作为标准预防措施的儿科物理治疗中的创伤告知护理:时间到了
Jessica Barreca1, Mary Swiggum
1Center for Interprofessional Education and Research (Dr Barreca), Saint Louis University, Saint Louis, Missouri; Doctor of Physical Therapy Program (Dr Swiggum), Wingate University, Wingate, North Carolina.
概括
童年创伤显著影响发展和福祉,影响儿科物理治疗 (PT) 患者及其照顾者. 采用创伤知情护理方法对于儿科PTs有效地解决这些不良经历至关重要.
科学领域:
- 儿科康复儿童康复中心
- 发展心理学是发展心理学.
- 创伤研究的研究.
背景情况:
- 儿童时期的经历,无论是积极的还是消极的,都会深刻地影响终身发展和福祉.
- 不利的童年经历 (ACE) 包括虐待,忽视,暴力,种族主义和医疗创伤,导致不良的身体和心理健康结果进入成年期.
- 患有残疾的儿童面临更高的经历逆境的风险,创伤史往往不显而易见,需要普遍的方法.
研究的目的:
- 提供关于儿童群体创伤和恢复力的研究概述.
- 为儿科物理治疗师 (PTs) 在处理创伤方面概述可行的策略.
- 倡导将创伤知情护理整合为儿科PT的标准实践.
主要方法:
- 审查关于童年创伤和恢复力的现有研究.
- 分析童年不良经历对儿科健康和康复的影响.
- 讨论儿科物理治疗师在识别和应对创伤方面的作用.
主要成果:
- 童年创伤很普遍,影响所有儿童,像残疾儿童这样的弱势群体的风险增加.
- 没有解决的创伤可以在儿科康复中表现出来,可能导致对护理人员行为的误解 (例如,不遵守).
- 许多组织建议创伤知情护理作为必要的护理标准.
结论:
- 儿科物理治疗师 (PTs) 必须采取有意的,创伤知情的方法,以减轻创伤对患者和家人的负面影响.
- 认识到创伤的共同点和多样化的表现对于有效的儿科护理至关重要.
- 实施创伤信息化护理确保了所有儿童,特别是残疾儿童的支持和响应的环境.
相关概念视频
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Transmission-based Precautions I: Contact, Enteric, and Droplets
3.6K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.6K
Flail Chest-II
168
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
168
Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K
Chest Physiotherapy
451
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
451
Post-traumatic Stress Disorder
33
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
33


