Trauma informed care in dental practice Lecture 3 Flashcards
What is trauma based on DSM V definition?
Person has been exposed to traumatic event where they confront death or threatened by death or injury or physical integrity.
What are some forms of trauma?
-Accidents, war, sexual absue, elders abuse, community violence, natural disasters, childhood sexual abuse… etc.
What is toxic stress?
Strong frequent and prolonged adversity particualry as a child.
- absence of support
- neglect , abuse, homelessness discrimination and care giver mental illness.
What is PTSD?
- Reliving the event
- Avoiding situational reminders
- increase in negative beliefs in yourself and the world
- Feeling hyperaroused
Can trauma be consensual?
no usually victim is discomfort fear, feels intimidated and bodily integrity
What are the stats of sexual abuse?
18% of women and 1.5% of men but its vastly underreported.
What is child abuse?
What are the stats of death due to child abuse?
What are the implications on childs future?
-Failure of parent or care taker which results in death, harm or abuse or exploitation.
- More than 5 kids a day die of abuse
- 80% of children experiencing abuse are under the age of 4
- Make people more vulnerable for future abuse
- 1/4 girls and 1/6 boys
What is intimate partner violence? what are the implications for men? for women?
- Violent confrontation between family or household members results in sexual or physical violence or just the fear of being violated.
- Spouses, former spouses, blood related
- Men who witness their parent being abuse are 2x as likely to be abusive
- more than 3 women a day are muredered by husband or boyfriend.
- Girls who have witnessed abusive violence are more likely to stay in abusive relationships
more than 50% of batters abuse their children too.
What is elder abuse?
-Intentional act to harm or failure to act by care giver to protect the elder.
Can be: -physical -Sexual -emotional -financial or material -neglect 1/10 report elder abuse
-under reported only about 1/14 is reported.
Adults in elders homes with dementia are most vulnerable.
What is combat trauma? what are the stats>
violence due to war
about 7% of US population are victims.
-Military sexual harassment among female vets.
What are the stats behind community and firearm violence?
about 12K firearms homicides/ year.
-US is 5% of worlds population but 30% of worlds mass shootings.
-CDC reports death due to fire arms is now equal to leading cause of none medical deaths.
Toxic stress as an issue in public health. What are the implications of trauma and toxic stress?
o Toxic stress in community (violence, substance abuse, incarceration, homelessness)–> childhood traumatic stress (poverty, abuse, neglect) –>adult traumatic stress (assault, domestic violence)
What is the immediate aftermath of trauma?
- Psychological: disblief, shame, guilt, anger and confusion
- Physical–> apetite sleep changes and body aches
-Behavioral: difficulty trusting, can lead to substance abuse.
What are the prevelance stats of PTSD?
60% of women experience it and 50% of men.
about 7-8 % of population will experience PTSD.
Most people who experience trauma will not experience PTSD.
More women than men experience PTSD
What are the biological aspects of PTSD?
- Amygdala responds to fear
- Hypothalmus is activated.
- SNS stimulates fight or flight
AS a result sharper vision, more oxygen and more energy to body.
Amygdala (senses threat)-> hypothalamus (releases corticotropin releasing hormone) ->pituitary (releases adrenocorticotropic releasing hormone)-> adrenal cortex (releases glucocorticoids including cortisol)
