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  • [Solved] Nursing Assignment

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    – ## ASSIGNMENT82925.docx **## ASSIGNMENT82925.docx** **ASSIGNMENT 1** · **Consider a variety of population health problems and then select one of professional interest on which to focus for this Assignment.** · **Explore three data sources (data sets) presented in the Learning Resources that could …

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    Assignment Prompt & Instructions

    – ## ASSIGNMENT82925.docx

    **## ASSIGNMENT82925.docx**

    **ASSIGNMENT 1**

    ·
    **Consider a variety of population health problems and then select one of professional interest on which to focus for this Assignment.**

    ·
    **Explore three data sources (data sets) presented in the Learning Resources that could aid you in describing the population and magnitude of the problem you selected. Consider the strengths and limitations of each data source.**

    **In 3 pages (not including title page and references), analyze the data sources you selected by addressing the following:**

    · Briefly identify the population health problem you selected.

    · Identify each data set you selected.

    · Identify the variables in each data set you would need to examine the association of interest.

    · Assess the validity of each data set. Has it been used for prior studies/publications?

    · Explain challenges you might face as a researcher in identifying a proper data set or securing permission to use it.

    **Resources/References**

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 7, “Using Information Technology to Improve Population Outcomes” (pp. 158-182)

    · Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice (_ 6th ed.). Jones & Bartlett.

    · Chapter 4, “Descriptive Epidemiology: Person, Place, Time”

    · Chapter 5, “Sources of Data for Use in Epidemiology”

    · National Institutes of Health National Library of Medicine. (2019).
    [_Finding and using health statistics._ Links to an external site.](https://www.nlm.nih.gov/nichsr/stats_tutorial/cover.html) https://www.nlm.nih.gov/nichsr/stats_tutorial/cover.html

    **ASSIGNMENT 2**

    **To prepare:**

    ·
    **Review the Learning Resources for Weeks 1–2 related to patient care quality, safety, and health equity.**

    **The Assignment In 3 pages (not including title page and references),**

    **Analyze, synthesize, and apply evidence from the literature and course materials to develop a scholarly response to the following criteria:**

    ·
    **Select and deconstruct a selected nursing sensitive indicator on the quality of nursing care delivered to patients.**

    ·
    **Define the selected nurse sensitive indicator and relevance to nursing practice.**

    ·
    **Explain if this indicator is a structural, process, or outcomes indicator.**

    ·
    **Describe the relationship between the selected nursing sensitive indicator, evidence-based practice, and health equity.**

    ·
    **Analyze the literature to describe the potential impact of this nursing sensitive indicator on the cost of care to patients and the healthcare system.**

    ·
    **Describe the role of the DNP nurse in promoting quality driven nursing care.**

    **Resources and References**

    ·
    **Agency for Healthcare Research and Quality. (n.d.).** [**_Topic: Quality indicators (QIs)_ Links to an external site.**](https://www.ahrq.gov/topics/quality-indicators-qis.html) **. AHRQ. https://www.ahrq.gov/topics/quality-indicators-qis.html**

    ·
    **American Nurses Association. (n.d.).** [**_Nursing quality_ Links to an external site.**](https://www.nursingworld.org/practice-policy/health-policy/health-system-reform/quality) **. ANA. https://www.nursingworld.org/practice-policy/health-policy/health-system-reform/quality**

    ·
    **Barchielli, C., Rafferty, A. M., & Vainieri, M. (2022).** [**Integrating key nursing measures into a comprehensive healthcare performance management system: A Tuscan experienceLinks to an external site.**](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=35162391&site=eds-live&scope=site&custid=s6527200) **.**
    **_International Journal of Environmental Research and Public Health, 19_(3), 1373.**

    ·
    **Madaris, S. (2023, January 12).** [**Your comprehensive guide to the Press Ganey National Database of Nursing Quality Indicators (NDNQI)Links to an external site.**](https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/your-comprehensive-guide-to-the-press-ganey-national-database-of-nursing-quality-indicators-ndnqi) **.**
    **_Press Ganey Blog_. https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/your-comprehensive-guide-to-the-press-ganey-national-database-of-nursing-quality-indicators-ndnqi**

    ·
    **Polonsky, M. S. (2019).** [**High-reliability organizations: The next frontier in healthcare quality and safetyLinks to an external site.**](https://www.proquest.com/scholarly-journals/high-reliability-organizations-next-frontier/docview/2273676069/se-2?accountid=14872) **.**
    **_Journal of Healthcare Management, 64_(4), 213–221.**

    ·
    **CMS.gov. (2023, September 6).** [**_Quality of care center_ Links to an external site.**](https://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center) **. https://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center**

    ·
    **Montalvo, I. (2007, September 30).** [**The National Database of Nursing Quality Indicators (NDNQI)Links to an external site.**](https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html) **.**
    **_Online Journal of Issues in Nursing, 12_(3), Manuscript 2. https://doi.org/10.3912/OJIN.Vol12No03Man02**

    **## ASSIGNMENT82925.docx**

    **ASSIGNMENT 1**

    ·
    **Consider a variety of population health problems and then select one of professional interest on which to focus for this Assignment.**

    ·
    **Explore three data sources (data sets) presented in the Learning Resources that could aid you in describing the population and magnitude of the problem you selected. Consider the strengths and limitations of each data source.**

    **In 3 pages (not including title page and references), analyze the data sources you selected by addressing the following:**

    · Briefly identify the population health problem you selected.

