Dissertations / Theses on the topic 'Management of trauma'
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Lampi, Maria. "TRIAGE : Management of the trauma patient." Doctoral thesis, Linköpings universitet, Avdelningen för kliniska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-134595.
Full textHo, Chuen-tak Douglas. "Trauma Centre Prototype." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25947813.
Full textMacFie, Christine. "Work related trauma, culture and the police : towards an effective trauma management scheme." Thesis, University of Sussex, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270737.
Full textNicol, Andrew John. "The current management of penetrating cardiac trauma." Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/11633.
Full textThe vast majority of patients with penetrating cardiac injuries do not reach the hospital alive as the pre-hospital mortality rate for these injuries is in the region of 86%. The patients that do reach the hospital alive are potential survivors and it is obviously crucial that any cardiac injury is detected and managed appropriately. Most of these injuries present with either cardiac tamponade or hypovolaemic shock and are relatively straightforward to diagnose and require immediate surgery. There is, however, a group of patients that are relatively stable with an underlying cardiac injury and it is in these patients that a potential or occult cardiac injury needs to be identified.
Curtis, Kathleen Anne Public Health & Community Medicine Faculty of Medicine UNSW. "Trauma nursing case management: impact on patient outcomes." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/33367.
Full text何存德 and Chuen-tak Douglas Ho. "Trauma Centre Prototype." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31984575.
Full textFagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1959.
Full textFagelson, Marc A. "Implementing Psychological Methods in the Management of Trauma-Associated Tinnitus." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1663.
Full textFagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1659.
Full textThomson, David Alexander. "The role of endoscopic retrograde pancreatography in the management of pancreatic trauma." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/14312.
Full textLongo, Nadia. "Evaluation of geriatric trauma care in Quebec." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=81361.
Full textA total of 4934 trauma patients over the age of 65 were admitted for the treatment of injuries in three level I trauma centers in Quebec. The majority of the patients were injured in falls and had a low injury severity score. Male gender, older age, thoracic and abdominal injuries, burns, and delayed emergency room stays were identified as significant predictors of mortality. Inferior quality of care was observed with increased age and fall-related injuries.
The observed association between longer emergency room stay and falls with increased risk of mortality along with inferior care for patients injured in falls would suggest that level I trauma centers are inefficient and potentially harmful in treating elderly trauma patients. Further studies would be helpful in confirming these conclusions.
Watson, L. B. "The effect of a Trauma Risk Management (TRiM) programme on stigma and attitudes to stress and trauma in the police service." Thesis, University of Essex, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.605583.
Full textThayer, Jenny P. "Evaluation of the Inland Counties trauma patient data collection, management, and analysis." CSUSB ScholarWorks, 1986. https://scholarworks.lib.csusb.edu/etd-project/378.
Full textEngelmann, Esmee Wilhelmina Maria. "Perspectives on the management of humerus fractures due to gunshot trauma: an inter- and intra-observer agreement and reliability study." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/24989.
Full textFagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1956.
Full textRaatiniemi, L. (Lasse). "Major trauma in Northern Finland." Doctoral thesis, Oulun yliopisto, 2016. http://urn.fi/urn:isbn:9789526213330.
