Kassam-Adams Nancy, Butler Lucas
Research associate professor of clinical psychology in pediatrics at the University of Pennsylvania Perelman School of Medicine in Philadelphia, and directs the Center for Pediatric Traumatic Stress and serves as the associate director for behavioral research at the Center for Injury Research and Prevention at Children's Hospital of Philadelphia.
Emergency medicine resident at the University of Washington in Seattle.
AMA J Ethics. 2017 Aug 1;19(8):793-801. doi: 10.1001/journalofethics.2017.19.8.pfor1-1708.
Medical experiences can be frightening and traumatic for children. Ill and injured children can experience pediatric medical traumatic stress-psychological and physiological distress responses related to their medical event and subsequent medical treatment experiences-which can lead to symptoms of posttraumatic stress disorder (PTSD) and suboptimal health outcomes. Trauma-informed care provides a framework for acknowledging, addressing, and mitigating the risks of psychological trauma associated with medical treatment experiences and is congruent with the ethical principles of respect for autonomy, beneficence, nonmaleficence, and justice. Health care systems and professionals are encouraged to apply the principles of trauma-informed care to address the effects of pediatric medical traumatic stress.
医疗经历对儿童来说可能是可怕且具有创伤性的。患病和受伤的儿童可能会经历儿科医疗创伤应激——与他们的医疗事件及后续治疗经历相关的心理和生理痛苦反应——这可能导致创伤后应激障碍（PTSD）症状和不良的健康结果。创伤知情护理提供了一个框架，用于认识、应对和减轻与医疗经历相关的心理创伤风险，并且符合尊重自主权、行善、不伤害和公正等伦理原则。鼓励医疗保健系统和专业人员应用创伤知情护理原则来应对儿科医疗创伤应激的影响。
