Trauma-Informed Care: Case Analysis and Reflection

Case Scenario:

A woman is admitted to the adult inpatient behavioral health unit after experiencing flashbacks to her rape that occurred when she was a 12-year-old girl while at her babysitter’s. She was raped by the babysitter’s 15-year-old son and three of his friends. Upon admission, the client is quiet, curled on her side in the fetal position on the bed, and rejecting of others who enter her room, shrinking to the far side of the bed whenever any person opens her door. Her sister, who accompanied her to the hospital, tells you that the client has been like this since a news story appeared last week about a young girl being abducted from a mall and beaten and raped by several teenage boys. The client has not eaten, slept, or gone to work since hearing the news account.

a.  What trauma/stress-related disorder is this client experiencing?

b. What risk factors does she exhibit?

c.  List at least two treatment interventions that are viable options to assist the client at this time.

Instructions

Read Thoroughly: Familiarize yourself with the case, noting key elements like symptoms, medical history, and social factors affecting the patient.

Research: Conduct scholarly research to better understand the condition presented in the case study. Use at least five peer-reviewed articles to support your analysis.

Ethical Considerations: Examine any ethical considerations associated with the case. For example, consider patient consent, confidentiality, and duty of care.

Reflection: Write a 300-word reflection on what you have learned from this assignment and how it will impact your future practice.

Due Date: The initial post and peer responses are due every Saturday at 11:30 p.m.

Academic Integrity

Plagiarism will not be tolerated. Ensure that all sources are correctly cited and that you have not copied material from other sources unless appropriately cited.

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answer;

a. Trauma/Stress-Related Disorder: The client in this case is experiencing symptoms consistent with Post-Traumatic Stress Disorder (PTSD). PTSD is characterized by intrusive memories, avoidance of trauma-related stimuli, negative alterations in mood and cognition, and changes in arousal/reactivity following exposure to a traumatic event (American Psychiatric Association, 2013). The client’s flashbacks to her childhood rape, triggered by the recent news story about a similar incident, along with her withdrawal, fear, and avoidance behaviors, align with the diagnostic criteria for PTSD.

b. Risk Factors: Several risk factors contribute to the client’s vulnerability to PTSD:

1. History of childhood sexual assault: The client’s past trauma of being raped by multiple perpetrators at a young age increases her susceptibility to developing PTSD.
2. Recent triggering event: The news story about another girl being abducted and raped serves as a trigger, exacerbating the client’s existing trauma and symptoms.
3. Lack of coping mechanisms: The client’s inability to cope with the distressing news and her subsequent withdrawal from daily activities, including eating, sleeping, and working, suggests a deficit in coping skills, further worsening her symptoms.

c. Treatment Interventions: Two viable treatment interventions to assist the client at this time include:

1. Trauma-focused cognitive-behavioral therapy (TF-CBT): TF-CBT is an evidence-based therapy specifically designed to address trauma-related symptoms, including PTSD, in children and adults (Cohen et al., 2017). It involves various components such as psychoeducation, relaxation techniques, cognitive restructuring, and exposure therapy, aimed at helping the client process traumatic memories and develop coping skills to manage distress.
2. Eye Movement Desensitization and Reprocessing (EMDR): EMDR is another evidence-based therapy for PTSD that focuses on facilitating the processing of traumatic memories and reducing associated distress (Shapiro, 2018). During EMDR sessions, the client is guided to recall traumatic memories while engaging in bilateral stimulation, such as eye movements, which helps desensitize the client to the traumatic material and promote adaptive processing.

Ethical Considerations: In providing care to the client, ethical considerations include obtaining informed consent for treatment, ensuring confidentiality of sensitive information, and upholding the duty of care to provide competent and compassionate care. Given the nature of the client’s trauma, maintaining a safe and supportive therapeutic environment is essential to promote healing and recovery.

Reflection: This assignment has underscored the significance of trauma-informed care in nursing practice, particularly in addressing the complex needs of individuals with PTSD. It has emphasized the importance of evidence-based interventions and ethical considerations in providing comprehensive care to trauma survivors. Moving forward, I will continue to prioritize trauma-informed approaches in my practice, advocate for the needs of individuals affected by trauma, and strive to create a safe and supportive environment for healing and recovery. Additionally, I will remain committed to ongoing education and training in trauma-focused therapies to enhance my competence and effectiveness in caring for individuals with trauma-related disorders.

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