post-intubation Management 8 1.4 Risks and benefits associated with RSI 9 Case 2 10 2.1 Discussion 10 2.2 Clinic plan and initial management 10 2.3 Notification of Arrival 11 Conclusion 11 Case 3 12 Introduction 12 Incident 1 12 Incident 2 13 Incident 3 13 Incident 4 14 Case 4 15 Conclusion 16 References 17 Introduction The basic concept of retrieval medicine is a combination of transfer and care of a patient from one medical institution, site of trauma, and pre-hospital management to a medical institution to provide higher and better level of care. The transfer and retrieval of severely ill and wounded patients entail high-risk activities (Ellis & Hooper, 2010). This paper looks into various case studies to determine the various control measures that might and should be put in place in various retrieval situations so as to increase patient safety and efficiency in pre-hospital care. This comprises of communication procedures, team resource management, audit and training important event analysis and the pre-hospital operating care clinical plan. Patients with severe fatalities put up poorly with transportation. Highly sensitive care is thus required to reduce the probability of occurrence...
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...STUDIES doi: 10.1111/j.1471-6712.2012.01049.x Repressed and silent suffering: consequences of childhood sexual abuse for women’s health and well-being Sigrun Sigurdardottir RN, MS (Director) (PhD Student)1,2 and Sigridur Halldorsdottir RN, MSN, PhD (Med Dr) (Professor and Chairman)3 1 The Icelandic Research Center Against Violence, Akureyri, Iceland, 2Public Health Sciences, School of Health Sciences, University of Iceland, Reykjavik, Iceland and 3Faculty of Graduate Studies, School of Health Sciences, University of Akureyri, Akureyri, Iceland Scand J Caring Sci; 2013; 27; 422–432 Repressed and silent suffering: consequences of childhood sexual abuse for women’s health and well-being Research results indicate that psychological trauma in childhood caused by child sexual abuse can have serious and widespread consequences for health and well-being. The purpose of this study was to examine the consequences of childhood sexual abuse for women’s health and well-being. The research methodology was phenomenology. Seven women with a history of childhood sexual abuse were interviewed twice with 1–6 months interval. For all the women, the abuse started when they were between 4 and 5. All of them were repeatedly violated and traumatized ever since then and were even still being victimized at the time of the interviews. The main result of the study is that time does not heal all wounds. All the women described great repressed and silent suffering in all aspects of life, and the abuse...
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