What are the manifestations of trauma exposure? (4)
- Intense fear
- Confusion
- Dissociation
- Disruptive emotions
Name the type of trauma:
Single traumatic event - car accident
Acute trauma
Name the type of trauma:
Multiple persistent traumatic events - abuse, neglect, poverty, hunger
Chronic trauma
Name the type of trauma:
Trauma causing a distorted sense of a self - discrimination, inequality
Complex trauma
Name the type of trauma:
Trauma experienced through organizational systems - foster care, juvenile detention
System-induced trauma
Name the type of trauma:
Secondary trauma experienced indirectly from engaging with victims of trauma - healthcare staff, first reponders
Vicarious trauma
Name the type of trauma:
Trauma passed down through generations
Historical trauma
Which part of the brain is the “fear detection system”?
Amygdala
What phenomenon occurs in the amygdala due to trauma?
Fear learning
ACEs have a significant impact on a child’s ______
Interpersonal functioning - ability to convey thoughts / feelings
What are the benefits of PACEs? (2)
- Increased resilience
- Protection from developing mental illness
Describe the DSM-5 criteria for PTSD
Manifestations lasting 1 month - years
Describe the DSM-5 criteria for acute stress disorder
Manifestations lasting 3 days - 1 month
Describe the DSM-5 criteria for adjustment disorder
Occurs within 3 months and lasts up to 6 months
What are the manifestations of PTSD in adults? (2)
- Derealization
- Depersonalization
Describe the nursing interventions for a patient with trauma (2)
- Provide structured, trauma-informed care
- Avoid re-traumatization
Describe questions with regard to cultural humility
Ask “what has happened to you?”, instead of “why are you here?”
What are the 4 Cs of trauma informed care?
- Calm
- Contain
- Care
- Cope
Describe common manifestations after trauma based on age group (4)
- Regression - children
- Emotional outbursts - children
- Isolation / withdrawal - adults
- Eating / sleeping disturbances - all ages
