NU 629 Discussion 1: Trauma-Informed Care as Relating to Health Promotion and Disease Prevention

Sample Answer for NU 629 Discussion 1: Trauma-Informed Care as Relating to Health Promotion and Disease Prevention Included After Question

Overview

Thinking about the old adage, “Never judge a book by its cover,” wouldn’t it be great to be able to see inside other people – I mean really see inside. As human beings, we keep so much of ourselves hidden, and we see only a small portion of the lives of the people we encounter. People experience things, trauma and other adverse childhood experiences, that can follow them well into adulthood. To help better understand the people we care for—what may be the driving force behind their complaints—trauma-informed care shifts the focus from “What’s wrong with you?” to “What happened to you?” In making this mental shift in our practice, we can potentially improve overall patient health outcomes along with providers and staff wellness.

Prior to answering this discussion prompt, explore the website (including the videos) for the Trauma-Informed Care Implementation Resource Center to help improve your understanding and knowledge of this concept Trauma-Informed Care Implementation Resource Center. The website has a lot of great information, and be sure to review the 10 Key Ingredients for Trauma-Informed Care (PDF) and the Fact-Sheet – Understanding the Effects of Trauma on Health (PDF). Both will be extremely helpful in participating in this week’s discussion and on the quiz.

Initial Post

For this week’s discussion, define trauma-informed care (TIC), explain how stress and health are related, and discuss how an APRN can utilize this information in caring for vulnerable populations. Please include at least 3 scholarly sources within your initial post.

Reply Posts

Reply to at least TWO of your peers on two separate days (minimum) utilizing at least two scholarly references per peer post. In your reply to each of your peers, discuss content that you learned while exploring the website and a resource they might find helpful as well.

Please refer to the Grading Rubric for details on how this activity will be graded.

A Sample Answer For the Assignment: NU 629 Discussion 1: Trauma-Informed Care as Relating to Health Promotion and Disease Prevention

Title: NU 629 Discussion 1: Trauma-Informed Care as Relating to Health Promotion and Disease Prevention

Definition of Trauma-Informed Care (TIC)

Trauma-informed care (TIC) is a model of care for healthcare professionals in which trauma-inducing events that have occurred in patients’ lives are identified and acknowledged; this information is then used to better understand patients, connect with them, tailor appropriate care plans, and improve patient outcomes (Berg-Poppe et al., 2021). In the pediatric setting, traumatic or negative events that would precede the need for trauma-informed care are usually categorized as adverse childhood experiences (ACE) (Huang et al., 2021).

Stress & Health Relationship

Emotional/mental stress and physical health are inherently intertwined. Stress can contribute to a lack of engagement in health-promoting behaviors (exercise, healthy eating), weight gain, and decreased immune function (Thomas-Davis et al., 2020). In addition, stress (both current and historical), can lead to maladaptive coping mechanisms, depression, anxiety, and issues maintaining relationships (Thomas-Davis et al., 2020). Maslow’s hierarchy of needs illustrates how when patients are experiencing stress and do not feel secure in their current state, they have challenges reaching their full potential in all other areas, which hinders their overall health (Crandall et al., 2020).

APRN Application

As a future pediatric APRN, I will be caring for the vulnerable population of children. I will make a great effort to integrate trauma-informed care into my practice and advocate for it to be commonplace in my organization, like many others are doing in pediatric care (Berg-Poppe et al., 2021). Knowing that adverse childhood experiences (both traumatic and non-traumatic) have such a profound impact on the future mental and physical health of children and adults reiterates the importance of employing trauma-informed care programs into practice as early as possible to assure more sensitive, effective care for our patients (Huang et al., 2021).

References

Berg-Poppe, P., Anis Abdellatif, M., Cerny, S., LaPlante, K., Merrigan, M., & Wesner, C. (2021). Changes in knowledge, beliefs, self-efficacy, and 

            affective commitment to change following trauma-informed care education for pediatric service providers. Psychological Trauma: 

            Theory, Research, Practice, and Policy. https://doi.org/10.1037/tra0001083

Crandall, A., Powell, E. A., Bradford, G. C., Magnusson, B. M., Hanson, C. L., Barnes, M. D., Novilla, M. L. B., & Bean, R. A. (2020). Maslow’s 

            hierarchy of needs as a framework for understanding adolescent depressive symptoms over time. Journal of Child & Family Studies, 

            29(2), 273–281. https://doi.org/10.1007/s10826-019-01577-4

Huang, Y., Liu, H., & Masum, M. (2021). Adverse childhood experiences and physical and mental health of adults: Assessing the mediating 

            role of cumulative life course poverty. American Journal of Health Promotion, 35(5), 637–647.

Thomas-Davis, A., Bullock, A. P., Hooper, H., & McCluney, M. K. (2020). The effects of stress on first-year graduate students in health 

            professions. Journal of the National Society of Allied Health, 17(1), 56–62.

A Sample Answer 2 For the Assignment: NU 629 Discussion 1: Trauma-Informed Care as Relating to Health Promotion and Disease Prevention

Title: NU 629 Discussion 1: Trauma-Informed Care as Relating to Health Promotion and Disease Prevention

Great discussion post this week. I have also focused my post on the pediatric population. An important aspect about trauma informed care (TIC) that I learned from one of the websites is that trauma informed care focuses on what happened to someone versus why someone is acting the way they are (“What is trauma-informed care?”, n.d.). This is especially important in the pediatric setting as many children tend to display their emotions in different ways. During COVID, we have seen a lot of children in the hospital with mental health disorders. Usually children find ways to cope with their trauma such as going to school or being around friends however, many of these coping skills they developed couldn’t be used since schools were shut down and they weren’t able to be around friends.

Due to this, new coping skills were developed to help handle the stress. Children would react to the trauma in ways such as by cutting, being aggressive, abusing drugs, or trying to commit suicide (“Recognizing and treating child traumatic stress”, 2021). As we return to a more normal life, we have seen a decline in patients with mental health and behavioral disorders in the hospital setting. It is important that TIC is incorporated into the care of children as TIC in the pediatric population “operationalizes the biological evidence of toxic stress with the insights of attachment and resilience to enhance health care delivery to mitigate the effects of trauma” (Duffee et al., 2021).

References

Duffee, J., Szilagyi, M., Forkey, H., & Kelly, E. T. (2021, August). Trauma-informed care in Child Health Systems. American Academy of Pediatrics. Retrieved October 14, 2021, from https://pediatrics.aappublications.org/content/148/2/e2021052579.

Recognizing and treating child traumatic stress. SAMHSA. (2021, September 16). Retrieved October 14, 2021, from https://www.samhsa.gov/child-trauma/recognizing-and-treating-child-traumatic-stress.

What is trauma-informed care? Trauma Informed Care . (n.d.). Retrieved October 14, 2021, from https://www.traumainformedcare.chcs.org/what-is-trauma-informed-care/.