00141 Post-trauma syndrome

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00141 Post-trauma syndrome

Definition of the NANDA label

State in which the individual experiences a prolonged painful response to an overwhelming traumatic event.

Sustained maladaptive response to a traumatic, overwhelming event.

Defining characteristics

• The individual relives the traumatic event through:
– Repetitive dreams or nightmares.
– Memory of scenes.
– Obsessive thoughts.
– Repeated verbal references to the traumatic event.
– References of feelings of guilt for having survived or about the behavior necessary to achieve survival.
• Psychic or emotional disorder manifested by:
– Wrong interpretation of reality.
– Confusion.
– Dissociation or amnesia.
– Vagueness in the memory of the traumatic event.
– Affective limitations
• Alterations in lifestyle:
– Abuse of toxic substances.
– Suicide attempts or other behavior to attract attention.
– Difficulty in interpersonal relationships.
– Development of phobias in relation to the traumatic event.
– Poor impulse control; irritability and explosiveness.

Related factors

• Events outside the range of common human experiences.
• Physical and psychosocial abuse.
• Tragic event involving multiple deaths.
• Epidemics.
• Sudden destruction of the person’s home or community.
• Having been a prisoner of war or a victim of criminal intimidation (torture).
• Wars.
• Rape.
• Natural or man-made disasters.
• Serious accidents.
• Having witnessed mutilations, violent deaths or other horrors.
• Threat or serious injury to oneself or loved ones.
• Accident with industrial or motor vehicles.
• Military combat.

At risk population

• Destruction of one’s home
• Displacement from home
• Duration of traumatic event
• Event outside the range of usual human experience
• Exposure to disaster
• Exposure to epidemic
• Exposure to event involving multiple deaths
• Exposure to war
• History of abuse
• History of being a prisoner of war
• History of criminal victimization
• History of torture
• Human service occupations
• Serious accident
• Serious injury to loved one
• Serious threat to loved one
• Serious threat to self
• Witnessing mutilation
• Witnessing violent death

NOC

• Impulse control.
• Control of fear.
• Recovery from abuse: financial.
• Recovery from abuse: emotional.
• Recovery from abuse: sexual.
• Repression of self-mutilation.
• Overcoming problems.
• Control of depression.

NIC

• Training to control impulses.
• Advice.
• Increased coping.
• Enhancement of security.
• Assistance with financial resources.
• Increase support systems.
• Treatment of the trauma of rape.
• Behavior management: self-injury.
• Management of depression.
• Facilitate grief.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to meet definition of a syndrome.

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