The nature of combat injuries is such that bacterial contamination is frequently present in traumatic wounds.One of the natural purposes of free and unimpeded bleeding from wounds is to flush out potentially contaminating microorganisms that may have gained entry to the wound from the environment. The question then arises if a hemostatic bandage is successfully used to control potentially life-threatening bleeding, will it increase the chances of infection developing in the wound? The polycationic nature of chitosan is such that the substance possesses natural antimicrobial properties. The broad spectrum antimicrobial activity of N-carboxybutyl chitosan suggested it could be used as a wound dressing.
Counselors work with clients with traumatic experience and are exposed to these trauma-based situations commonly. As a result, exposure to trauma cases may have a significant impact on them. These trauma cases may include but are limited to post-traumatic stress disorder (PTSD), suicide, domestic violence, sexual assault, emotional abuse, being in a war, natural disaster, suicide crisis, etc. Although counselors do not actually experience these trauma experience, literature has indicated that counselors may be vicarious traumatized because of hearing and processing their clients’ presenting trauma, leading to adverse impacts on these counselors.
Background: A female collegiate softball pitcher complained of severe pain in her right elbow & sensory changes in her forearm & hand after throwing a curve ball during a pre-game warm-up. The ulnar collateral ligament (UCL) was found to be tender to palpation, as were the medial epicondyle & cubital tunnel over the ulnar nerve. Grip strength was decreased when compared bilaterally, & sensory deficits were noted as far distal as the 4th & 5th digits. Athlete did not report hearing or feeling any unusual sounds or sensations, & did not report any previous injuries to her elbow. Differential Diagnoses: UCL sprain, thoracic outlet syndrome (TOS), pronator teres strain, compression neuropathy, & cubital tunnel syndrome. Treatment: Musculoskeletal
Wanda is a 89 year old Caucasian women previously taking no medications and lives alone. She was in good health, still driving, and able to take care of herself. She was admitted to the hospital with a hip fracture after a fall. After surgery is completed she is comfortably recovering on the tele floor. Since completion of surgery, her blood pressure has been unstable. She is put on several blood pressure medications, as well as blood thinners to prevent DVT post surgery. Despite all this she is subsequently discharged to a rehab facility on her new list of medications. Within the first 24 hours of care in the rehab facility she becomes increasingly confused, passes out during therapy and is admitted back to the hospital. Upon re admission
It is vital for support of the mental health professionals that I work with, as well as myself in private practice, to pay close attention to development of any of the conditions and that at the agency I work for, there is information, training, and encouragement of self-care. For purposes of this examination, trauma related stress is divided into these four main conditions. To understand the extent and intensity of symptomology that psychologists are exposed to while providing services to trauma survivors, it is important to appreciate the types of severe symptoms that can occur because of major trauma.
• Chronic and incapacitating mental condition that is triggered by traumatic events, either experienced or visualized by the patient 1
Mr. Arciniega stated he was hired about 5 years ago, as a Cutter. He said his duties and responsibilities is to cut out various patterns of fabric with a pair of scissors and worked closely with Mrs. Cervantes. He knew very little about Ms. Cervantes and could not expound on her life with her marriage or any evidence to support he knew about her previous employment history or medial, family medical history.
Your introduction is very engaging and emphasizes the important role of communication after experiencing trauma. I believe your topic is very relatable because there is a sense of denial, seclusion, and dissociation that correlates with trauma and loss that many of us have experienced. Open communication within a family unit provides opportunities to express thoughts and feelings and develop appropriate coping strategies (Zambianchi & Bitti, 2014). In your intro you stated, "The impact childhood trauma has on our society and on children." As a suggestion, maybe you could expand on this statement or state specific impacts childhood trauma has on our society or on children. I love your examples of evidenced based interventions and how
Trauma informed care is complex and multifaceted, encompasses everything from concrete physical environment to cognition and attributions by staff including policies and procedures. A program, organization, or system that is trauma-informed realizes the widespread impact of trauma and understands potential paths for recovery; recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization (SAMHSA,2014). As human service professional who is employed at an agency that is considering creating and implementing a policy that addresses trauma-informed work with clients there are three key components that would be included in creating new policies.
