Foster care Flashcards

1
Q

Common characteristics of foster care

A

Frequently moving schools, separation from siblings, high-risk behaviors

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2
Q

Foster care: Risk factors

A

History
Inconsistent management- irregular timely care
Education- r/f lower education, outcomes
Needs- child welfare, mental health, legal educational support

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3
Q

No matter how vulnerable a person is they have what?

A

STRENGTHS

-Choose to adopt a strength based practice

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4
Q

ACE’s and foster care

A
  • Both + and - shape our brain and physiology- Neuroendocrine
    ACEs include but are not limited too:
  • Divorce
  • Household substance, sexual, emotional abuse
  • Incarceration of family member
  • Spouse violence
  • Frequent moods
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5
Q

Stress becomes toxic when?

A

Toxic when there is “strong, frequent, prolonged activation of the body’s stress response in the absence of the buffering protection of a supportive, adult relationship”

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6
Q

T/F ACES: effects cannot be magnified through generations even if not addressed

A

False; effects can be magnified through generations if not addressed

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7
Q

ACES: Incarceration impacts on families

A

Financial cost to individuals and family, $$$$

-Multifactorial

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8
Q

T/F Toxic stress negatively impacts brain development

A

True

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9
Q

Traumatic stress

A

Effects multiply when trauma continues
Neglect (almost always chronic)
Exposure can begin early ( even during prenatal period)

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10
Q

T/F Effects of traumatic stress are severe when it involves the primary care giver**

A

True

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11
Q

Using trauma informed care to better address:

A

Take a step back and look at S/Sx of signs of stress, rather than focus on pathology.

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12
Q

Toxic stress can present as:

A

Attention deficits
Emotional dysregulation
Oppositional behaviors
(some of these can show roots of early abuse)

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13
Q

T/F in regards to toxic stress: Assessment is not necessary to appropriately understand the causes of a child’s symptoms.

A

False; We HAVE to assess appropriately to understand the causes of a child’s symptoms

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14
Q

Toxic stress: What do we ASK?***

A

What HAPPENED to you? rather than, what is the matter with you?

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15
Q

Brain development

A

The brain is not structurally complete at birth
Structural development is guided by: Environmental cues; physical & emotional environment which influence brain development

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16
Q

Effective stimulation/brain development requires….

A

Interaction with other people

**Caregivers must be consistent and predictable

17
Q

T/F Consistency and predictability of caregivers is non-essential

A

FALSE; caregivers MUST be consistent and predictable

18
Q

Brain development** A hidden aspect of human potential

A

Both + and - influence

19
Q

T/F infants need at least 2 secure caregiver attachments

A

False; Infants need at least 1 secure caregiver attachment

20
Q

T/F Gene expression determines neuroendocrine structure and is strongly influenced by experience

21
Q

Epigenetic modifications

A

Cause changes in brain and can change development

22
Q

Brain development cont.

A

The body’s systems are mutually interactive

–The more emotionally charged a learning situation is, the more likely it is to result in long-term modifications

23
Q

T/F The more emotionally charged a learning situation is, the more likely it is to result in long-term modifications

24
Q

Effect of trauma on parenting ability

A
  • Adults who experienced ACE’s in their early years can exhibit maladaptive responses to parenting.
  • ACEs increase the change of risk factors; abuse, risky behaviors
  • All of these can affect parenting in a negative way and perpetuate a continuing exposure to ACEs across generations by transmission of epigenetic changes to the genome.
25
Nursing approaches: Common concerns
Enuresis, encopresis, sleep problems, attention issues, Sx PTSD, mental health issues
26
Nursing approaches: Foster resilience
Counterbalance ACEs with protective factors
27
Proving a "medical home" for children in foster care
All kids have some special needs we need to address
28
Nursing approaches in foster care
``` Common concerns Fostering resilience Home visiting Language Special needs Be knowledgeable about the impact of trauma Provide support and guidance Know available resources Develop relationships with other service providers ```
29
Protective factors
Helping parents, connect families with addition tx, support services at school
30
When is crucial to provide additional support?
During times of transition and crisis
31
How to we want to ask questions?**
Alternate triggering and calm questions. - Promote and teach self regulation skills - Help to decrease power of stressors, help identify triggers
32
Nursing approaches: Medical records
Medical records- Keep complete and accurate
33
Nursing approaches: Scheduling visits
Schedule at critical times. When school is starting, anniversaries, birthdays, court dates
34
Nursing approaches: Review school performance
Schedule visit and appointments to minimize school absences
35
Nursing approaches: Referrals
Refer to child development specialists, vision
36
Focus on STRENGTH when?
at EACH encounter | - encourage normalizing behaviors
37
T/F we want to encourage teens to develop relationships with adult mentors
True
38
AAP-Trauma informed care
Mirrors prevention
39
THE 4 R's***
Realize wide impact Recognize s/s of trauma Respond- fully integrated knowledge and policy Resist retraumatization