This PowerPoint file is a supplement to the video presentation This PowerPoint file is a supplement to the video presentation. Some of the educational content of this program is not available solely through the PowerPoint file. Participants should use all materials to enhance the value of this continuing education program. 1
45311 Post-Traumatic Stress Disorder (PTSD) Kermit Little, RN, PhD Nurse Aide/Nurse Assistant 45311 Post-Traumatic Stress Disorder (PTSD) Kermit Little, RN, PhD Assistant Professor Anita Thigpen Perry School of Nursing -TTUHSC Lubbock, Tx
Nurse Aide/Nurse Assistant 45311 Objectives 1. Identify definitions/stressors.
Nurse Aide/Nurse Assistant 45311 Objectives 2. Recognize symptoms/classifications.
Nurse Aide/Nurse Assistant 45311 Objectives 3. Indicate treatments/therapies.
Post-Traumatic Stress Disorder (PTSD) Kermit Little, RN, PhD
PTSD Definition
PTSD Is characterized by the development of physiological and behavioral symptoms following...
PTSD ...a psychologically traumatic event that is generally outside the range of usual human experience
PTSD The stressor, which would be considered markedly distressing to almost anyone,...
PTSD ...has usually been experienced with intense fear, terror, and helplessness
Traumatic Events That Can Lead to PTSD
Traumatic Events War Natural disasters Car or plane crashes Terrorist attacks
Traumatic Events Sudden death of a loved one Rape Kidnapping
Traumatic Events Assault Sexual or physical abuse Childhood neglect
Types of Symptoms Intrusive re-experience Avoidance Emotional arousal
Intrusive Re-experience
Intrusive Re-experience Intrusive, upsetting memories of the event Flashbacks (acting or feeling like the event is happening again)
Intrusive Re-experience Nightmares (either of the event or of other frightening things)
Intrusive Re-experience Feelings of intense distress when reminded of the trauma
Intrusive Re-experience Intense physical reactions to reminders of the event
Avoidance Avoiding activities, places, thoughts, or feelings that remind you of the trauma
Avoidance Inability to remember important aspects of the trauma
Avoidance Loss of interest in activities and life in general
Avoidance Feeling detached from others and emotionally numb
Avoidance Sense of a limited future (you don’t expect to live a normal life span, get married, have a career)
Emotional Arousal Difficulty falling or staying asleep Irritability or outbursts of anger or rage
Emotional Arousal Difficulty concentrating Hypervigilance Easily startled
Personality Change Bland or violent Lack of ability to bond Sensation seeking Lack of caring
Personality Change Loss of creativity Loss of purpose
Loss of Productive Life Live as hermit Go to prison Divorce Cannot hold job
Loss of Productive Life Alcohol or drugs Depression Suicide
Duration of Symptoms Brief Life-long Initial, then returns later in life
Theory A neurological condition involving a change in the normal processing of experience
Theory The experience is locked into the right hemisphere of the brain as a living experience with all emotional,...
Theory ...visual, tactual, olfactory, and auditory experiences retained as if the event were happening now
Theory If the event memory is transferred into the left hemisphere of the brain, it is stored as a verbal memory
Treatment Psychotherapy Eye movement desensitization and reprocessing
Treatment Medications
Treatment Relationship
Psychotherapy Individual or group Cognitive-behavioral Exposure therapy
Eye Movement Desensitization and Reprocessing (EMDR) Neurological Treatment
Neurological Treatment Activates both brain hemispheres alternately
Neurological Treatment Can be done using: eye movement (side to side)
Neurological Treatment Can be done using: auditory sounds alternating from side to side
Neurological Treatment Can be done using: tactile stimulation alternating on opposite sides of the body
Neurological Treatment Stimulation occurs while the patient focuses on the traumatic memory
Medications Antidepressants Benzodiazepines
Medications Antidepressants; selective serotonin reuptake inhibitors (SSRIs) found to be most effective
Medications Benzodiazepines
Relationship Another person, such as another veteran, becomes a mentor to the victim
Research-Proven Therapist Attributes
Therapist Attributes Treatment utilized will be most effective if the therapist possesses and demonstrates:
Therapist Attributes unconditional warmth accurate empathy genuineness
Unconditional Warmth The therapist by an act of will, chooses to accept the patient however he behaves,...
Unconditional Warmth ...without attempting to change the patient, and communicates this love to the patient
Accurate Empathy The therapist accurately understands what the patient is saying, thinking,...
Accurate Empathy ...feeling, or experiencing, and communicates to the patient that understanding
Genuineness The therapist is totally genuine with the patient...
Genuineness ...and communicates that genuineness to the patient
HOPE There is hope for emotionally damaged victims
Nurse Aide/Nurse Assistant Post-Traumatic Stress Disorder (PTSD) 45311 Post-Traumatic Stress Disorder (PTSD) If you have any questions about the program you have just watched, you may call us at: (800) 424-4888 or fax (806) 743-2233. Direct your inquiries to Customer Service. Be sure to include the program number, title and speaker.
11/01/2011 45311 Release Date: The accreditation for this Nurse Aide/Nurse Assistant 45311 Release Date: 11/01/2011 The accreditation for this program can be found by signing in to www.ttuhsc.edu/health.edu
Nurse Aide/Nurse Assistant 45311 Provider approved by Florida Department of Health Board of Nursing – Certified Nursing Assistants, Provider #50-1952. Health.edu reports Florida Continuing Education (Contact Hours) to CE Broker.
This PowerPoint file is a supplement to the video presentation This PowerPoint file is a supplement to the video presentation. Some of the educational content of this program is not available solely through the PowerPoint file. Participants should use all materials to enhance the value of this continuing education program. 65