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Trauma patient care
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Healing Trauma: Simple, Not Easy
As the recognition of the effects of trauma have increased over the years, it seems like more and more well-intentioned, professional caregivers are attempting to help survivors of trauma. Unfortunately, many professionals trying to treat a survivor have little to no trauma-informed care or evidenced-based trauma-focused treatment training, and as a result may be unethically practicing outside of the scope of their competency. Even though a professional caregiver may have the best of intentions, it’s important that they understand that without the proper training, more harm can result than good.
The exemplum of a Tanzanian folktale about how two monkeys saved a fish helps to illustrate how good intentions,
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This diminishing of hope begins to dim the brightness of the future, leaving the traveler in a tumultuous world of growing darkness. Many people who’ve experienced developmental trauma—the interference or interruption of normal relational, emotional, and cognitive milestones of a human being—feel unsafe in their daily lives. For them, the thought of letting go of this darkness becomes both fear provoking and anxiety-ridden, and the changes they’re required to make to brighten their future and heal from the wounds of traumatic stress often require the assistance of a trained caregiver.
The role of the caregiver is not to “heal,” but rather to facilitate healing. These professionals must first and foremost become aware of the trauma in their own lives, and then through acts of love, encouragement, and kindness, can support others in doing the same. Caregivers are the catalyst for change by modeling self-regulation behaviors for their clients. This requires a mastery of self-regulation skills, and can only be accomplished through rigorous, deliberate
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As professional caregivers we follow the Patient’s Bill of Rights, which dictates “the patient is entitled to relief from pain, anxiety, and depression…with the least intrusive interventions” (Cummings and Sayama, 1995, p. 1). In order to provide the survivor with this level of care, the caregiver needs to become competent in the specialty of trauma-informed treatment.
The action of the healer cannot be superficial, impulsive, or temporary—their determination to help a survivor build a brighter future needs to be heartfelt, unwavering, and permanent. The healer working with trauma survivors must in many ways embrace this concept expressed by Thomas A. Edison: “If we all did the things we are really capable of doing, we would literally astound ourselves.” If we believe in the capacity of those who’ve been living their lives in pain due to trauma, we are likely to be astounded by what they’re capable of doing. Conversely, we’ll astound ourselves with our own capacities as
The trauma-informed care lab was a very impactful experience for me as a student pharmacist and as a person. Prior to the lab, I have always believed that childhood experiences can influence a person’s outcome as an adult. While this belief humanizes those, who have made poor choices in life, it is difficult for me to vindicate every case I see. However, after seeing the statistical facts from the ACE study and especially the movie Healing Neen, I found it easier to show empathy and understanding to those who made those choices.
... Joyce Dorado. "Who Are We, But For The Stories We Tell: Family Stories And Healing." Psychological Trauma: Theory, Research, Practice, And Policy 2.3 (2010): 243-249. PsycARTICLES. Web. 2 May 2014.
Osofsky, Joy D. “Parenting After Traumatic Events: Ways to Support Children.” Psych Central. 30 Jan 2013. Web. 12 Dec 2013.
Cohen, J. A., & Mannarino, A. P. (2008). Trauma-Focused Cognitive Behavioral Therapy for Children and Parents. Child & Adolescent Mental Health, 13(4), 158-162.
When trauma victims process what is going on around them, it can be done in a verbal or written activities. This helps bring the unconscious into the conscious (James & Gilliland, 2016). When there is exposure of what is going on, the client and the therapist can work towards a common goal. There can be homework assignments that can help monitor what has been going on when the victim is at home and busy with their daily routines. The general goal of this approach is to create a new way of thinking about the event that will give the victim hope and a positive outlook on the future ahead (James & Gilliland,
Obviously, working with survivors of child sexual abuse, neglect, and trauma: The approach taken by the social worker in the Brandon’s case shall begin with “assessment and beginning treatment of the family because child abuse is one of a wide range practice situation in which systems concepts can be applied to help to understand the dynamics involved” in the road for healing and recovery from the physical and psychological effect of the trauma by providing adequate resources available for counseling and therapy due to the devastating impacts of child sexual abuse can be heartbreaking for the victim and the family. However, social worker approach to understanding and responds efficiently by being empathetic to the complex situation as a result; the perpetrator is the father such as in the case of Brandon (Plummer, Makris, & Brocksen, 2014).
