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Trauma patient care
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Located in the Texas Medical Center in Houston, Texas, Memorial Hermann-TMC has been providing trauma care to residents of the southeast Texas Gulf Coast region since 1976. Over the last 35 years the programs and services provided by Memorial Hermann – TMC have continued to grow in depth and breadth, culminating in the founding of the Texas Trauma Institute (TTI) in May 2012.
The Texas Trauma Institute is located adjacent to, and works in partnership with, the University of Texas Health Science Center Houston (UT-HSCH) Medical School. It is strategically located in an area that provides access to the monumental number of resources required to operate a level 1 trauma center. Additionally, the TTI is centrally located within the service area. The Institute covers a service area within a 150-mile radius by helicopter and 300-mile radius by ground (“Life flight®, 2013). This service area encompasses an estimated population of 5.9 million people (2010 Census Population and Housing Tables, 2013).
Currently, the Texas Trauma Institute is designated to receive level 1 (most critically injured) patients. Serving as one of only two level 1 trauma centers in the greater Houston area, it is the only one serving both adult and pediatric populations (“Awards and Distinctions”, 2013). Over 20 specialty teams are available to provide comprehensive care 24 hours a day, 7 days a week. The Institute also consists of rehabilitation services, the only verified burn center in Houston, a forensic nursing team to treat victims of assault, and is the first in the nation to open a comprehensive geriatric trauma unit (“Services”, 2013). There are currently 200 patient beds at the Institute. From 2010-2011 more than 14,000 trauma patients were treated and...
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... visited by the flight crews has been positive. Patients also receive phone calls and get well cards upon discharge to further promote the image of a caring organization. The ultimate goal of these promotions is to have these positive interactions lead patients to seek out the Institute for further care and spread the word in the community.
The Institute is also a part of the larger Memorial Hermann System. While most of the individuals who receive care at the Trauma Institute will never utilize trauma services again, they may have a need for other services provided within the system. The Memorial Hermann brand is heavily marketed in heart and vascular services, as well as, neurosciences. The hope is that consumers will associate the Memorial Hermann Texas Trauma Institute with other services provided by Memorial Hermann, resulting in crossover usage by consumers.
In 2005, Hurricane Katrina struck the Gulf Coast of the United States of America. This tropical storm rendered much of Louisiana, Mississippi, and Alabama a flooded wasteland; in particular, Memorial Hospital in New Orleans, Louisiana was sequestered by the floods, leaving hundreds of patients, staff, and visitors without vital resources. Electricity was cut off, and the internal temperatures reached over 100 degrees Fahrenheit, as reported by journalist Sheri Fink (2009). Staff attempted to evacuate the hospital, carrying patients one-by-one down many flights of stairs. Several patients died during this evacuation. In the wake of the flood, it was discovered that 45 patients of Memorial Hospital had perished, and that 23 of these deaths were attributed to a lethal dose of Versed or morphine. Dr Anna Pou, a surgeon on duty during the disaster, was accused of euthanizing these patients during
My internship, Friends of Youth, is closely connected with Lakeside Milam Recovery Centers and I therefore decided that would be a great place to learn more about incase I needed to refer any of my clients to them. In order to gain more information about Lakeside Milam I spoke with the administrator, Dan Labuda and the director of the inpatient facility in Burien, Mary Fredrickson. Dan provided me information about Lakeside Milam as a whole, while Mary gave me an intake look at inpatient treatment and gave me a tour of Lakeside Milam.
Wesson, J., & Kupperschmidt, B. (2013). Rural trauma telemedicine. Journal Of Trauma Nursing, 20(4), pp. 199-202. doi:10.1097/JTN.0000000000000012
"The Statistics." PTSD Foundation of America Combat Trauma Support Groups Camp Hope Houston Warrior Shield Fort Hood Warriors Shield Radio. N.p., n.d. Web. 28 Apr. 2014. .
Greeson et al. (2010) found complex trauma to be a significant predictor on tests for internalizing problems, for PTSD, and for having at least one clinical diagnosis. They recommend a “trauma-informed perspective, because of the negative effects of trauma on an already negatively-affected population” This means catering treatment, considering the client’s experiences and seeking out evidence based approaches to trauma-based treatments.
Norris, Fran H. “Epidemiology of Trauma: Frequency and Impact of Different Demographic Groups.” Journal of Consulting and Clinical Psychology 60.3 (1992): 409–418. Print.
"PTSD: National Center for PTSD Home." National Center for PTSD. VA Health Care, 1 Jan.
With patient safety always being the number one priority FTR is the worst case scenario for the hospitalized patient. In an article titled “Failure to Rescue: The Nurse’s Impact” from the Medsurg Nursing Journal author Garvey explains ways FTR can occur “including organizational failure, provider lack of knowledge and failure to realize clinical injury, lack of supervision, and failure to get advice.” Nurses are problem solvers by nature, they heal the sick and help save lives. FTR is a tragic experience for everyone involved. The recent surge in this happening across the country has given FTR cases widespread media coverage. Hospitals are trying to figure out what the root cause is and how they can be prevented. Fortunately, with the advancement of technology and extensive research many hospitals have developed action plans and procedures to help prevent the early warning signs from being
Trauma Focused Cognitive Behavioral Therapy (TFCBT) is a form of CBT, which focuses on processing the trauma the patient has experienced. Drs. Judith Cohen, Esther Deblinger, and Anthony Mannarino developed TFCBT in the late 1980’s (Trauma-Focused Cognitive Behavioral Therapy for Children and Adults, 2014). TFCBT uses principles adapted from cognitive behavioral therapy and exposure techniques in order to address symptoms related to trauma as well as symptoms of depression, behavior problems, and difficulties with caregivers. Behavior modeling and body safety skills training may also be integrated into TFCBT (Ramirez de Arellano et al., 2014).
...erienced any form of trauma, violence and/or loss. This service is an outpatient clinic conducted at the UHWI and accepts referrals for children throughout the island. The clinic also offers training in grief and trauma management to paediatric residents, psychiatry residents and graduate students in clinical psychology and social work.
National Alliance on Mental Illness Veterans Resource Center May 8, 2009 Traumatic Brain Injury retrieved from http://www.nami.org/template.cfm?section=Traumatic_Brain_Injury
Rose Zimering, P. and Suzy Bird Gulliver, P. (2017). Secondary Traumatization in Mental Health Care Providers | Psychiatric Times. [online] Psychiatrictimes.com. Available at: http://www.psychiatrictimes.com/ptsd/secondary-traumatization-mental-health-care-providers [Accessed 8 Jun. 2017].
“Summary Report for: 29-2041.00 - Emergency Medical Technicians and Paramedic.” O*Net. 2008. Web. 18 Feb. 2010.
Consequently, I have always believed that our patients look forward to seeing us, knowing that we are there physically and emotionally, not only during the struggle but also afterward.
Psychological Trauma can alter, destroy and create a lot of bad impacts in a person’s life. The main definition of psychological trauma is the results of unique individual experience of an unusually event that invaded a person’s sense of security and safety, making he or she feels helpless and at risk of dangerous situation, and the ability to assimilate his or her emotional experience is overwhelmed at certain situation. (Lawrence Robinson, 2011)