{"id":888,"date":"2024-04-10T08:07:51","date_gmt":"2024-04-10T12:07:51","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=888"},"modified":"2024-04-10T08:11:32","modified_gmt":"2024-04-10T12:11:32","slug":"2-1-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/2-1-3\/","title":{"raw":"2.1.3 Trauma-Informed Care","rendered":"2.1.3 Trauma-Informed Care"},"content":{"raw":"<ul>\r\n \t<li>Most LTC residents will have experienced traumatic events in their lives<\/li>\r\n \t<li>In the United States, 55-90% of adults report experiencing at least one traumatic event<\/li>\r\n \t<li>Trauma results from an event or series of events, or a set of circumstances an individual experiences as physically or emotionally harmful or threatening<\/li>\r\n \t<li>Trauma events may have lasting adverse effects on the individual\u2019s functioning, mental, physical, social, emotional, or spiritual well-being<\/li>\r\n \t<li>Traumatic events can be experienced by an individual, a generation, or an entire community or culture<\/li>\r\n<\/ul>\r\nSources of trauma for LTC residents can include:\r\n<ul>\r\n \t<li>War<\/li>\r\n \t<li>Sexual abuse<\/li>\r\n \t<li>Starvation<\/li>\r\n \t<li>Restraints<\/li>\r\n \t<li>Seclusion<\/li>\r\n \t<li>Medical experimentation<\/li>\r\n \t<li>Childhood abuse<\/li>\r\n \t<li>Racism<\/li>\r\n \t<li>Homophobia<\/li>\r\n \t<li>Sexism<\/li>\r\n \t<li>Homelessness<\/li>\r\n \t<li>Hate crimes<\/li>\r\n \t<li>Natural disasters<\/li>\r\n \t<li>Violence[footnote]HSO, 2023[\/footnote][footnote]LeadingAge Maryland, 2019[\/footnote][footnote]SAMHSA, 2023[\/footnote]<\/li>\r\n<\/ul>\r\nOlder people may experience traumas related to:\r\n<ul>\r\n \t<li>The aging process itself<\/li>\r\n \t<li>The loss of loved ones, of their own capacities (physical and mental)<\/li>\r\n \t<li>Loss of roles and identity and of their home, and<\/li>\r\n \t<li>Increased dependence on caregivers<\/li>\r\n<\/ul>\r\nIndividual side effects of trauma can include:\r\n<ul>\r\n \t<li>Depression, anxiety, PTSD<\/li>\r\n \t<li>Substance use disorders,<\/li>\r\n \t<li>Avoiding people\/places\/situations<\/li>\r\n \t<li>Decreased concentration, impaired short team memory<\/li>\r\n \t<li>Insomnia, flashbacks<\/li>\r\n \t<li>Trust issues with others &amp; the health system<\/li>\r\n<\/ul>\r\nTrauma Informed Care (TIC):\r\n<ul>\r\n \t<li>Recognizes the potential for long term side effects following a traumatic event &amp; that most people do experience trauma in their lifetimes<\/li>\r\n \t<li>Recognizes the signs &amp; symptoms of trauma for residents<\/li>\r\n \t<li>Understands that recovery is possible<\/li>\r\n \t<li>Responds by integrating knowledge about trauma into policies, procedures, and practices<\/li>\r\n \t<li>Seeks to actively avoid re-traumatization<\/li>\r\n<\/ul>\r\nAvoid thinking what is wrong with this person to what happened to this person.[footnote]LeadingAge Maryland, 2019[\/footnote]","rendered":"<ul>\n<li>Most LTC residents will have experienced traumatic events in their lives<\/li>\n<li>In the United States, 55-90% of adults report experiencing at least one traumatic event<\/li>\n<li>Trauma results from an event or series of events, or a set of circumstances an individual experiences as physically or emotionally harmful or threatening<\/li>\n<li>Trauma events may have lasting adverse effects on the individual\u2019s functioning, mental, physical, social, emotional, or spiritual well-being<\/li>\n<li>Traumatic events can be experienced by an individual, a generation, or an entire community or culture<\/li>\n<\/ul>\n<p>Sources of trauma for LTC residents can include:<\/p>\n<ul>\n<li>War<\/li>\n<li>Sexual abuse<\/li>\n<li>Starvation<\/li>\n<li>Restraints<\/li>\n<li>Seclusion<\/li>\n<li>Medical experimentation<\/li>\n<li>Childhood abuse<\/li>\n<li>Racism<\/li>\n<li>Homophobia<\/li>\n<li>Sexism<\/li>\n<li>Homelessness<\/li>\n<li>Hate crimes<\/li>\n<li>Natural disasters<\/li>\n<li>Violence<a class=\"footnote\" title=\"HSO, 2023\" id=\"return-footnote-888-1\" href=\"#footnote-888-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><a class=\"footnote\" title=\"LeadingAge Maryland, 2019\" id=\"return-footnote-888-2\" href=\"#footnote-888-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><a class=\"footnote\" title=\"SAMHSA, 2023\" id=\"return-footnote-888-3\" href=\"#footnote-888-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><\/li>\n<\/ul>\n<p>Older people may experience traumas related to:<\/p>\n<ul>\n<li>The aging process itself<\/li>\n<li>The loss of loved ones, of their own capacities (physical and mental)<\/li>\n<li>Loss of roles and identity and of their home, and<\/li>\n<li>Increased dependence on caregivers<\/li>\n<\/ul>\n<p>Individual side effects of trauma can include:<\/p>\n<ul>\n<li>Depression, anxiety, PTSD<\/li>\n<li>Substance use disorders,<\/li>\n<li>Avoiding people\/places\/situations<\/li>\n<li>Decreased concentration, impaired short team memory<\/li>\n<li>Insomnia, flashbacks<\/li>\n<li>Trust issues with others &amp; the health system<\/li>\n<\/ul>\n<p>Trauma Informed Care (TIC):<\/p>\n<ul>\n<li>Recognizes the potential for long term side effects following a traumatic event &amp; that most people do experience trauma in their lifetimes<\/li>\n<li>Recognizes the signs &amp; symptoms of trauma for residents<\/li>\n<li>Understands that recovery is possible<\/li>\n<li>Responds by integrating knowledge about trauma into policies, procedures, and practices<\/li>\n<li>Seeks to actively avoid re-traumatization<\/li>\n<\/ul>\n<p>Avoid thinking what is wrong with this person to what happened to this person.<a class=\"footnote\" title=\"LeadingAge Maryland, 2019\" id=\"return-footnote-888-4\" href=\"#footnote-888-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/p>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-888-1\">HSO, 2023 <a href=\"#return-footnote-888-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-888-2\">LeadingAge Maryland, 2019 <a href=\"#return-footnote-888-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-888-3\">SAMHSA, 2023 <a href=\"#return-footnote-888-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-888-4\">LeadingAge Maryland, 2019 <a href=\"#return-footnote-888-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":7,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-888","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/888","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/888\/revisions"}],"predecessor-version":[{"id":892,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/888\/revisions\/892"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/888\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=888"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=888"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=888"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}