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Pediatric Medical Traumatic Stress
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    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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    • The healthcare team
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    • Nurses
    • Pre-hospital providers
    • Medical interpreters
    • Mental health professionals
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  • Professional Education
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    • Trauma-Informed Nursing Curriculum
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  • 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

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    • Quiet or withdrawn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

When speaking of a trauma informed practice, the responsibility for implementation often lands on the individual doctor, nurses, or other healthcare professional. However, for patients and families to truly experience trauma informed medical care, the entire hospital system needs to embrace trauma informed care.

When speaking of a trauma informed practice, the responsibility for implementation often lands on the individual doctor, nurses, or other healthcare professional. However, for patients and families to truly experience trauma informed medical care, the entire hospital system needs to embrace trauma informed care.

Trauma Informed Health Systems

How does the shift to trauma informed hospital system occur? While each hospital system will need to adapt to their own individual culture, a framework does exist for transitioning to a hospital-wide trauma informed care. In the recently published article “Application of a Framework to Implement Trauma-Informed Care Throughout a Pediatric Health Care Network”, researchers presented a three phase framework for implementing trauma informed care. This framework’s three primary steps include:

Step 1. Prepare for spread (E.g., Meeting with hospital leadership and administration to establish champions)

Step 2. Establish an aim for spread (E.g., Setting goals for the network and identifying critical teams and departments for training)

Step 3. Develop, execute, and refine a spread plan (E.g., Selecting decision-makers)

Using this framework to guide a quality improvement study, researchers showed a change hospital culture, including “significant increases in favorable attitudes about and confidence in delivering TIC. Responses to the open-ended question revealed shifting perceptions of patient situations (e.g., increased empathy) and the need to deliver personalized care (e.g., seeing the patient as a whole person).”

To learn more about how to incorporate trauma informed care at your patient’s bedside, register today for free online continuing education courses and then join the conversation on Facebook, Twitter, and Pinterest!

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