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Pediatric Medical Traumatic Stress
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  • Trauma-informed pediatric care

    What is Pediatric Medical Traumatic Stress?

    • The basics
    • Prevalence & course
    • Traumatic stress symptoms
    • Risk factors
    • Understanding the family's experience
    • Key research findings

    How to Provide Trauma-Informed Care

    • The basics
    • D-E-F framework
    • Levels of risk and trauma-informed care
    • Timeline for trauma-informed care
    • Referral to mental health care
    • Addressing health disparities
    • Developmental considerations
    • Cultural considerations

    Self Care & Secondary Trauma

    • The basics
    • Self care tips
    • Organizational support
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    • The healthcare team
    • Physicians-PAs-NPs
    • Nurses
    • Pre-hospital providers
    • Medical interpreters
    • Mental health professionals
    • Child welfare professionals
    • Child Life Professionals
  • Professional Education
    • Take a Free Online Course
    • Trauma-Informed Nursing Curriculum
    • Other education resources
  • TICKET
  • Find Tools and Resources

    Patient Education

    Patient Education

    • For parents & caregivers
    • For children & teens

    Screening & Assessment

    Screening & Assessment

    • The basics
    • Find screening & assessment tools
    • Screening after pediatric injury
    • Psychosocial Assessment Tool (PAT)
    • Acute Stress Checklist (ASC-Kids)
    • Family Illness Beliefs Inventory (FIBI)
    • Immediate Stress Reaction Checklist (ISRC)

    Intervention

    Intervention

    • The basics
    • Surviving Cancer Competently (SCCIP)
    • Cellie Coping Kit

    Trauma-Informed Care

    Trauma-Informed Care

    • The basics
    • TIC Provider Survey
    • Observation Checklist - Pediatric Resuscitation

    COVID-19

    COVID-19

    • COVID-19
    • Resources for healthcare staff
    • COVID-19 Exposure and Family Impact Scales (CEFIS)
    • Helping my child cope

    Resources

    Resources

    • More resources
    • More resources
  • For Patients and Families
    • Coping with injury or illness
    • Sleep
    • Pain
    • Behavior
    • Worries & fears
    • Quiet or withdrawn
    • School
    • Siblings
    • Parents
    • Need more help?
    • Family voices

How many times have you heard family members, friends or coworkers say they hate going to the doctor ...

How many times have you heard family members, friends or coworkers say they hate going to the doctor?  Medical visits can be upsetting for any of us, and prolonged or invasive medical treatment even more so.  But for kids in foster care, medical treatment can be especially distressing.

Children in the child welfare system have more medical and mental health problems than other children.  They often change doctors repeatedly due to placement changes or may receive care in Emergency Departments where frightening sights and sounds may scare them.  In most cases, children in foster care also lack consistent, nurturing caregivers who will comfort them during medical visits.  As if these things weren’t enough, their prior experiences of abuse or neglect make it harder for them to cope with the stress of medical care.  For example, children who have been sexually abused may avoid physical exams or experience extreme discomfort, and children who have been abused or neglected may not initially trust adults to keep them safe---even health care providers.  Check out one pediatrician’s insights on working with children in foster care.

How do you help children in foster care cope with medical treatment?

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