Working with the Child Welfare System

A portion of pediatric patients may experience posttraumatic stress reactions related to their illness or injury and can lead to adverse health outcomes and psychosocial / functional recovery. Several factors exist which put some children at higher risk for pediatric medical traumatic stress (PMTS) than others. These risk factors – prior trauma history, lack of social support – often pertain to children in the child welfare system, just by nature of them being involved in the child welfare system.


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PMTS and Working with Child Welfare Systems Nursing Course


Trauma can be both a medical and psychological event in the eyes of children and families experiencing serious illnesses, injuries, or painful procedures. By enhancing patient centered care with trauma informed care, health care providers can reduce the impact of difficult or frightening medical events, and help children and families cope with emotional reactions to illness and injury.

How Doctors and Nurses Make a Difference with Trauma Informed Care

Healthcare providers are experts in treating illness and saving lives. After attending to the basics of physical health (A-B-C: Airway, Breathing, Circulation), you can promote psychosocial recovery by paying attention to the D-E-F (Distress, Emotional Support, Family).

What is Trauma Informed Care?

Trauma-informed care shares many principles with patient centered care. However, trauma informed care incorporates an awareness of the impact of traumatic stress on ill or injured children and families as a part of treating the medical aspects of the trauma.

Last Updated (August 22, 2016)



Too Young to Understand?

With any medical condition, be it injury or illness,  it's natural to attempt to shield children from suffering. If the child is the patient, perhaps we tip toe around the severity of their injury or illness. And if they're not the patient, we could leave any explanations as the family's responsibility or speak at the level we believe is above their ability to understand. 

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Helping Kids in Foster Care Cope with Distress Related to Medical Care

Practicing trauma informed care requires doctors and nurses to not only remain aware of the traumatic nature of medical care, but also recognize the trauma children and families bring with them to hospital or doctor’s visits. Prior trauma can put children at higher risk for distress...

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Palliative Care and its Impact on Nurses

Caring for those at the end of their lives, especially children, brings a set of unique challenges. From pain management, to supporting the family, to caring for themselves, nurses in a pediatric intensive care unit (PICU) share their thoughts ...

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How Full is Your Cup?

No one likes to talk about it. No one has enough time for it. However, self care is an essential part of providing trauma informed care. Stress happens to all of us, so what makes working in healthcare unique? 

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