Full textTiivistelmä Vammapotilaat ovat merkittävä ensi- ja tehohoidon potilasryhmä. Paisi, että vammautumiset ovat merkittävä kuolinsyy, aiheuttavat ne myös merkittäviä pitkäaikaisvaikutuksia toimintakykyyn ja elämänlaatuun. Aikaisemmissa tutkimuksissa on osoitettu, että vammakuolleisuus on yleisempää harvaanasutuilla seuduilla ja valtaosa potilaista kuolee jo ennen ensihoidon saapumista paikalle. Tehohoitokuolleisuus on merkittävää ja puolet vaikeasti loukkaantuneista potilaista kärsii monielinvauriosta. Ensihoidon tärkeimpiä tehtäviä kriittisesti vammautuneilla on hengitystien varmistaminen, mutta korkeatasoisen hoidon saatavuus harvaanasutulla seudulla on haasteellista. Vaikeasti vammautuneet potilaat näyttävät myös hyötyvän kuljetuksesta suoraan lopulliseen hoitopaikkaan. Viime vuosina ensihoidon tasoon ja saatavuuteen on kiinnitetty erityistä huomiota. Lisäksi sairaaloiden päivystysvalmiuden uudelleenorganisointi on käynnissä. Lisätietoa tarvitaan vakavien ja kuolemaan johtavien vammojen esiintyvyydestä ja olosuhteista, ennusteesta sekä akuuttihoidon toteutumisesta, jotta terveydenhuollon resursseja voitaisiin kohdentaa tarkoituksenmukaisesti ja ennaltaehkäisyn tarpeet voitaisiin tunnistaa. Tämän tutkimuksen tarkoituksena oli selvittää vammakuolemien esiintyvyyttä ja olosuhteita Pohjois-Suomessa sekä suomalaisten lääkintä- ja lääkärihelikopteriyksikköjen (FinnHEMS) kohtaamien vammapotilaiden ennustetta. Erityisenä tavoitteena oli tutkia maaseutu- ja kaupunkialueiden eroja. Lisäksi tutkittiin National Advisory Committee for Aeronautics (NACA)- vaikeusasteluokittelun kykyä ennustaa 30 päivän kuolleisuutta. Neljännen osatyön tavoitteena oli tutkia ensihoitajien suorittaman hengitystien varmistamisen käytäntöä Pohjois-Suomessa. Tutkimusaineisto koostui vuosina 2007‒2011 Pohjois-Suomessa tapahtuneista vammakuolemista, FinnHEMS:in yksiköiden kohtaamista vammapotilaista Pohjois-Suomessa vuosina 2012‒2013, Pohjois-Norjan pelastushelikopterin kohtaamista potilaista vuosina 1999‒2009 sekä ensihoitajille tehdystä kyselytutkimuksesta hengitystien hallintaan liittyen. Tutkimuksessa todettiin, että kuolemaan johtaneiden vammojen esiintyvyys on korkea Pohjois-Suomessa. Lisäksi havaittiin, että lähes puoleen sairaalan ulkopuolella tapahtuneisiin vammapotilaiden kuolintapauksiin liittyi alkoholi. Maaseudulla myös suurempi osa menehtyi sairaalan ulkopuolella. FinnHEMS:in yksiköiden kaupunkialueella kohtaamilla vammapotilailla, jotka selvisivät sairaalaan, havaittiin viitettä korkeampaan 30 päivän kuolleisuuteen verrattuna maaseudulla vammautuneihin. Ero johtuu todennäköisemmin siitä, että kaupunkialueella vammautuneet ehtivät sairaalaan kun taas maaseudulla vammapotilaat kuolevat jo ennen ensihoitopalvelun saapumista. NACA-vaikeusasteluokittelun todettiin ennustavan luotettavasti 30 päivän kuolleisuutta. Yksinkertaisuutensa vuoksi se soveltuu potilasmateriaalin vertailemiseen eri tukikohtien välillä. Ensihoitajan suorittama hengitystien varmistaminen havaittiin olevan harvinaista. Keskimääräisesti suoritteita tapahtui harvoin, ja taitojen ylläpitämisessä oli parantamisen varaa
Chipman, Katie Jane. "Terror Management Theory and the Theory of Shattered Assumptions in the Context of Trauma." Kent State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=kent1308328435.
Full textHickman, DaShawn Antwane. "Platelet-inspired Nanomedicine for the Hemostatic Management of Bleeding Complications in Thrombocytopenia and Trauma." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1537017099431262.
Full textMcEntire, Lili. "Reducing the Trauma: Alternative Dispute Resolution in Disaster Relief Efforts." Thesis, University of Oregon, 2016. http://hdl.handle.net/1794/20530.