DOI: 07/14/2014. Patient is a 49-year-old male laborer who sustained injury while lifting a 100-pound steel beam but the co-worker did not lift, resulting to lumbar and hands strain. Per OMNI, he was diagnosed with left C6 radicular bulge, lumbar facet disease and left thumb/right wrist injury.
The status of this case is that the applicant is set to be evaluated by panel Qualified Medical Evaluator, Dr. Alice Martinson, on April 10, 2017 at 10:00 a.m. If you have not done so already, I recommend you forward the appropriate mileage to the injured worker for this appointment. Meanwhile, our office has already sent all the medical records in our possession to Dr. Martinson's office on March 20, 2017. I have also prepared a persuasive cover letter to assist Dr. Martinson in her evaluation.
Trauma exposure is usually associated with soldiers. Trauma can happen anywhere and to anyone; it can happen to our friends, neighbors, relatives, or our children. Trauma can involve those directly involved or to those who listen to the stories. The resiliency of people is seen through our ability to recover from traumatic experiences such as war, famine, community violence, and interpersonal violence. Traumatic experiences do leave traces, whether on a large scale (like history and cultures) or close to home, on our families with dark secrets being passed down through the generations (van der Kolk, B., 2014). These trauma experiences leave traces on our emotions and cognitions, which show themselves as symptoms of stress, flashbacks,
Trauma complicates up to 7%(Proof?) of all pregnancies and is the leading non obstetric cause of death among pregnant women. The most common traumatic injuries are motor vehicle crashes, assaults, falls, and intimate partner violence(Table1).Nine out of 10 traumatic injuries during pregnancy are classified as minor, yet 60% to 70% of fetal losses after trauma are a result of minor injuries.(1)
Supportive responses by family after an assault have been linked to improved mental health for the victims of sexual trauma, (Lovett, 2004). How the family of a victim responds to the sexual trauma is crucial, it can impede the healing process or benefit the healing process. Negative responses from family can lead a victim to adverse coping mechanisms and behaviors. According to James and Gillian (2013), “The recovery of survivors of sexual assault is enhanced by the empathetic help and understanding of the people close to them” (p. 260). It is common for family to be unsure of how to act around a loved one who is a victim of assault. It is imperative for family members to love a victim with perfect love through the trauma. 1 John 4:18 says “There is no fear in love; but perfect love casteth out fear: because fear hath torment. He that feareth is not made perfect in love.” (KJV). A victim of sexual assault will be fragile and unsure of the world around them. God tells us to support them in these times in Acts 20:35 “I have shewed you all things, how that so labouring ye ought to support the weak and to remember the words of the Lord Jesus, how he said, It is more blessed to give than to receive.” Lastly, when walking with a loved one through a sexual trauma, God instructs us to bear the burden to fulfill His law. Galatians 6:2 says “Bear ye one another's burdens, and so fulfill
Jane is a nine year old girl who has been brought in to therapy by her mother for stealing, being destructive, lying, behaving aggressively toward her younger siblings, and acting cruelly to animals. Jane has also been acting clingy and affectionate toward strangers.
Chitosan, derived from chitin, is the most abundant natural polymer in the world besides cellulose, making it relatively inexpensive (Esam & Yahaya, 2010). Chitosan has been of interest due to its many advantages as a biopolymer such as its biodegradability, non-toxicity, bio-compatibility, antibacterial properties, amenability with simple chemical modifications, and ease of processing and handling, dissolving in mild acidic solutions (Zhu, Jiang, & Xiao, 2010). Further, chitosan’s positively charged amine groups allow it to interact with the negatively charged surfaces of cells. As a result, chitosan is able to adhere to tissue at wound sites through electrostatic interactions (Cuy, 2004).