Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence
Pediatric critical illness and injury, along with the experience of recovering from critical illness are among the most potentially traumatic experiences for children and their families. Additionally, children often come to the Pediatric Intensive Care Unit (PICU) with pre-existing trauma that may s...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/10/1575 |
| _version_ | 1797474191571681280 |
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| author | Lauren A. Demers Naomi M. Wright Avi J. Kopstick Claire E. Niehaus Trevor A. Hall Cydni N. Williams Andrew R. Riley |
| author_facet | Lauren A. Demers Naomi M. Wright Avi J. Kopstick Claire E. Niehaus Trevor A. Hall Cydni N. Williams Andrew R. Riley |
| author_sort | Lauren A. Demers |
| collection | DOAJ |
| description | Pediatric critical illness and injury, along with the experience of recovering from critical illness are among the most potentially traumatic experiences for children and their families. Additionally, children often come to the Pediatric Intensive Care Unit (PICU) with pre-existing trauma that may sensitize them to PICU-related distress. Trauma-informed care (TIC) in the PICU, while under-examined, has the potential to enhance quality of care, mitigate trauma-related symptoms, encourage positive coping, and provide anticipatory guidance for the recovery process. This narrative review paper first describes the need for TIC in the PICU and then introduces the principles of TIC as outlined by the American Academy of Pediatrics: awareness, readiness, detection and assessment, management, and integration. Current clinical practices within PICU settings are reviewed according to each TIC principle. Discussion about opportunities for further development of TIC programs to improve patient care and advance knowledge is also included. |
| first_indexed | 2024-03-09T20:27:36Z |
| format | Article |
| id | doaj.art-da9c19e2ce5745caad7583f75a1829da |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T20:27:36Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-da9c19e2ce5745caad7583f75a1829da2023-11-23T23:33:10ZengMDPI AGChildren2227-90672022-10-01910157510.3390/children9101575Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and EvidenceLauren A. Demers0Naomi M. Wright1Avi J. Kopstick2Claire E. Niehaus3Trevor A. Hall4Cydni N. Williams5Andrew R. Riley6Pediatric Critical Care and Neurotrauma Recovery Program, Oregon Health & Science University, Portland, OR 97239, USADivision of Pediatric Psychology, Department of Pediatrics, Oregon Health & Science University, Portland, OR 97239, USADivision of Pediatric Critical Care Medicine, Department of Pediatrics, Texas Tech University Health Science Center El Paso, El Paso, TX 97705, USADivision of Psychology and Psychiatry, University of Louisville School of Medicine, Louisville, KY 40202, USAPediatric Critical Care and Neurotrauma Recovery Program, Oregon Health & Science University, Portland, OR 97239, USAPediatric Critical Care and Neurotrauma Recovery Program, Oregon Health & Science University, Portland, OR 97239, USADivision of Pediatric Psychology, Department of Pediatrics, Oregon Health & Science University, Portland, OR 97239, USAPediatric critical illness and injury, along with the experience of recovering from critical illness are among the most potentially traumatic experiences for children and their families. Additionally, children often come to the Pediatric Intensive Care Unit (PICU) with pre-existing trauma that may sensitize them to PICU-related distress. Trauma-informed care (TIC) in the PICU, while under-examined, has the potential to enhance quality of care, mitigate trauma-related symptoms, encourage positive coping, and provide anticipatory guidance for the recovery process. This narrative review paper first describes the need for TIC in the PICU and then introduces the principles of TIC as outlined by the American Academy of Pediatrics: awareness, readiness, detection and assessment, management, and integration. Current clinical practices within PICU settings are reviewed according to each TIC principle. Discussion about opportunities for further development of TIC programs to improve patient care and advance knowledge is also included.https://www.mdpi.com/2227-9067/9/10/1575pediatric intensive care unitpediatric critical caretrauma-informed caremedical traumapediatric medical traumatic stress |
| spellingShingle | Lauren A. Demers Naomi M. Wright Avi J. Kopstick Claire E. Niehaus Trevor A. Hall Cydni N. Williams Andrew R. Riley Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence Children pediatric intensive care unit pediatric critical care trauma-informed care medical trauma pediatric medical traumatic stress |
| title | Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence |
| title_full | Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence |
| title_fullStr | Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence |
| title_full_unstemmed | Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence |
| title_short | Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence |
| title_sort | is pediatric intensive care trauma informed a review of principles and evidence |
| topic | pediatric intensive care unit pediatric critical care trauma-informed care medical trauma pediatric medical traumatic stress |
| url | https://www.mdpi.com/2227-9067/9/10/1575 |
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