Clinical Assessment of Pain

2019 ◽  
pp. 89-102
Author(s):  
Beth B. Hogans
Keyword(s):  
Clinical Assessment ◽  
Trigger Points ◽  
Clinical Interview ◽  
Patient Centered ◽  
Trauma Informed Care ◽  
History Of ◽  
Patient Centered Medicine ◽  
Trauma Informed ◽  
Associated Conditions ◽  
Straight Leg Raise

Chapter 6 addresses the clinical assessment of patients with pain, including the pain-focused clinical interview (history of present illness), the patient’s illness narrative, boundary issues and precautions in examining patients with pain, and details of the basic pain-focused examination. Additionally, specific maneuvers for evaluation of common pain-associated conditions are described, including palpating for trigger points, palpation of the spine, straight leg raise testing, evaluations for radiculopathy, sacroiliac dysfunction, peripheral neuropathy, neuromas, and headache. The chapter applies the principles of patient-centered medicine, the structured clinical interview, the therapeutic alliance, and trauma-informed care to provide the health professions trainee with a useful introduction to the pain-focused clinical interview and examination.

scholarly journals Identifying Trauma-Related and Mental Health Needs: The Implementation of Screening in California’s Child Welfare Systems

2017 ◽  
Vol 18 (1) ◽  
pp. 335-348 ◽  
Author(s):  
Brent R. Crandal ◽  
Andrea L. Hazen ◽  
Jennifer Rolls Reutz
Keyword(s):  
Mental Health ◽  
Child Welfare ◽  
Health Needs ◽  
Screening Tools ◽  
Mental Health Needs ◽  
Screening Process ◽  
Trauma Informed Care ◽  
History Of ◽  
Trauma Informed ◽  
State Of The Science

A central aspect of trauma-informed care in child welfare (CW) systems is the use of a trauma-informed screening process. This includes the use of a broadly administered measurement approach to assist professionals in identifying current trauma-related symptomology or a history of potentially traumatizing events. With a high prevalence of unmet mental health needs among CW-involved children, screening can be a crucial step as systems strive to identify children impacted by trauma. This paper offers a summary of CW screening approaches in county-administered CW systems across California. Through a web-administered survey, 46 county administrators reported on their screening practices and perceptions. Information about ages of children screened and screening tools used, perceptions of screening implementation priorities, degree of implementation and satisfaction with screening processes is provided. Several implementation considerations for future trauma-informed care efforts are offered including maintaining a focus on childhood trauma, closing the science-practice gap, and evaluating the state of the science.

Implementing Patient-Centered Trauma-Informed Care for the Perinatal Nurse

2020 ◽  
Vol 34 (4) ◽  
pp. E23-E31
Author(s):  
Elizabeth K. Kuzma ◽  
Michelle Pardee ◽  
Anna Morgan
Keyword(s):  
Patient Centered ◽  
Trauma Informed Care ◽  
Trauma Informed

Nonviolent Discipline Practices Within Classrooms

2021 ◽  
pp. 257-282
Author(s):  
Rufaro A. Chitiyo ◽  
Florence Nyemba ◽  
Elizabeth A. Ramsey
Keyword(s):  
Best Practices ◽  
Social Problems ◽  
Classroom Strategies ◽  
Discipline Practices ◽  
Trauma Informed Care ◽  
History Of ◽  
Trauma Informed ◽  
K 12 ◽  
Over Time

This chapter focuses on nonviolent discipline practices within classroom settings. The authors draw upon a trauma-informed perspective as a means to encourage professionals working with children to engage in best practices as they decide how to best discipline children under their care. They also address a few examples of nonviolence in U.S. history because peace has worked multiple times as a means to solve social problems. In addition, they provide a brief history of discipline in U.S. schools and how that has evolved over time. Furthermore, they explain possible causes of trauma in children, how to discipline children with histories of trauma, how to implement trauma-informed care in K-12 settings, as well as provide examples of trauma-informed classroom strategies. Using a case study, they provide an example of how to guide teachers to use nonviolent discipline in their work with children with histories of trauma.

Birth as Restorative

2017 ◽  
Vol 24 (2) ◽  
pp. 153-154
Author(s):  
Jenna A. LoGiudice
Keyword(s):  
Sexual Trauma ◽  
Past History ◽  
Healthcare Setting ◽  
Birth Experience ◽  
Trauma Informed Care ◽  
Nurse Midwife ◽  
History Of ◽  
Trauma Informed ◽  
Pregnancy And Birth

A woman’s past history of sexual trauma is inextricably woven into her pregnancy and birth experience. Two cases are presented by a practicing certified nurse midwife to demonstrate trauma-informed care in the childbearing setting. Providing trauma-informed care universally in the women’s healthcare setting is imperative given not all women disclose their history. Empowering survivors may allow for a restorative birth, in which trust of one’s own body can be regained.

scholarly journals Trauma-informed care: recognizing and resisting re-traumatization in health care

