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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

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    Screening & Assessment

    Screening & Assessment

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    • Screening after pediatric injury
    • Psychosocial Assessment Tool (PAT)
    • Acute Stress Checklist (ASC-Kids)
    • Family Illness Beliefs Inventory (FIBI)
    • Immediate Stress Reaction Checklist (ISRC)

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    Trauma-Informed Care

    Trauma-Informed Care

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    • TIC Provider Survey
    • Observation Checklist - Pediatric Resuscitation

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    • Quiet or withdrawn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

Traumatic stress signs and symptoms appear in various ways in different people. Some people may be more anxious, more jumpy, and sleep less.

Traumatic stress signs and symptoms appear in various ways in different people. Some people may be more anxious, more jumpy, and sleep less. Others may complain of new aliments (stomachaches, headaches), may avoid discussing the traumatic event, and may experience changes in their appetite. As a nurse, you possess the unique opportunity to assess your patient's mental health after a traumatic event by asking a few simple questions.

The DEF protocol provides nurses a quick and easy framework to assess the traumatic stress reactions of their patients. The DEF protocol examines your patient's level of distress, availability and accessibility of emotional supports, as well as their family's level of distress and other needs.

Reduce Distress:

  • Assess and manage pain
  • Ask about fears and worries
  • Consider grief and loss

Promote Emotional Support:

  • Who and what does the patient need now
  • Are there barriers to mobilizing existing supports

Remember the Family:

  • Assess parent's or sibling's and other's distress
  • Gauge family stressors and resources
  • Address other needs (beyond medical)

What steps do you take to examine any potential traumatic stress reactions in your patients?

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