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Caring for Critically Ill Children Experiencing Traumatic Stress.

Betsy M McDowell1

  • 1Betsy M. McDowell is a pediatric nurse and retired nurse educator at Newberry College, Newberry, South Carolina.

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Summary

Critically ill children may experience traumatic stress, including acute stress reaction and posttraumatic stress disorder. Nurses can help prevent and manage these conditions in pediatric patients.

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Area of Science:

  • Pediatric critical care
  • Child psychology
  • Trauma-informed nursing

Background:

  • Traumatic stress affects children when coping mechanisms are overwhelmed by traumatic events.
  • Up to 80% of ill and injured children may experience traumatic stress.
  • Critically ill or injured children are at high risk for acute stress reaction and posttraumatic stress disorder.

Purpose of the Study:

  • To explore traumatic stress disorders in critically ill or injured children.
  • To aid bedside nurses in reducing short- and long-term consequences.
  • To provide strategies for pediatric patients experiencing traumatic stress.

Main Methods:

  • Review of literature on traumatic stress in pediatric patients.
  • Identification of risk factors and clinical findings.
  • Outline of nursing interventions for prevention and management.

Main Results:

  • Traumatic stress is a significant concern in critically ill children.
  • Early identification and intervention are crucial.
  • Nurses play a vital role in assessment and management.

Conclusions:

  • Bedside nurses are well-positioned to assess and manage traumatic stress in pediatric intensive care units.
  • Implementing preventative and management strategies can ease symptoms.
  • Appropriate referrals are essential for children and families.