This document discusses childhood trauma, normal and serious reactions to traumatic stress, and strategies for supporting children who have experienced trauma. It notes that trauma can result from natural disasters, abuse, neglect or other psychological assaults. Common child responses include regression, poor school performance, risky behaviors, and mental health issues like depression and anxiety. The document provides guidance on talking to traumatized children, conducting assessments, and helping children and families recover over the short and long term through therapeutic activities, return to routine, and trauma-informed care.
Global Medical Cures™ | Child Trauma Toolkit for Educators
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Community Care Live (May 2014) Presentation by Richard Cross and Linda Moss
Five Rivers Child Care attended Community Care and gave a talk on Trauma and Attachment informed practice for children in residential and foster care. It was felt to be so helpful that it was repeated in the afternoon and generated many queries from practitioners.
When a child has been abused and neglected they have often suffered physical trauma directly or by witnessing it with others and we now know that this impedes their physiological development and their brain capacity - they suffer emotional and physical developmental delays and have problems with learning.
Foster carers and residential staff at Five Rivers are being trained on an ongoing basis as research informs our practice, to help work with the traumatised child. In addition a child will often have problems with poor attachment, the two making each other worse. Our work helps us identify the types of help a child needs while they are in placement and gives us 'every day' ways of working - even by the non-professional therapist.
This being part of the professional therapeutic team is what helps Five Rivers get results for the children they care for. It is part of what makes our carers commit to above and beyond what many will do.
Five Rivers challenges the local authorities to make commitments to their children's placements to allow sufficient time to work with the children and make a real difference.
Where there are good partnership relationships this has really benefited the children in their residential and fostering placements. We have excellent successes in placements lasting well despite being sorely tested.
The recent attack in downtown Ottawa has deeply affected our city. We have a powerful desire to stay strong as individuals and as a community yet we are all human so it is natural to feel fear, anxiety and loss after this type of event. Recognizing this, The Royal held a special info session on coping with trauma.
Presenters:
Dr. Jakov Shlik, Clinical Director, Operational Stress Injury Clinic and Anxiety program, The Royal
Michelle Antwi, Operational Stress Injury Clinic, The Royal
Katie Bendell, Operational Stress Injury Clinic, The Royal
This Webinar was presented on Tuesday, February 15, 2011, as part of the free monthly series from Friends for Youth's Mentoring Institute with Special Presenter John Stirling, M.D.
Clinicians caring for victims of early abuse or neglect are often puzzled at their inability to respond to a more consistent and caring environment, including mentoring. This presentation synthesizes concepts from developmental neurobiology, attachment theory, and family ecology to help participants understand the obstacles faced in leaving abuse behind, and to suggest paths to more effective therapy. Mentoring is an important component in treatment and there will be a special focus on understanding the Big Picture regarding early trauma, including the physiologic response to stresses, learned helplessness, and intrauterine drug exposure, to show how these children and youth react differently and need special handling.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Global Medical Cures™ | Child Trauma Toolkit for Educators
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Community Care Live (May 2014) Presentation by Richard Cross and Linda Moss
Five Rivers Child Care attended Community Care and gave a talk on Trauma and Attachment informed practice for children in residential and foster care. It was felt to be so helpful that it was repeated in the afternoon and generated many queries from practitioners.
When a child has been abused and neglected they have often suffered physical trauma directly or by witnessing it with others and we now know that this impedes their physiological development and their brain capacity - they suffer emotional and physical developmental delays and have problems with learning.
Foster carers and residential staff at Five Rivers are being trained on an ongoing basis as research informs our practice, to help work with the traumatised child. In addition a child will often have problems with poor attachment, the two making each other worse. Our work helps us identify the types of help a child needs while they are in placement and gives us 'every day' ways of working - even by the non-professional therapist.
This being part of the professional therapeutic team is what helps Five Rivers get results for the children they care for. It is part of what makes our carers commit to above and beyond what many will do.
Five Rivers challenges the local authorities to make commitments to their children's placements to allow sufficient time to work with the children and make a real difference.
Where there are good partnership relationships this has really benefited the children in their residential and fostering placements. We have excellent successes in placements lasting well despite being sorely tested.
The recent attack in downtown Ottawa has deeply affected our city. We have a powerful desire to stay strong as individuals and as a community yet we are all human so it is natural to feel fear, anxiety and loss after this type of event. Recognizing this, The Royal held a special info session on coping with trauma.
