1. 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

2. 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

3. Nurse Aide/Nurse Assistant
45311
Objectives
1. Identify definitions/stressors.

4. Nurse Aide/Nurse Assistant
45311
Objectives
2. Recognize symptoms/classifications.

5. Nurse Aide/Nurse Assistant
45311
Objectives
3. Indicate treatments/therapies.

6. Post-Traumatic Stress Disorder (PTSD)
Kermit Little, RN, PhD

7. PTSD
Definition

8. PTSD
Is characterized by the development of physiological and behavioral symptoms following...

9. PTSD
...a psychologically traumatic event that is generally outside the range of usual human experience

10. PTSD
The stressor, which would be considered markedly distressing to almost anyone,...

11. PTSD
...has usually been experienced with intense fear, terror, and helplessness

12. Traumatic Events That Can Lead to PTSD

13. Traumatic Events
War
Natural disasters
Car or plane crashes
Terrorist attacks

14. Traumatic Events
Sudden death of a loved one
Rape
Kidnapping

15. Traumatic Events
Assault
Sexual or physical abuse
Childhood neglect

16. Types of Symptoms
Intrusive re-experience
Avoidance
Emotional arousal

17. Intrusive Re-experience

18. Intrusive Re-experience
Intrusive, upsetting memories of the event
Flashbacks (acting or feeling like the event is happening again)

19. Intrusive Re-experience
Nightmares (either of the event or of other frightening things)

20. Intrusive Re-experience
Feelings of intense distress when reminded of the trauma

21. Intrusive Re-experience
Intense physical reactions to reminders of the event

22. Avoidance
Avoiding activities, places, thoughts, or feelings that remind you of the trauma

23. Avoidance
Inability to remember important aspects of the trauma

24. Avoidance
Loss of interest in activities and life in general

25. Avoidance
Feeling detached from others and emotionally numb

26. Avoidance
Sense of a limited future (you don’t expect to live a normal life span, get married, have a career)

27. Emotional Arousal
Difficulty falling or staying asleep
Irritability or outbursts of anger or rage

28. Emotional Arousal
Difficulty concentrating
Hypervigilance
Easily startled

29. Personality Change
Bland or violent
Lack of ability to bond
Sensation seeking
Lack of caring

30. Personality Change
Loss of creativity
Loss of purpose

31. Loss of Productive Life
Live as hermit
Go to prison
Divorce
Cannot hold job

32. Loss of Productive Life
Alcohol or drugs
Depression
Suicide

33. Duration of Symptoms
Brief
Life-long
Initial, then returns later in life

34. Theory
A neurological condition involving a change in the normal processing of experience

35. Theory
The experience is locked into the right hemisphere of the brain as a living experience with all emotional,...

36. Theory
...visual, tactual, olfactory, and auditory experiences retained as if the event were happening now

37. Theory
If the event memory is transferred into the left hemisphere of the brain, it is stored as a verbal memory

38. Treatment
Psychotherapy
Eye movement desensitization and reprocessing

39. Treatment
Medications

40. Treatment
Relationship

41. Psychotherapy
Individual or group
Cognitive-behavioral
Exposure therapy

42. Eye Movement Desensitization and Reprocessing (EMDR)
Neurological Treatment

43. Neurological Treatment
Activates both brain hemispheres alternately

44. Neurological Treatment
Can be done using:
eye movement (side to side)

45. Neurological Treatment
Can be done using:
auditory sounds alternating from side to side

46. Neurological Treatment
Can be done using:
tactile stimulation alternating on opposite sides of the body

47. Neurological Treatment
Stimulation occurs while the patient focuses on the traumatic memory

48. Medications
Antidepressants
Benzodiazepines

49. Medications
Antidepressants; selective serotonin reuptake inhibitors (SSRIs) found to be most effective

50. Medications
Benzodiazepines

51. Relationship
Another person, such as another veteran, becomes a mentor to the victim

52. Research-Proven Therapist Attributes

53. Therapist Attributes
Treatment utilized will be most effective if the therapist possesses and demonstrates:

54. Therapist Attributes
unconditional warmth
accurate empathy
genuineness

55. Unconditional Warmth
The therapist by an act of will, chooses to accept the patient however he behaves,...

56. Unconditional Warmth
...without attempting to change the patient, and communicates this love to the patient

57. Accurate Empathy
The therapist accurately understands what the patient is saying, thinking,...

58. Accurate Empathy
...feeling, or experiencing, and communicates to the patient that understanding

59. Genuineness
The therapist is totally genuine with the patient...

60. Genuineness
...and communicates that genuineness to the patient

61. HOPE
There is hope for emotionally damaged victims

62. Nurse Aide/Nurse Assistant Post-Traumatic Stress Disorder (PTSD)
45311
Post-Traumatic Stress Disorder (PTSD)
If you have any questions about the program
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63. 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

64. Nurse Aide/Nurse Assistant
45311
Provider approved by Florida Department of Health Board of Nursing – Certified Nursing Assistants, Provider # Health.edu reports Florida Continuing Education (Contact Hours) to CE Broker.

65. 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