What's your understanding about Trauma informed care?

Published on
Scene 1 (0s)

What's your understanding about Trauma informed care?

This Photo by Unknown Author is licensed under CC BY-NC

This Photo by Unknown Author is licensed under CC BY-NC

A close up of a flower Description automatically generated

Scene 2 (10s)

Trauma informed nursing care

Presented by, Gibin sunny

Scene 3 (18s)

Trauma

Trauma is considered as the contrary effect of an event or series of facts or circumstances which can cause intense physical and mental stress affecting the physical, social, emotional, and spiritual wellbeing of an individual (Gerber, 2019).

Scene 4 (32s)

Types of trauma

Complex Trauma Developmental Trauma Single incident Trauma Repetitive Trauma Historical Trauma Intergenerational Trauma (Baird, 2013)

Scene 5 (41s)

Trauma informed care

Trauma informed care is as an approach to improve consumers outcome and experience through recognizing patient trauma throughout their life and delivering care in a way to avoid triggers and re-traumatization. (Wilson,Hutchinson,and Hurley, 2017).

Scene 6 (56s)

Trauma informed care

https://www.youtube.com/watch?v=fWken5DsJcw

https://www.youtube.com/watch?v=fWken5DsJcw

Scene 7 (1m 4s)

Why is Trauma informed care important?

Providing an open environment enables survivors to feel safe Feeling safe and supported will impact patients willingness to discuss personal history of Trauma Feeling threatened or unsafe impacts patients willingness to seek help and comply with interventions, leading to poor outcomes Disclosure of Trauma is not necessary to be Trauma informed. ( Wilson,Hutchinson,and Hurley, 2017).

Scene 8 (1m 23s)

SCOPE OF TRAUMA OF INFORMED CARE

Studies conducted in psychiatric inpatient units suggest most of the people with a mental health condition got a history of childhood trauma. One of the studies undertaken in psychiatric outpatient in the united states shows above fifty percent of patients were positive for a history of trauma like physical and sexual abuse (Butler, Critelli and Rinfrette,2011 Trauma is highly prevalent in people with mental disorders and substance abuse (Butler, Critelli , and Rinfrette , 2011). Studies conducted in the united states among a mental health rehabilitation unit, sixty-one percent of men and fifty-one percent of women reported experienced trauma in their lifetime, which includes childhood trauma, single trauma, or trauma from a natural disaster ( Wilson,Hutchinson,and Hurley, 2017).

Scene 9 (1m 56s)

BARIERS TO IMPLEMENTATION OF TRAUMA INFORMED NURSING PRACTICE

Lack of knowledge about Trauma informed care. Failure to acknowledge trauma in childhood must impact mental illness or distress Struggle to fit into the new model of attention because of lack of knowledge False belief that it can be time-consuming (Fleishman, Kamsky and Sundborg , 2019)

Scene 10 (2m 13s)

Solutions to prevent barriers in Trauma informed Nursing practice

Staff education in Trauma informed care Recognising strict intervention will cause re-traumatization Understanding new environment cause confusion for the patient Prevalence of trauma in mental health patients (TIP, 2014)

Scene 11 (2m 27s)

Principles of trauma informed care

Safety Choice Trustworthiness Collaboration Empowerment ( Laneita and Donald, 2018).

Scene 12 (2m 36s)

Trauma-informed care into nursing practice:

Introducing Trauma-informed nursing practice into the behavioral health organization will benefit not only the patient but also the families, staff, and organizations (Fleishman, Kamsky and Sundborg , 2019). It will help to enhance the belief that trauma got a significant impact on individual physical mental and social wellbeing. It also re-enforces the importance of acquiring more knowledge regarding Trauma-informed practice, which will help to avoid the re-traumatization of the patients in hospitals. (Sophie and Clair, 2017)

Scene 13 (3m 0s)

How to administer a Trauma-informed lens into the nursing practice

Importance of introducing self and role in every interaction Body positioning Anticipatory guidance Ask before touching Consistency Patient privacy Using simple language Practice Universal precaution: (Fleishman, Kamsky and Sundborg , 2019).

Scene 14 (3m 14s)

Importance of performing self-assessment

. Nurses mustn't react to what they are encountering. Commonly, the reaction of the patient may not be in a which the nurses perceive as appropriate. In this case, it will make a barrier in the delivery of care as the nurses more frustrated due to personal triggers when a patient does not choose the treatment option presented (Muskett,2013). Self-awareness will help the nurses to identify patient behavior are own triggers to his or her problems. Best practice in this scenario is to ask for assistance to change patient allocation if possible, and attend clinical supervision. Self-awareness is the critical point of a nurse who is demonstrating a high level of professionalism who are providing Trauma-informed care (Muskett,2013). Self-assessment of nurses and team members of the rehabilitation team is essential to provide the best care to the patients. Adverse childhood experiences study (ACE), a short 10 question questionnaire version that is developed by WHO, helps to determine the ACE score (WHO,2016). Self- awareness, and understanding of self will empower nurses to identify their beliefs, which are undesirably affecting the care provided and thereby improve patient care. All individuals may have experienced some type of trauma in their life which can trigger their response to patient behaviors while performing the care

Scene 15 (4m 7s)

Finding your ACE score

Now add up your “Yes” answers:  _  This is your ACE Scoreutes one point for each category of adverse childhood experience. The 10 questions below each cover a different domain of trauma, and refer to experiences that occurred prior to the age of 18. Higher scores indice increased exposure to trauma, which have been associated with a greater risk s your ………..ACE score (WHO,2016)

