week 16 Flashcards
3 Es of trauma
- event
- experience of the event
- effects on the individual psych and physical wellbeing
neurotransmitters that regulate emotions
dopamine and seratonin
within seconds of the stress, what is released by the sympathetic nervous system?
epinephrine and norepinephrine which stimulates cortisol.
prefrontal cortex hosts what behaviors
impaired attention, problems with emotional control, and executive functioning
amygdala functioning
increades risk of heigtened sensitivity to fear
hippocampus functioning
impaired memory functioning
chronic exposure to stress
increased blood sugar
weight gain
suppressed immune system
digestive problems
heart disease
10 ACES’s
Ph. Abuse
Sex Abuse
Emotional Abuse
Ph. Neglect
Emotional Neglect
Mental illness
Incarcerated relatives
substance abuse
mother treated violently
Divorce
6 key princples to trauma informed care
1) safety
2 choice
3 collaberation and mutiality
4 trustworthiness and transparency
5 empowerment, voice, choice
6 cultural, historical and gender issues
examples of re-traumatization
- system (sorry this is how it is always how it is done
- having to retell the story
- procedures that require disrobing
what is vicarious trauma?
emotional effects on PROVIDERS that results from working with people who have suffered any type of trauma, hearing their stories and witnessing their pain
ie: compassion fatigue, COVID nurse, guilt or shame related to patient outcome, becoming numb to trauma etc.
ten 4 faces P abuse rule
Trunk
Ears
Neck
4 years or younger
Freunulum
auricular area
cheek
eyes
sclera
patterned bruising
4 months or younger bruising rule
kids that don’t cruise, rarely bruise
cullen sign
sign of retroperitoneal hemorrhage (internal abdominal bleeding) at the umbilicus
abusive head trauma (AHT)
leading cause of physical abuse deaths in children under 5 years. greatest risk is babies less than 1 year
shaken baby syndrome
-type of AHT
- no visible signs of injury
- CC is usually lethargic and poor feeding
factitious disorder imposed on another (FDIA) of Munchausen syndrome by proxy
- 90 % of perpetrators are bio mother
- 85% of perpetrators has HC background
failure to thrive
inadequate growth resulting from inability to use/obtain calories for growth
no universal definitioin
organic causes of FTT
- CF
conjenital heart defects
GERD
malabobtion syndromes
endocrine dysfunction
HIV/AIDS
non organic
parental knowledge deficit
neglect
poor nutrition