Full textFagelson, Marc A. "Audiologic Counseling for Tinnitus Patients with Trauma Exposures." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/1667.
Full textFagelson, Marc A. "Tinnitus and Trauma: Challenges for Patients and Providers." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1954.
Full textFagelson, Marc A. "Therapeutic Approaches for Individuals with Trauma-Provoked Tinnitus." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1688.
Full textBattle, Ceri Elisabeth. "The development and validation of a prognostic model that assists in the management of blunt chest wall trauma patients." Thesis, Swansea University, 2013. https://cronfa.swan.ac.uk/Record/cronfa43035.
Full textSchafer, Miranda. "Management of high-grade blunt hepatic trauma : clinical complications and the role of concomitant injuries /." Bern : [s.n.], 2009. http://www.ub.unibe.ch/content/bibliotheken_sammlungen/sondersammlungen/dissen_bestellformular/index_ger.html.
Full textJones, Sherry Lynn. "Nurses' Occupational Trauma Exposure, Resilience, and Coping Education." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2360.
Full textCarpenter, Tyler, and Kate Beatty. "Demographic Fall Predictors in a Rural Level One Trauma Center." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6865.
Full textWentworth, Ayesha. "Resilience in families that have experienced heart-related trauma." Thesis, Link to the online version, 2005. http://hdl.handle.net/10019/1305.
Full textEnochs, Shannon. "Bridging the Gap between Emotional Trauma Practice Guidelines and Care Delivery in the Primary Care Setting." Thesis, Brandman University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13428017.
Full textWhen patients present with complaints of anxiety or depression, providers in the primary care setting often prescribe anxiolytics or antidepressants without conducting an early emotional trauma or adverse childhood experiences assessment. Several studies demonstrate the link between early emotional trauma (EET) or adverse childhood experiences (ACEs) and the increased risk of anxiety or depression as adults. This Clinical Scholarly Project (CSP) implemented the use of the Adverse Childhood Experience (ACE) Questionnaire with patients who had a diagnosis of anxiety or depression in the primary care setting to increase patient access to resources and align clinical practice with practice guidelines. Participants included eight primary care providers, 30 patients and 21 chart review patients. The CSP utilized a quasi-experimental design to determine if the use of the ACE Questionnaire by patients with anxiety or depression would result in patients receiving more community resources (to include counseling), strengthen the provider-patient relationship, increase provider comfort in discussing ACEs with their patients and result in patients receiving care that was evidence based. Patient sample participants received significantly more resources (M = 8.27, SD = 2.27) than the chart audit sample (M = 0.90, SD = 0.30). Patient sample members received an average of eight resources (M = 8.27) and utilized an average of five resources (M = 5.07). Use of the ACE Questionnaire resulted in more trust in provider-patient relationship by patients (80.0%) and the majority of the provider sample more comfortable discussing ACEs after the project (85.7%).
White, Juanita Lynne. "Shared Trauma: A Phenomenological Investigation of African American Teachers." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1218.
Full textClements, Andrea D., Becky Haas, Randi G. Bastian, and Natalie Cyphers. "Addressing Intimate Partner Violence: Development of a Trauma Informed Workforce." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7230.
Full textMoloko, Salaminah S. "Nursing outcome standards for polytrauma patients with traumatic brain injuries in the Mafikeng district." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52372.