1. Did a parent or other adult in the household often or very often… Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid that you might be physically hurt? YES NO If yes, enter 1 2. Did a parent or other adult in the household often or very often… Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured? YES, NO If yes, enter 1 3. Did an adult or person at least five years older than you ever… Touch or fondle you or have you touch their body in a sexual way? or Attempt or have oral, anal, or vaginal intercourse with you? YES, NO If yes, enter 1 4. Did you often or very often feel that… No one in your family loved you or thought you were important or special? or Your family didn’t look out for each other, feel close to each other, or support each other? YES NO If yes, enter 1 5. Did you often or very often feel that … You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? or Your parents were too drunk or high to take care of you or take you to the doctor if you needed it? YES NO If yes, enter 1 6. Were your parents ever separated or divorced? YES NO If yes, enter 1 7. Was your mother or stepmother: Often or very often pushed, grabbed, slapped, or had something thrown at her? or Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard? or Ever repeatedly hit at least a few minutes or threatened with a gun or knife? YES NO If yes, enter 1 8. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs? YES NO If yes, enter 1 9. Was a household member depressed or mentally ill, or did a household member attempt suicide? YES NO If yes, enter 1 10. Did a household member go to prison? YES NO If yes, enter 1

(ACEs Too High, 2019)

Scene 16 (5m 28s)

Move away from-

“What is wrong with you?” to “What has happened to you”

Scene 17 (5m 37s)

Conclusion

Trauma-informed care is an evidence-based approach to the delivery of holistic care to patients in mental health inpatient units. To implement this successfully in a mental health unit's mental health, nurses must take Trauma-informed care, guiding philosophy, and a model of care in their practice development. It is also essential that the organization should act as a Trauma-informed workplace by addressing and educating the workforce about Trauma-informed care. When the staff feel respected safe and empowered it is likely providing the best Trauma-informed care for the patients

Scene 18 (6m 2s)

References

ACEs Too High. (2019).  Got Your ACE Score?  [online] Available at: https://acestoohigh.com/got-your-ace-score/.(ACEs Too High, 2019) Baird, C. (2013) 'Delivering Trauma-Informed Care,' Journal of Addictions Nursing (Lippincott Williams & Wilkins), 24(2), p. 126. Available at: http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=95460641&site=eds-live Fleishman, J., Kamsky , H., and Sundborg , S. (2019) 'Trauma-Informed Nursing Practice,' Online Journal of Issues in Nursing, 24(2), p. N.PAG. DOI: 10.3912/OJIN.Vol24No02Man03. Gerber, M.R., (2019). Trauma-Informed Healthcare Approaches A Guide for Primary Care. [online] Google Books. Springer. Available at:https ://books.google.com.au/ books?id = bDuSDwAAQBAJ&printsec = frontcover&dq = trauma+informed+care&hl = en&sa = X&ved =0ahUKEwiBv-uPiP3oAhUUxTgGHdQDDDEQ6AEIMTAB#v= onepage&q =trauma%20informed%20care&f=false

ACEs Too High. (2019).  Got Your ACE Score?  [online] Available at: https://acestoohigh.com/got-your-ace-score/.(ACEs Too High, 2019) Baird, C. (2013) 'Delivering Trauma-Informed Care,' Journal of Addictions Nursing (Lippincott Williams & Wilkins), 24(2), p. 126. Available at: http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=95460641&site=eds-live Fleishman, J., Kamsky , H., and Sundborg , S. (2019) 'Trauma-Informed Nursing Practice,' Online Journal of Issues in Nursing, 24(2), p. N.PAG. DOI: 10.3912/OJIN.Vol24No02Man03. Gerber, M.R., (2019). Trauma-Informed Healthcare Approaches A Guide for Primary Care. [online] Google Books. Springer. Available at:https ://books.google.com.au/ books?id = bDuSDwAAQBAJ&printsec = frontcover&dq = trauma+informed+care&hl = en&sa = X&ved =0ahUKEwiBv-uPiP3oAhUUxTgGHdQDDDEQ6AEIMTAB#v= onepage&q =trauma%20informed%20care&f=false

Scene 19 (6m 41s)

References

Laneita , F. W. and Donald D., K. (2018) 'Trauma-Informed Care Is the Best Clinical Practice in Rehabilitation Nursing,' Rehabilitation Nursing, (2), p. 73. DOI: 10.1097/RNJ.0000000000000091. Muskett , C. (2014) 'Trauma-informed care in inpatient mental health settings: A review of the literature,' International Journal of Mental Health Nursing, 23(1), pp. 51–59. DOI: 10.1111/inm.12012. Sophie, I. and Clair, E. (2017) 'Using trauma-informed care as a nursing model of care in an acute inpatient mental health unit: A practice development process,' International Journal of Mental Health Nursing, (1), p. 88. DOI: 10.1111/inm.12236

Scene 20 (7m 15s)

References

Substance Abuse and Mental Health Services Administration. (2012). SAMHSA's Working Definition of Trauma and Principles and Guidance for a Trauma-Informed Approach Wilson, A., Hutchinson, M., and Hurley, J. (2017) 'Literature review of trauma-informed care: Implications for mental health nurses working in acute inpatient settings in Australia', International Journal of Mental Health Nursing, (4), p. 326. DOI: 10.1111/inm.12344. Substance Abuse and Mental Health Services Administration. (2012). SAMHSA's Working Definition of Trauma and Principles and Guidance for a Trauma-Informed Approach

Scene 21 (7m 42s)

A close up of a logo Description automatically generated