2021 ◽  
Vol 6 (1) ◽  
pp. e000815
Author(s):  
Samara Grossman ◽  
Zara Cooper ◽  
Heather Buxton ◽  
Sarah Hendrickson ◽  
Annie Lewis-O'Connor ◽  
...  
Keyword(s):  
Health Care ◽  
Well Being ◽  
Structural Elements ◽  
Patient Centered ◽  
Healthcare Settings ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Definition Of ◽  
The Impact ◽  
Health And Well Being

Trauma is often viewed as an individual or interpersonal issue. This paper expands the definition of trauma to include the impact collective and structural elements on health and well-being. The need for a trauma-informed response is demonstrated, with instruction as to how to implement this type of care in order to resist re-traumatization. Three examples from healthcare settings across the nation are provided, to demonstrate the ways in which organizations are bringing forward this patient-centered, trauma-informed approach to care.

scholarly journals Trauma-Informed Nursing Practice

2019 ◽  
Vol 24 (2) ◽  
Author(s):  
Joan Fleishman ◽  
Hannah Kamsky ◽  
Stephanie Sundborg
Keyword(s):  
Critical Field ◽  
Health Professionals ◽  
Nursing Practice ◽  
Daily Practice ◽  
Nursing Workforce ◽  
Policy And Practice ◽  
Patient Centered ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
The Impact

Trauma-informed care (TIC) is a patient-centered approach to healthcare that calls on health professionals to provide care in a way that prevents re-traumatization of patients and staff. TIC is applied universally regardless of trauma disclosure. Grounded in an understanding of the impact of trauma on patients and the workforce, TIC is conceptualized as a lens through which policy and practice are reviewed and revised to ensure settings and services are safe and welcoming for both patients and staff. The TIC framework is being implemented in healthcare and should be incorporated in daily practice, especially in nursing. Nurses have ample opportunities to influence the experience of patients and colleagues, and nursing is a critical field in which to introduce a trauma-informed approach. However, TIC implementation can be challenging if it’s unclear what to do. This article discusses trauma-informed care, and TIC in healthcare and provides strategies for trauma-informed nursing practice, followed by organizational considerations for the nursing workforce.

Health associations for male survivors of unwanted and non-consensual sex

2021 ◽  
pp. 088626052110428
Author(s):  
Julia Aiken ◽  
Stacey B. Griner
Keyword(s):  
Health Outcomes ◽  
Sexual Behaviors ◽  
General Health ◽  
Sexual Experiences ◽  
Sexually Transmitted ◽  
Unwanted Sexual Experiences ◽  
Trauma Informed Care ◽  
History Of ◽  
Trauma Informed ◽  
Consensual Sex

Literature has established that men with non-consensual sexual experiences exhibit a higher likelihood of engaging in high-risk sexual behaviors; however, previous research does not explore men with unwanted sexual experiences, nor their sexual and general health outcomes. Weighted data from the 2011–2017 National Survey of Family Growth included men aged 18–49 years who ever experienced oral, vaginal, or anal sex by partners of any gender ( N = 10,763). The Pearson χ2 test compared the sociodemographic of men with or without a history of unwanted or non-consensual sex. Logistic regressions were used to examine the association of this history to sexual health and general health outcomes, while controlling for age, race/ethnicity, and education level. Approximately 1 in 10 (10.3%) American men reported experiencing unwanted or non-consensual sex in their lifetime. Men with these experiences were more likely to rate their health as fair or poor (a OR = 1.5, 95% CI = [1.1, 2.0]) and have difficulty concentrating, remembering, or making decisions due to a physical, mental, or emotional condition (a OR = 2.1, 95% CI = [1.7, 2.7]). Men with forced sex experiences reported higher odds of gonorrhea (a OR = 5.4; 95% CI = [3.0, 10.0]) or chlamydia diagnoses (a OR = 2.5; 95% CI = [1.5, 4.4]) in the past year, and a diagnosis of genital herpes (a OR = 2.7; 95% CI = [1.6, 4.6]), genital warts (a OR = 1.7; 95% CI = [1.0, 5.6]), and syphilis (a OR = 2.4; 95% CI = [1.0, 5.6]) in their lifetime than men who did not report these experiences. The association of sexually transmitted infections and general health outcomes to unwanted and non-consensual sex validates the demand for clinicians to integrate trauma-informed care into their practice with male patients.

scholarly journals Perspectives on trauma-informed care from mothers with a history of childhood maltreatment: A qualitative study

2013 ◽  
Vol 37 (12) ◽  
pp. 1215-1224 ◽  
Author(s):  
Maria Muzik ◽  
Menatalla Ads ◽  
Caroline Bonham ◽  
Katherine Lisa Rosenblum ◽  
Amanda Broderick ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Childhood Maltreatment ◽  
History Of Childhood ◽  
Trauma Informed Care ◽  
History Of ◽  
Trauma Informed
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