Full textENGLISH ABSTRACT: In trauma the priority is given to identifying the life-threatening injuries and immediately implementing treatment (Demetriades, 1993:3). Severe trauma resuscitation and assessment often have to be carried out simultaneously to detect and treat conditions that are rapidly fatal if not attended to immediately and according to priority. Urgent priorities in trauma management include maintaining a clear and patent airway to facilitate respiration and cervical spine protection by avoiding rough manipulation of the head and neck by supporting the neck with a neck immobiliser. Any external bleeding has to be controlled by applying direct pressure to the wound. Cardiovascular problems, for example shock or myocardial infarction, respiratory problems and hypoxia which are detrimental, particularly in the case of head injury, should be excluded. A detailed head-to-toe examination which includes the head, neck, chest, abdomen, back, musculo-skeletal system, rectum and vagina has to be performed. For the head-injured patient, correct any condition, which may complicate the existing head injury, for example hypoxia, shock, pneumothorax and fractures of long bones or pelvis. Implement the A (airway), B (breathing), C (circulation), D (disability, neurological and drugs) and E (environment) for structured management of the patient. Muller's, (1996) two-phase model was utilised to formulate and validate nursing outcome standards. In phase one literature was explored to develop provisional standards on polytrauma patients with traumatic brain injuries. In phase two the provisional standards were validated by experts (doctors and nurses) in critical care, trauma and emergency nursing including nurses and a doctor working in the casualty department of a provincial hospital in Mafikeng. Final standards were formulated and adapted accordingly. Standards for the management of a polytrauma patient with traumatic brain injuries included: A safe environment for patients, nurses and doctors Primary survey in casualty department which includes the maintenance of airway, breathing, circulation, disability/ neurological, drugs and exposure The secondary survey that includes the head to toe examination, definitive orthopaedic care and stabilisation before transfer to the intensive care unit A standard on all relevant equipment which might be needed in case the patient goes into cardiac arrest on the way to the intensive care unit, was also formulated. The standard on documentation included the primary and secondary survey in the casualty department, transport to the intensive care unit, activities and the condition of the patient. The final standards dealt with the accurate handing over of the patient to the intensive care personnel. The following recommendations were made: • Implement the outcome standard by means of a quality improvement programme through a top-down approach. • Provide training: Nurses and doctors have an obligation to render quality care, therefore they have the right to be trained in emergency procedures. • All registered nurses working in the casualty or emergency departmentsshould be trained in at least Basic Life Support (CPR), Advanced Cardiac Life Support (ACLS), Advanced Paediatric Life Support (APLS) and Advanced Trauma Life Support (ATLS) while waiting to be sent for the trauma-nursing course. • Improve infection control measures in the casualty department • Emergency drugs must always be available. • Improve the on-call system. • Formulate a policy on sharing of the equipment by both casualty and ICU staff. • Motivate for the necessary equipment. Implement procedures for debriefing of staff, the evaluation of actions during resuscitation and implement measures for psychological support of the family. • For further research, implement and test a training programme whereby nurses can formulate their own standards. • Evaluate whether the standards have improved the quality of trauma care, and develop standards for leu nursing of the brain injured patient and the rehabilitation of polytrauma patients with traumatic brain injuries The uniqueness of the study lies in the fact that no formal outcomes standard for trauma patients with traumatic brain injuries have been developed in any of the North West Provincial hospitals.
