An Integrative Model of Pediatric Medical Traumatic Stress

Abstract

Growing empirical support exists to guide the development of assessment and intervention related to PMTS for patients with pediatric illness and their parents. The need for interventions across the course of pediatric illness and injury that target patients, families, and/or healthcare teams is apparent. The model provides a basis for further development of evidence-based treatments.

The relationship between behavioural problems in preschool children and parental distress after a paediatric burn event

“…Serious medical events, such as burn injuries, may evoke a range of psychological reactions in children [8]. Previous studies in preschool children with burns have described externalising as well as internalising difficulties.…”

Knowledge and training in paediatric medical traumatic stress and trauma-informed care among emergency medical professionals in low- and middle-income countries

“…Further, as time constraints were frequently identified as a barrier to providing trauma-informed care, training programmes that are developed for staff in these regions should aim to be brief and time efficient. It is important to note that medical and nursing staff would not be expected to replace mental health workers but rather provide routine medical care in a way that acknowledges the impact of trauma and minimizes distress, thus altering the subjective experience of the event and the immediate aftermath (Kazak et al, 2006; Marsac et al, 2014; Price et al, 2015). Several preventative approaches including the DEF protocol (Stuber, Schneider, Kassam-Adams, Kazak, & Saxe, 2006) which provide evidence based guidelines on implementing trauma-informed care and information provision (Kenardy et al, 2008) are designed to be incorporated into routine care and add little burden on time (in the Medical Traumatic Stress Toolkit: Kassam-Adams, 2014; Kenardy et al, 2008; Ko et al, 2008; Marsac et al, 2015).…”

“…The peri-traumatic period immediately post-injury has been identified as a critical period for the prevention of the development of paediatric medical traumatic stress. It is in this period that interventions can still target the child’s subjective experience of the event (Kazak et al, 2006; Marsac et al, 2014). Research has recognized the important role that medical and nursing professionals, who treat injured children in this acute peri-traumatic period, have in the prevention and identification of paediatric medical traumatic stress (Horowitz et al, 2001; Kassam-Adams, 2014; Marsac et al, 2015; Patel et al, 2007).…”

Experience of Local Anesthetic Plaster Using in Рediatrics

“…Pain reaction is caused by influence of permanent (sex, temperament, age) and temporary factors (environment, situation) [1][2][3][4].…”

“…All pain penetration and appreciation routes are formed by 30 weeks of a future child's gestation age [1, 2]. Child's experience of feeling and appreciating pain conditions is connected with intestinal colics, dentition and different medical procedures, such as vaccination, blood sampling, falls, hurts, cuts, dental and wound treatment etc.Pain reaction is caused by influence of permanent (sex, temperament, age) and temporary factors (environment, situation) [1][2][3][4].Attention to the issue of realizing and appreciating pain by children has been increasing within the last 20 years; the number of publications dedicated to the discussion of this issue has steadily been rising as well. This is caused by medical technological achievements, such as modern surgical interventions and treatment methods, and by new approaches to pain in children.…”