TY - JOUR
T1 - Is Pediatric Intensive Care Trauma-Informed? A Review of Principles and Evidence
AU - Demers, Lauren A.
AU - Wright, Naomi M.
AU - Kopstick, Avi J.
AU - Niehaus, Claire E.
AU - Hall, Trevor A.
AU - Williams, Cydni N.
AU - Riley, Andrew R.
N1 - Publisher Copyright:
© 2022 by the authors.
PY - 2022/10
Y1 - 2022/10
N2 - 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.
AB - 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.
KW - medical trauma
KW - pediatric critical care
KW - pediatric intensive care unit
KW - pediatric medical traumatic stress
KW - trauma-informed care
UR - http://www.scopus.com/inward/record.url?scp=85140613242&partnerID=8YFLogxK
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U2 - 10.3390/children9101575
DO - 10.3390/children9101575
M3 - Review article
AN - SCOPUS:85140613242
SN - 2227-9067
VL - 9
JO - Children
JF - Children
IS - 10
M1 - 1575
ER -