AFRIKAANSE OPSOMMING: Die identifisering van lewensbedreigende beserings en die onmiddellike implementering van behandeling, is in trauma 'n eerste prioriteit (Demetriades, 1993: 3). Resussitasie en die beraming van erge traumagevalle noodsaak in baie gevalle, gelyktydige hantering. Sou hierdie hantering nie gelyktydig en onmiddellik volgens prioriteit plaasvind nie, kan dit noodlottige gevolge inhou. Belangrike prioriteite in traumabehandeling sluit in, die instandhouding van 'n patente lugweg om asemhaling te onderhou asook die beskerming van die servikale rugmurgkolom, deur die ruwe manipulasie van die kop en nek te vermy deur die implementering van 'n nekimmobiliseerder. Kardiovaskulere probleme, byvoorbeeld skok of miokardiale infarksie, asook respiratoriese probleme wat lewensbedreigend vir die pasient met 'n hoofbeseering is, moet uitgesluit word. 'n Gedetailleerde van kop-tot-tone ondersoek, wat die kop, nek, borskas, abdomen, rug, muskulo-sketale stelsel, rektum en vagina insluit, moet uitgevoer word. In die pasient met hoofbeserings moet enige toestand byvoorbeeld frakture van die langbene of die pelvis, skok of 'n pneumothorax, eers behandel word. Implementeer die A (Iugweg - "airway"), B (asemhaling - "breathing"), C (sirkulasie -"circulation"), D (gestremdheid - "disability", neurologies- "neurological" en drogerye-"drugs") en E (omgewing - "environment") vir die gestruktureerde behandeling van die pasient. Die twee fase model van Muller (1996) is gebruik vir die formulering en validering van die verpleeguitkomsstandaarde. In fase een is die literatuur verken om die voorlopige standaarde vir polytrauma pasiente met traumatiese breinbeserings te ontwikkel. In fase twee is die voorlopige standaarde gevalideer deur kundiges (dokters en verpleegkundiges) in kritieke sorg, trauma en noodverpleging. Die verpleegkundiges en dokter wat werksaam is in die ongevalle-eenheid van 'n plaaslike provinsiale hospitaal in Mafikeng is ook ingesluit. Finale standaarde is geformuleer en dienooreenkomstig aanvaar. Die standaarde vir die politrauma pasient met traumatiese breinbeserings, sluit in: 'n Veilige omgewing vir pasiente, verpleegkundiges en dokters. Die prirnere beraming in ongevalle ten opsigte van instandhouding van die lugweg, asemhaling, sirkulasie, gestremdheid, drogerye en blootstelling. Die sekondere beraming: wat behels die kop-tot-tone ondersoek. Definitiewe ortopediese behandeling en stabilisering voor oorplasing na die intensiewe-sorg-eenheid. 'n Standaard met betrekking tot die nodige toerusting wat benodig mag word tydens 'n hart stilstand, oppad na die intensiewe-sorg-eenheid, is ook geformuleer. Die standaard ten opsigte van dokumentasie sluit die primere, en sekondere beraming, vervoer na die intensiewe-sorg-eenheid, aktiwiteite en toestand van die pasient, in. Die finale standaarde is gebaseer op die oorhandiging van die pasient aan die intensiewe-sorg-personeel. Die volgende aanbevelings word gemaak: • Implementeer die uitkomsstandaarde deur middel van 'n gehalteverbeteringsprogram deur gebruik te maak van 'n "top-down" benadering -, • Voorsien opleiding: Verpleegkundiges en dokters het 'n verpligting om gehaltesorg te lewer, hulle het dus 'n reg om onderrig te ontvang in noodprosedures, en verder het die pasient die req op gehalter noodbehandeling. • Aile geregistreerde verpleegkundiges wat in die ongevalle en die noodafdeling werk, behoort opgelei word in ten minste basiese lewensondersteuning (CPR), Gevorderde Trauma Lewens Ondersteuning (ACLS), Gevorderde Pediatriese lewensondersteuning (APLS) en Gevorderde Trauma lewensondersteuning (ATLS), terwyl gewag word om die trauma verpleegkundigekursus te deurloop. • Verbeter mteksiebeheermaatreels in ongevalle. • Noodmedikasie moet ten aile tye beskikbaar wees. • Verbeter die op-roepstelsel ("on cali"). • Formuleer 'n beleid oor die gesamentlike gebruik van toerusting deur beide ongevalle- en intensiewe-sorg-eenheid-personeel. • Motiveer vir die nodige toerusting. • Implementeer prosedures om personeel to te laat vir ontlonting (debriefing), die evaluering van aksies tydens die resusitasie prosedure en implementeer metodes vir die sielkundige ondersteuning van die familie. • Ten opsigte van verdere narvorsing behoort 'n opleidingsprogram qeunplernenteer en getoets te word met betrekking tot verpleegkundiges wat hulle eie standaarde will formuleer. • Evalueer of die standaarde die gehalte van traumasorg verbeter het en ontwikkel standaarde vir intensierwe-sorg-verpleging van die breinbeseerde pasient asook die rehabilitasie van politrauma pasiente met traumatise breinbeesering. Die unieke bydra van die studie word gevind in die feit dat daar nog geen gerformaliseerde uitkomstandaarde vir traumapasiente met breinbeseerings in enige van die Noord Wes Provinsie se hospitale ontwikkel is nie.
