Health Promotion

REPLY POSTS:

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2).

Instructions:

– In your reply posts, utilize at least two scholarly references per peer post. In your reply to each of your peers, discuss content that you learned while exploring the website and a resource they might find helpful as well. The expectation is not that you “agree” or “disagree” with your peers but that you develop a reply post with information that is validated via citations to encourage learning and to bring your own perspective to the conversation.

– Use at least two scholarly references per peer post.

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the other one is the reply to my other peer Post #2.

– Minimun 300 Words per peer reply.

– TURNITIN ASSIGNMENT (FREE OF PLAGIARISM)

Note: My background for you to have as a reference: I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work at a Psychiatric Hospital.POST # 1 JAMIE

Trauma informed care acknowledges that health care organizations and care teams need to have a complete picture of a patient’s life situation -past and present- in order to provide effective health care services with a healing orientation. These practices can potentially improve patient engagement, treatment adherence, and health outcomes, as well as provider and staff wellness. It also reduces avoidable care and excess costs for both the health care and social service sectors. Trauma-informed care seeks to actively avoid re-traumatization (CHCS, 2019).

Health and stress go hand-in-hand with one another. When the body has long-term stress, the body never receives a clear signal to return to normal functioning. This can disturb the immune, digestive, cardiovascular, sleep, and reproductive systems. Over time, continued strain on your body from stress may contribute to serious health problems such as heart disease, high blood pressure, diabetes, and other illnesses including mental health disease such as depression and anxiety (NIH, 2020).

As an APRN, utilizing this information in caring for vulnerable populations can create an overall greater outcome. Acknowledging these conditions will allow the APRN to remain open-minded and create rapport with the patient to openly discuss their feelings regarding a stressful or traumatic situation. Educating the patient about proper sleep, nutrition, hydration and movement will create a more positive feeling within the patient. People should be sleeping 7-8 hours per night or as many consecutive hours as possible. Drinking water becomes even more important during times of stress; the physical response to stress mimics that of dehydration. Taking the time to hydrate yourself during times of stress will help reduce the risk of dehydration occurring. A diet high in antioxidants decreases free radicals preventing symptoms of brain-fog from vitamin and mineral deficiency. Try limiting caffeine, nicotine, and processed foods as these suppress the immune system. Finally, movement is an antidote for the impact of stress on cells. Movement improves lymphatic drainage, gut health, and micro-circulation through the organs and extremities (AHNA, 2020).

References

“5 Things You Should Know About Stress.” National Institute of Mental Health, U.S. Department of Health and Human Services, 2020, www.nimh.nih.gov/health/publications/stress/index.shtml.

“Home.” American Holistic Nurses Association, 2020, www.ahna.org/Home/Resources/Stress-Management.

What Is Trauma-Informed Care? 13 Apr. 2020, www.traumainformedcare.chcs.org/what-is-trauma-informed-care/.POST # 2 LINDA

Almost all individuals go through hardships in life; some people endure more traumatic situations while others face minor ones. The centers for disease control and prevention estimate that in 2018, 1 in 4 children suffered maltreatment, either physically, sexually, or emotionally (Tello, 2018). As a provider caring for patients who have gone through trauma, knowing what to say or how to provide treatment can be difficult, because one does not want to evoke past feelings. Hence, the purpose of this discussion is to analyze how stress and health relate to trauma informed care, and to explain how advanced nurses can provide the best care for this population.

The purpose of trauma-informed care is to gather as many details as possible (past and present events) about an individual and their trauma in order to provide optimal care. Clinicians should assess for signs and symptoms of trauma, understand the length of time it takes for a person to recover for a trauma, and how to adjust policies, procedures and practices to allow a traumatized individual to heal at their own pace. Concepts that can be used when providing care include safety, trust, transparency, peer support, collaboration, empowerment, humility, and responsiveness (“What is trauma informed care,” 2019). The ultimate goal of trauma-informed care is to enhance a patient’s comfort in receiving both physical and psychological help while avoiding past feelings and emotions. Clinicians want these patients to trust them and feel safe opening up about feelings.

Stress and health are both interrelated, and impact trauma informed care. When a person is stressed, the brain initiates a response. Every person experience stress at some point in life, the emotion is inevitable and unavoidable. Stress can be negative or positive, and results from events such as changes in work or life (Pender et al., 2015). Depending on how a person copes will determine if a positive or negative effect occurs. For individuals who face traumatic events such as violence or poverty, stress may develop into negative health outcomes as that individual may feel helpless, at fault for what has happened, or may feel lost. The negative health impacts of stress include physical and psychological impairments. Physical conditions include low back pain, poor immunologic functioning, and cardiovascular disease. Psychological impairments include decreased life satisfaction, depression, and other mental disorders (Pender et al., 2015). In all, stress, health, and traumatic informed care are interconnected.

An advanced nurse should utilize strategies to assist patients who have gone through trauma and are considered a part of a vulnerable population. Encouraging both mental and physical changes in a person’s life will potentially assist in overcoming trauma. Nurses should practice active listening and supportive decision making. Psychologically, a patient can be taught how to change their environment when stressed, and how to manage their time. Sometimes, altering a person’s beliefs and values will help change a person’s mindset (useful for moving past a hard event and reducing stress). Other strategies include working on assertiveness, setting goals, and brainstorming relaxation techniques. In addition, an advanced nurse can encourage a patient to practice exercise and meditation to reduce stress (Pender et al., 2015). When thinking about strategies, it is important for an advanced nurse to consider a person’s environment so adjustments can be made. This is especially true for vulnerable populations who are considered homeless and do not have easy access to resources.

Helping individuals cope with and move past traumatic events is vital in preventing negative health consequences in the future. If nurse practitioners utilize evidence-based strategies, treating individuals of all ages will be effective. It is important to note that treatment is not always physical, but also psychological. With the help of providers, patients will hopefully be able to move past their trauma and live happy lives.

References

Pender, N., Murdaugh, C., & Parsons, M.A. (2015). Health Promotion in Nursing Practice (7th ed.). Pearson Education Inc.

Tello, M. (2018, October 16). Trauma-informed care: what it is, and why it’s important. Harvard health publishing. https://www.health.harvard.edu/blog/trauma-informed-care-what-it-is-and-why-its-important-2018101613562

What is trauma informed care? (2019). Center for Health Care Strategies Inc. Retrieved June 17, from, https://www.traumainformedcare.chcs.org/what-is-trauma-informed-care/

 

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