Presenters:
Dr. Jakov Shlik, Clinical Director, Operational Stress Injury Clinic and Anxiety program, The Royal
Michelle Antwi, Operational Stress Injury Clinic, The Royal
Katie Bendell, Operational Stress Injury Clinic, The Royal
This Webinar was presented on Tuesday, February 15, 2011, as part of the free monthly series from Friends for Youth's Mentoring Institute with Special Presenter John Stirling, M.D.
Clinicians caring for victims of early abuse or neglect are often puzzled at their inability to respond to a more consistent and caring environment, including mentoring. This presentation synthesizes concepts from developmental neurobiology, attachment theory, and family ecology to help participants understand the obstacles faced in leaving abuse behind, and to suggest paths to more effective therapy. Mentoring is an important component in treatment and there will be a special focus on understanding the Big Picture regarding early trauma, including the physiologic response to stresses, learned helplessness, and intrauterine drug exposure, to show how these children and youth react differently and need special handling.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
1. 1
Childhood Traumatic Stress
National Resource Ctr. for Family-Centered
Practice and Permanency Planning
January 8, 2008 Teleconference
April Naturale, LCSW
2. What is Trauma?
• Either a physical injury caused by some
direct external force or psychological
injury caused by some extreme emotional
assault
• Can result in stress-physical, psychological
and social forces or pressures that cause
some significant modification, usually a
distortion
3. 3
Examples of Trauma
Natural events such as an accident-a fall that
results in a physical injury or fear
Man made events such as physical assault and/or
abuse, torture
Psychological events such as separation from
primary caregiver, neglect, humiliation and other
forms of psychological assault
Community events-death of a family member, large
scale accidents or disasters
4. 4
Key Concepts of Trauma
• People will have varying psychological
and emotional reactions
• Talking with a traumatized person in
crisis does not always mean talking
about the trauma
• People pace themselves when dealing
with grief,pain, sorrow and loss
• Interject normalcy and respite
5. 5
• Feel very nervous, helpless, fearful, sad or
angry
• Feel hopeless about the future
• Feel detached or unconcerned about others
• Feel numb and unable to experience love or joy
• Feel that things are unreal; dissociate
People may feel and express their reactions differently.
They may:
Normal Reactions to Stress & Trauma
Emotional and Behavioral
6. 6
Normal Reactions to Stress & Trauma
Emotional and Behavioral cont’d.
• Have an increased startle response
• Be irritable or have outbursts of anger
• Become easily upset or agitated
• Have frequent distressing dreams or memories
• Avoid people, places and things related to
the disaster
• Have trouble concentrating
7. 7
• Have an upset stomach, eat too much or too little,
or have other gastrointestinal problems
• Experience a pounding heart, rapid breathing,
sweating, or severe headache when thinking about
the disaster
• Have trouble falling asleep, staying asleep, or
sleeping too much
How people may physically and cognitively react to a
disaster varies. They may:
Normal Reactions to Stress & Trauma
Physical & Cognitive
8. 8
Normal Reactions To Stress & Trauma
Physical & Cognitive cont’d.