Fagelson, Marc A. "Traumatic Exposures and Interprofessional Management of Tinnitus." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1656.
Full textCross, Kasey, and Kasey Cross. "A Proposal for a Best-Practice Protocol for the Management of Patients with Suspected Cervical Spine Injury." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626650.
Full textOgle, Christopher. "Expressions of cultural worldviews in psychotherapy with clients who have experienced trauma| A qualitative study from a terror management perspective." Thesis, Pepperdine University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3597222.
Full textPeople who have experienced trauma involving serious threats to physical integrity can react in accordance with various response trajectories, including posttraumatic growth (PTG). PTG is characterized by positive psychological change following trauma that goes beyond a return to pre-trauma functioning as the result of reorganizing one's conceptualization of his or her phenomenological world (Tedeschi & Calhoun, 2004). This study was interested in factors that contribute to PTG from a terror management theory (TMT) perspective. TMT, based on existential philosophy, posits that people defend against the knowledge that everyone must eventually die and the accompanying anxiety by investing in cultural worldviews and deriving self-esteem by adhering to the standards and values prescribed by those worldviews (Solomon et al., 2004). Based on TMT research that suggests that when people are reminded of their mortality they tend to place increased faith in their cultural worldviews (Burke et al., 2010) as well as the assumption that reminders of previous trauma would likely make mortality salient, this study employed a directed content analysis to examine cultural worldview expressions among therapy clients who had experienced trauma.
Qualitative analysis using the directed coding system created for this study resulted in coding 77 cultural worldviews across the 5 sessions from 5 coding categories: other (explicit) (n=32), other (implicit) (n=20), nationality (n=13), religion (n=8), and ethnicity (n=4). The clients referred to cultural worldviews throughout their sessions, even though only one therapist directly facilitated cultural discussion. Worldview expressions amidst trauma discussions were considered potential contributors to PTG as they served a meaning making function. Also, many worldviews and cultural affiliations referenced were different than those commonly studied in previous TMT research (i.e. referenced cultural affiliations other than religion, ethnicity, nationality, or political affiliation such as gender and age/generation; did not discuss political affiliation). Multiple factors such as differences among clients, contextual factors of the sessions, and therapists' style were considered to potentially have influenced the variance in worldviews expressed. The findings described in this study can contribute to ongoing psychotherapy training and research bridging the gaps among PTG and TMT theory, research and clinical practice with trauma survivors.
Cordero, Melissa. "A guide for mental health practitioners working with collective trauma victims from Latin America| An experiential approach." Thesis, Pepperdine University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3631035.
Full textA resource guide for mental health practitioners working with Latino victims of collective trauma was developed based on a review of the literature. The development of the resource was also informed by two structured interviews with experts in the field of collective trauma within the Latino population. Review of the literature and structured interviews were used to develop culturally sensitive treatment approaches for victims of collective trauma from Latin America. The resource guide offers clinicians culturally adapted interventions, including PTSD measures, a table to identify culture bound syndromes, PTSD psychoeducation handouts (provided in Spanish and English), relaxation skills (e.g. breathing techniques, progressive muscle relaxation, the use of music, meditation), interoceptive exposure protocols, and tools to help clients live a life of meaning as well as restore their roles in the community and within their family. An additional two experts in the field evaluated the resource guide for validity, content, and applicability to the Latino population. Feedback from the evaluators will be used for future versions of the resource guide. Results indicated that the resource guide may be advantageous for Latino victims of collective trauma and may therefore serve as an adjunct to current treatment protocols. The resource guide may assist mental health practitioners in modifying their approach to treatment as well as offer culturally appropriate interventions in order to enhance cultural sensitivity, thus leading to a stronger therapeutic alliance.