In the book, Outgrowing the Pain: A Book For and About Adults Abused as Children, Dr. Eliana Gil discusses the causes and effects of traumatic experiences adults abused as children have undergone during their childhood. Throughout the book, Dr. Gil introduces various types of abuse within the family such as emotional, physical, and sexual abuse. Furthermore, Dr. Gil explains how to guide these once mistreated adults to understand and cope with each situation.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
It is my intention to utilize the acquired knowledge—specific to such disciplines— to benefit those who seek assistance through the U.S. Department of Veteran’s Affairs (“VA”) for treatment of combat related post traumatic stress disorder (“PTSD”). Although I am an active duty military dependent and have considerable insight to a population in the military-culture affected by PTSD, which is beneficial experience-wise, this factor alone does not allow for preference in employment in this particular field. The institutional means to achieve this goal requires and involve four years of undergraduate study, two years in a Master’s degree program and an additional five-plus years of doctoral studies. This is only the first in a three-part cultural goal that is necessary to begin the process of effective participation and achievement in employment in this field. The first part of this goal would be to obtain a Bachelor’s degree, proceed to a Master’s—begin employment and ultimately, while employed, commence doctoral studies. In addition to the considerable comprehensive strain on an average student pursuing such educational goals, there is also a significant financial responsibility placed on my family. Acceptance as a credible authority in this field requires this extensive period of schooling for the development and acquisition of collective education and experience in order to be considered effective and respected as a contributor or provider of care in this
Among the many avenues of intervention available to a caregiver’s disposal is the Internal Family Systems Therapy (IFS), which was popularized by Richard C. Schwartz in 1995 . The premise of IFS Therapy is every person’s has internal entities, which are more than thoughts or feelings, but rather distinct personalities full of emotion and desire. Furthermore, trauma does not create these parts of the psyche but rather forces some entities from valuable functions, (such as acceptance, clarity and compassion) to extreme or protective roles, which causes the individual to lose their true self. Over all, the goal of IFS is not to eliminate these entities, but rather accept them and talk them back into their rightful role—inner leadership. All in all, IFS is a valuable resource for intervention because IFS allows a care seeker to address their true emotion or belief that is causing the conflict and at the same time, it allows the caregiver to remain self-aware as they
She would complain of stomach aches, and began to have trouble completing everyday task. Shortly after experiencing these symptoms, my mother was diagnosed with cervical cancer. This created a fear that I would lose both of my parents within the time span of two years. Being very young, I had no idea how to care for myself, or my ill mother. At this point in my life, I completely hit rock bottom. After my mother’s diagnosis, my household completely changed. I had to assume the role of the parent in order to make sure that my mother was properly taken care of. A journal study the behavior of children with ill parents began to notice the changes in roles in the households of these families as well. “Physical, mental, and emotional deterioration may compromise the ability of ill parents to reach out to their children. Disruptions in routines and role reallocations within the family are particularly disorienting to children given their exquisite reliance on predictability.” I was never very reliant on predictability given my living arrangements as a
Corso, Vincent M. (2012). Oncology Nurse as Wounded Healer: Developing a Compassion Identity. Clinical Journal of Oncology Nursing 16(5), 448-450.
The novel The Namesake is clearly able to reflect my life, both showing that children are unable to view their parents as a human being unless the parent is triggered by a traumatic event. This causes the child to feel empathy for the parent figure and suddenly be able to mature so that they can humanize their parents. In this way, traumatic events to the family can often be healthy and necessary for the maturity of the child. After all, if he or she is unable to see their parents at their weakest, the child may take a considerably longer time to discover their gratitude and express the love that is owed.
There are many sad scenarios that come to mind when thinking about the victims of domestic violence. With this particular issue, the victims are impacted mentally and physically. A situation that comes to mind is one of a little boy hiding under his bed. He is in a neighboring room and can hear furniture moving and screams of his mother in agonizing pain. He understands that he is too small to intervene on his mother’s behalf and too scared to confront his father. What is he left to do? The young boy calls 911 with the hopes that they could step in and end his mother’s pain. The boy’s father repeatedly abused his mother and insisted that she stay in her place and never considers ending the relationship. This fictional situation is one that occurs everyday in every corner of our country. Domestic violence incidents in 2005 accoun...
In life, many things are taken for granted on a customary basis. For example, we wake up in the morning and routinely expect to see and hear from certain people. Most people live daily life with the unsighted notion that every important individual in their lives at the moment, will exist there tomorrow. However, in actuality, such is not the case. I too fell victim to the routine familiarity of expectation, until the day reality taught me otherwise.