Freeman Williamson Laneita, Kautz Donald D
Rehabil Nurs. 2018 Mar/Apr;43(2):73-80. doi: 10.1097/RNJ.0000000000000091.
This clinical article explores how trauma-informed care (TIC) can be used by rehabilitation nurses with patients who have experienced pervasive adverse childhood experiences (ACEs).
METHOD (INTERVENTION STRATEGIES): This clinical article gives suggestions for using the five guiding principles of TIC: safety, trustworthiness, choice, collaboration, and empowerment, as the best clinical practice.
Implementing TIC promotes successful rehabilitation, improves patient outcomes, and reduces costs. For every $1 spent on TIC, $5 is saved in lifetime costs.
ACEs cause physiological changes in the brain, leading to antisocial and risky behaviors, which may result in head injuries, spinal cord injuries, amputations, and multiple traumas with subsequent rehabilitation admissions, as well as obesity, and chronic illnesses. TIC is a cultural shift: We as providers must ask ourselves "What happened to this person?" instead of "What is wrong with this person?" Nurses are beginning to develop our literature and practice of TIC.
本文探讨康复护士如何对有过广泛童年不良经历（ACEs）的患者采用创伤知情护理（TIC）。
方法（干预策略）：本文就将TIC的五项指导原则（安全、可信赖、选择、协作和赋能）作为最佳临床实践提出了建议。
实施TIC可促进康复成功，改善患者预后，并降低成本。在TIC上每花费1美元，可节省5美元的终生成本。
ACEs会导致大脑发生生理变化，引发反社会和危险行为，这可能导致头部受伤、脊髓损伤、截肢以及多次创伤，随后需入住康复机构，还会导致肥胖和慢性病。TIC是一种文化转变：作为提供者，我们必须问自己“这个人发生了什么事？”而不是“这个人怎么了？”护士们正开始发展我们关于TIC的文献和实践。