Duckworth, Andrew David. "Proximal forearm fractures : epidemiology, functional results and predictors of outcome." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/23495.
Full textKahle, Lauren M. "Testing the impact of post-traumatic stress on existential motivation for ideological close- and open-mindedness." Cleveland State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=csu1494702077677688.
Full textCarney, Erin E. "Suicidal Ideation in Patients Hospitalized for Emergency Medical Treatment Related to Physical Trauma: Effects of Posttraumatic Stress and Depression." TopSCHOLAR®, 2016. http://digitalcommons.wku.edu/theses/1592.
Full textKossurok, Anke. "Making the invisible visible : a grounded theory study of female adult trauma survivors reconstructing reality with supportive others." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/31218.
Full textSiegmann, Stefanie. "Primäre bildgebende Diagnostik von polytraumatisierten Patienten mittels Spiralcomputertomographie." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2002. http://dx.doi.org/10.18452/14787.
Full textThe complex treatment of patients with multiple traumas requires a high standard of staff and equipment causing considerable expense at the point of primary diagnosis and treatment as well as at the rehabilitation stage. Conforming to a standardised examination routine, the algorithm of treating patients with multiple traumas at the Unfallkrankenhaus Berlin includes, after primary clinical treatment and ultrasound examination of abdomen and thorax , the further primary radiological diagnosis of the skull, the cervical spine, the thorax, the abdomen and the pelvis via spiral CT. Between September 1997 and July 1999 we registered 334 successive patients with suspected multiple traumas who underwent a CT examination according to our clinical algorithm. In the knowledge of all diagnoses the patients were subdevided into two groups: patients suffering from multiple traumas (n=116) and patients without multiple traumas (n=220). The average ISS was 32(+/- 10) for the group of patients actually suffering from multiple traumas and 15 (+/- 10) for the group of patients without multiple traumas. The diagnoses based on the primary CT examination were analysed in the light of the clinical course, surgical and other therapeutic measures as well as compared with other imaging methods (modalities). This study shows that, apart from injuries of the extremities, the spiral CT can reveal the injuries of a patient suffering from multiple traumas efficiently and quickly. Because of the shorter time needed for examination the diagnosis can be extended to patients with critical haemodynamical conditions. Yet it is important that the emergency romm and CT examination rooms are in close vicinity and that the team of examiners is well trained. Especially patients with multiple traumas benefit from this standardised routine of examinations. The majority of patients without multiple traumas benefit from the exclusion of injuries. Here the medical indication has to be carefully considered.
Smart, N. J. "Anxiety, depression, stress and trauma in couples attending an Assisted Conception Unit and reasons for their reluctance to participate in a Stress Management Program." Thesis, University of Edinburgh, 2002. http://hdl.handle.net/1842/30767.
Full textBertolini, Débora Brandão. "Avaliação dos gastos com traumas motociclísticos: um estudo epidemiológico e de custos hospitalares parciais em um hospital terciário universitário." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/17/17157/tde-08122015-154610/.
Full textThis dissertation evaluates the partial hospital costs of hospitalizations for injuries caused by motorcycle accidents and the epidemiological profile of these victims. A retrospective study based on Unified Health System patients was done. 460 motorcycles trauma victims admitted to the Emergency Unit of the Hospital of Ribeirão Preto Medical School Clinical, University of Sao Paulo, were included in the study. Data were collected based on Epidemiological Nucleus database of the Hospital, the internal information system and data from the same hospital costs section, including: mechanism and severity of trauma, epidemiological and socioeconomic data such as age, sex, marital status, education, local, date, and time of occurrences. tThe majority of motorcycle accidents victims were young, single, with low level of education, and male. Accidents occurred more frequently on weekends and Wednesday. Usually from 12 pm to midnight. . The major injuries occurred in the limbs (moderate and severe lesions) and head (severe and critical injuries), being typical of this type of accident several injuries. The hospital costs were mainly related to the wards and ICU length of stay, and the trauma severity. The final value of costs was R$ 5,315,357.15, and in average R$ 11.555,12 per patient. To severe cases (ISS>15) the average cost was R$33,259.50 per patient
Clarke, Rochelle S. "Uncovering Meanings of Death, Trauma, and Loss as Experienced by Hospice Bereavement Coordinators: A Phenomenological Study." NSUWorks, 2015. http://nsuworks.nova.edu/shss_dft_etd/12.
