Trauma Informed Care Flashcards
Types of physical trauma
Blunt force
Penetrating
Burns or other
Main three causes of trauma
Falls
Motor vehicle crashes
Firearms
What is the leading cause of death for young black males
Gun deaths
What is the golden hour
The first hour following a trauma, if the patient is treated they have a higher likelihood to prevent death
Trauma management challenges
Traumatic injury does not follow a specific disease pathway
Treatment is based on the individual’s injuries and precautions, surgical interventions, and medical status
Level 1 and 2 trauma standard
A documented, comprehensive trauma recovery plan within 72 hours of admission
Physical Therapists: Available for consult 7 days wk
Advanced clinical decision-making
High level of interdisciplinary practice
How can PTs impact trauma patients
Early mobilization leads to decreased length of stay, ventilators, and incidence of DVTs
Disease comorbidities
Behavioral health
Substance abuse
PTSD and Retraumatization
Consequences of childhood trauma
Worse health as an adult (especially 4+)
Most adults have at least 1 reported form
Early death
Trauma informed care
recognizes that traumatic experiences terrify, overwhelm, and violate the individual. TIC is a commitment not to repeat these experiences and, in whatever way possible, to restore a sense of safety, power, and worth
Foundations of trauma informed care
Commitment to trauma awareness
Understanding the impact of historical trauma
Ways to create safe context
Physical safety
Clear and consistent boundaries
Transparency
Predictability
Choice
Ways to restore power
Choice
Empowerment
Strengths perspective
Skill building
Ways to value the individual
Respect
Collaboration
Compassion
Mutuality
Relationship
Therapeutic alliance for trauma informed care
Create a safe space
Provide regular and accurate information
Manage acute pain
Increase control/choice
Reduce anxiety provoking experiences
Enable opportunities for social and family connection
How to prevent retraumatization
Close the door or use private rooms
Create options to see the same providers
Knock and speak before entering
Etc
Use of restraints
Ordered by MD
If patient is unable to remove belt, etc it is considered a restraint
Individual level of advocacy
Promote trauma-informed care
Facilitate interdisciplinary approach
Identify resources and refer
Physical therapy outcomes
Societal level of advocacy
Violence prevention
Emergency response
Trauma a focused healing services