• Be on guard and constantly alert
• Be jumpy and startle easily at sudden noises
• Have a worsening of chronic medical problems
• Be exhausted
• Have trouble concentrating
• Elicit poor judgment
• Exhibit denial of emotions or lack memory of
events
9. 9
Adults often underestimate
what children experience
the extent of their reactions
and what they need to know
Trauma Responses in Children
10. 10
• Regression to younger development stage
(e.g.bed-wetting, thumb sucking, clinging)
• Poor school performance
• Isolation
• High Risk Behaviour such as:
-In teens, promiscuous or adult-like behavior
(e.g. taking charge)
-Use of substances such as alcohol or drugs
Common Trauma Responses
in Children
11. 11
• Impaired concentration
• Impaired learning
• Aggression
• Recklessness
• Reduced inhibitions
• Somatic complaints
• School refusal
Common Trauma Responses
in Children
12. 12
Children can develop wide range
of difficulties that may become serious
• Depression
• Anxiety
• Behaviour Disorders
• Mood Disorders
More Serious Trauma Responses
in Children
13. 13
Children suffer a dual response:
1.The impact of the trauma on themselves &
2.the emotional distress of caregivers,
parents and teachers
Adult support is a strong protective factor or
impacted adults may make at-risk children
more vulnerable
Unique Effects of Childhood Trauma
14. 14
• Disruption of child or adolescent
development
• Interfering in the growth of emotional
maturity
• Repeated exposure can affect the child's
brain and nervous system
Unique Effects of Childhood Trauma
15. 15
• Increased use of health/mental health
services
• Increased involvement with the child
welfare and juvenile justice systems
• Profound long-term consequences
Known Potential Impacts
16. 16
• Childhood traumatic grief (CTG)-
a condition which compromises child’s
capacity to negotiate normal grieving
• CTG and the loss of parental support
places children at high risk for serious
emotional difficulties and major mental
health problems
Traumatic Grief Responses
17. 17
• I know how you feel
• Let’s talk about something else
• You are strong enough to deal with this
• You’ll feel better soon
• You did everything you could
• You need to relax
• It’s good that you are alive
What Not to Say to Bereaved Children
18. 18
• Help children understand, name and accept
their feelings
• Practice and teach children (and parents)
skills of :
calming and soothing
tolerating
managing difficult feelings
Immediate Child Care Worker Tasks
19. 19
• Affirm that the reactions are common
in response to traumatic events
• Help the child make sense of the trauma
• Link children and their families with
other helpful agencies
Continuing Child Care Worker Tasks
20. 20
• Maximize caring and support
• Just answer the questions they ask
• Provide sense of safety and security in
whatever form you can
• Reassure children that adults are in control
• Tolerate regression or need to control
• Reinforce their primary role as child/student
• Return to routine
Instructions to Parents & Caregivers
21. 21
• Many children find it helpful to write
down their trauma experiences in the
form of pictures, diaries and stories
• Others use:
-photography
-musical expression
-drama performance
Therapeutic Activities
22. 22
Therapeutic Activities
A WORD OF WARNING:
When conducting therapeutic activities,
refrain from probing for feelings unless
you are the treating therapist intending
to activate trauma memory as part of
Exposure Therapy. Otherwise, just allow
and support expressive activities.
23. 23
Trauma experts in Oklahoma working with Katrina
evacuees monitored rising resentment between
host families and evacuee children. An
interventionist conducted focus groups to find out
what was most important to ‘the acting out’
children. They discovered the need to give the
evacuee families an opportunity to say thank you
and organized a class activity including shopping
together and cooking traditional Southern meals.
Case Examples: Oklahoma City
24. 24
What about Posttraumatic Stress
Disorder (PTSD)?
Experiencing, witnessing or being confronted
with an event involving actual or threatened
death or serious injury; one’s response
involves intense fear, helplessness or horror.
The event is persistently reexperienced via:
recurrent, intrusive distressing memories,
dreams; psychological distress and/or
physiological reactivity at exposure to cues,
symbols or resemblances of traumatic event.
(DSM-IVTR, 2000)
25. 25
PTSD Prevalence
Most People
will not
develop PTSD after a disaster
or other traumatic event
Many, though, may have
serious symptoms of distress
26. 26
• Select appropriate screening instruments
for children and adolescents (obtain consent)
(e.g. UCLAPTSD Index)
• Communicate the results sensitively
and ensure adequate mental health
services for those in need
• Refer to specialized service providers
Assessment and Screening
27. 27
The Psychological Tasks of
Recovery
• Regaining a sense of mastery and
control
• Resumption of age-appropriate
roles and activities
• Develop new normal-routine
28. 28
Tasks of Recovery
• Give children and families permission to
celebrate even in the midst of a trauma-
encourage the children to play, laugh, experience
joy
• Have children spend time with friends and
family…return to school asap-don’t isolate them
• Plan for emergencies: add ‘tools’ to the
children’s backpack that will help them cope(e.g.
flashlight, family picture, object of comfort,
crayons/writing pad, etc.)
29. 29
Long Term Affects of Disaster
Trauma and Stress
• Anger, resentment and conflict
• Uncertainty about the future
• Prolonged mourning of losses
• Diminished problem solving
• Isolation and hopelessness
• Health problems
• Lifestyle changes
30. 30
Longer Term Interventions
• Continuing Needs Assessment
• Psychological First Aid
• Secondary Psol Assist (Crisis Counseling)
• Outreach
• Enhanced or Intermediate Services
• Traumatic Grief and Bereavement Support
• Cognitive Behavioral Treatment