603 Final P11: trauma informed care, ADLs, burns

list the theoretical approaches to trauma informed care

attachment theory, circle of security, SI, neurosequential model, polyvagal theory, whole brain integration

What are the 4 styles of attachment theory?

secure, insecure-avoidant, insecure-ambivalent, insecure-disorganized

TIC Theory: parent attending to child's needs, beginning with a secure base and ending with safe haven

circle of security

TIC Theory: hierarchical pyramid of neurological functions ranging from brainstem, midbrain, limbic, & cortical; need to start at bottom of pyramid before implementing the higher level cognitive strategies

neurosequential model of therapeutics

List intervention ideas for TIC

safe spaces, calming tools, environmental mods, Tuos, social stories, consistency/expectations/social thinking, routines

What are the 4 primary settings of ADL performance?

home, school, community, work

When evaluating ADL performance, what should be considered?

precise limitations, their causes, capacity for change, and possible interventions

List some Assessment tools used for ADLs

AMPS, BDI, WeeFim, HELP, SFA, Vineland Adaptive Behavior Scales

What are possible outcomes for ADLs?

improved OP, adaptation, role competence, healthwellness, satisfaction, prevention, self-determination

Describe strategies that take a behavioral approach to teaching ADLs

chaining, cues/prompts, color coding, checklists, positioning, modifying sensory properties, picture sequences

What is the hierarchy of physical cues?

shadowing movements, using 2 fingers to guide, HOH

describe grading techniques that can be used to teach ADLs

gradually increasing responsibility, fading amount of assistance, reducing strength needed

Describe the CO-OP approach

verbal problem-solving approaches and cognitive strategies (talking and practicing)

A combination of skills, knowledge, attitudes, and behaviors that enable a person to engage in goal-directed, self-regulated, autonomous behaviors

self-determination

What is one skill required to promote independent community living?

self-determination

How are burns classified?

how deep it is, what layers or structures have been damaged

A first-degree superficial burn damages what skin structures?

epidermis

A superficial partial-thickness burn damages what skin structures?

epidermis, papillary dermis

A deep partial thickness and/or full thickness burn damages what skin structures?

epidermis, papillary dermis, reticular dermis

What are signs and symptoms of acute burns?

pain, pallor, lack of sensation, lack of pulse

the only acceptable PERMANENT coverage for a burn wound is what?

patient's own skin