Full textHrouda, Debra R. "Factors Associated With Readiness For Treatment In A Sample Of Substance-Dependent, Trauma-Exposed Incarcerated Women." Case Western Reserve University School of Graduate Studies / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1401824178.
Full textHale, Susan. "Communicating a Crisis: The Public Information Officer's Perspective." unrestricted, 2007. http://etd.gsu.edu/theses/available/etd-11282007-150038/.
Full textTitle from file title page. Greg Lisby, committee chair; Yuki Fujioka, Merrill Morris, committee members. Electronic text (69 p.) : digital, PDF file. Description based on contents viewed Mar. 27, 2008. Includes bibliographical references (p. 53-57).
Bötel, Martina. "Der Einfluss des Blutglukosespiegels auf den frühen intensivmedizinischen Verlauf und der Benefit einer intensivierten Insulintherapie bei Patienten mit mittelschwerem und schwerem Schädel-Hirn-Trauma." Doctoral thesis, Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-222307.
Full textPryor, Julie Anne, and mikewood@deakin edu au. "A grounded theory of nursing's contribution to inpatient rehabilitation." Deakin University. School of Nursing, 2005. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20051110.112022.
Full textLarson, Wanda J. "Team Member Characteristics Contributing to High Reliability in Emergency Response Teams Managing Critical Incidents." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/145418.
Full textOliveira, Sara Galleni de. "Desenvolvimento de um sistema web para a notificação e vigilância epidemiológica de trauma com monitorização e análise de indicadores de qualidade do atendimento." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/82/82131/tde-03102017-083524/.
Full textTrauma is a leading cause of death worldwide. It is estimated that more than five million people die annually from some sort of trauma and millions more who survive their injuries are left with temporary or permanent sequelae, which leads to billions of Reais in direct and indirect costs. Thus, the question of trauma involves epidemiological, social, healthcare, financial and management issues. One way to lessen such problems is to evaluate the phases of medical care through quality improvement programs. The American College of Surgeons Committee on Trauma has created a unique aggregation of trauma registry data from several centers in the United States and Canada in a single database, the National Trauma Data Bank (NTDB). After collected, the data are processed into annual reports with indicators that provide a view of the overall situation of trauma care nationwide. Many countries invest resources on gathering trauma registries or building regional databases, which are important sources of data for generating care quality indicators. In Brazil there is no systematic notification of trauma patients in health services. The present study aims to develop a software with a trauma notification and epidemiological surveillance module associated with the monitoring and analysis of the consolidated data using care quality indicators. To test the software we used the database of trauma patients treated at the Emergency Unit of the Clinics Hospital at the Ribeirão Preto Medical School - University of São Paulo (UE HCFMRP/USP) from 2006 to 2014. There are two ways to feed the software with the trauma data: manually, by completing an electronic notification form or by directly importing an Excel file with the same data stream. The indicators are then generated automatically and can be viewed in charts and tables. The results yielded from the software were used to assess the situation of trauma healthcare in the Ribeirão Preto region. The analysis of such results was also crucial to determine the software capacity to provide relevant information for hospital management. The results analysis led us to conclude that the software can help assess the quality of trauma healthcare. A possibility of system expansion is to include new indicators and collect data from other institutions to allow external benchmarking.
Chilaka, Carol C. "Exploring Restorative Factors for Trafficked and Sexually Exploited Women." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5993.
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