    · Identify each data set you selected.

    · Identify the variables in each data set you would need to examine the association of interest.

    · Assess the validity of each data set. Has it been used for prior studies/publications?

    · Explain challenges you might face as a researcher in identifying a proper data set or securing permission to use it.

    **Resources/References**

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 7, “Using Information Technology to Improve Population Outcomes” (pp. 158-182)

    · Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice (_ 6th ed.). Jones & Bartlett.

    · Chapter 4, “Descriptive Epidemiology: Person, Place, Time”

    · Chapter 5, “Sources of Data for Use in Epidemiology”

    · National Institutes of Health National Library of Medicine. (2019).
    [_Finding and using health statistics._ Links to an external site.](https://www.nlm.nih.gov/nichsr/stats_tutorial/cover.html) https://www.nlm.nih.gov/nichsr/stats_tutorial/cover.html

    **ASSIGNMENT 2**

    **To prepare:**

    ·
    **Review the Learning Resources for Weeks 1–2 related to patient care quality, safety, and health equity.**

    **The Assignment In 3 pages (not including title page and references),**

    **Analyze, synthesize, and apply evidence from the literature and course materials to develop a scholarly response to the following criteria:**

    ·
    **Select and deconstruct a selected nursing sensitive indicator on the quality of nursing care delivered to patients.**

    ·
    **Define the selected nurse sensitive indicator and relevance to nursing practice.**

    ·
    **Explain if this indicator is a structural, process, or outcomes indicator.**

    ·
    **Describe the relationship between the selected nursing sensitive indicator, evidence-based practice, and health equity.**

    ·
    **Analyze the literature to describe the potential impact of this nursing sensitive indicator on the cost of care to patients and the healthcare system.**

    ·
    **Describe the role of the DNP nurse in promoting quality driven nursing care.**

    **Resources and References**

    ·
    **Agency for Healthcare Research and Quality. (n.d.).** [**_Topic: Quality indicators (QIs)_ Links to an external site.**](https://www.ahrq.gov/topics/quality-indicators-qis.html) **. AHRQ. https://www.ahrq.gov/topics/quality-indicators-qis.html**

    ·
    **American Nurses Association. (n.d.).** [**_Nursing quality_ Links to an external site.**](https://www.nursingworld.org/practice-policy/health-policy/health-system-reform/quality) **. ANA. https://www.nursingworld.org/practice-policy/health-policy/health-system-reform/quality**

    ·
    **Barchielli, C., Rafferty, A. M., & Vainieri, M. (2022).** [**Integrating key nursing measures into a comprehensive healthcare performance management system: A Tuscan experienceLinks to an external site.**](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=35162391&site=eds-live&scope=site&custid=s6527200) **.**
    **_International Journal of Environmental Research and Public Health, 19_(3), 1373.**

    ·
    **Madaris, S. (2023, January 12).** [**Your comprehensive guide to the Press Ganey National Database of Nursing Quality Indicators (NDNQI)Links to an external site.**](https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/your-comprehensive-guide-to-the-press-ganey-national-database-of-nursing-quality-indicators-ndnqi) **.**
    **_Press Ganey Blog_. https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/your-comprehensive-guide-to-the-press-ganey-national-database-of-nursing-quality-indicators-ndnqi**

    ·
    **Polonsky, M. S. (2019).** [**High-reliability organizations: The next frontier in healthcare quality and safetyLinks to an external site.**](https://www.proquest.com/scholarly-journals/high-reliability-organizations-next-frontier/docview/2273676069/se-2?accountid=14872) **.**
    **_Journal of Healthcare Management, 64_(4), 213–221.**

    ·
    **CMS.gov. (2023, September 6).** [**_Quality of care center_ Links to an external site.**](https://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center) **. https://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center**

    ·
    **Montalvo, I. (2007, September 30).** [**The National Database of Nursing Quality Indicators (NDNQI)Links to an external site.**](https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html) **.**
    **_Online Journal of Issues in Nursing, 12_(3), Manuscript 2. https://doi.org/10.3912/OJIN.Vol12No03Man02**

  • [Solved] Discussion: Your Favorite Brand

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    Share your initial thoughts on what the _brand_ means to you. How do brands impact your spending decisions? Choose one of your favourite brands from an industry such as e-commerce, automobiles, shopping, restaurants, technology, etc., to answer these questions. · When making a purchasing decision, i…

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    Share your initial thoughts on what the _brand_ means to you. How do brands impact your spending decisions?
    Choose one of your favourite brands from an industry such as e-commerce, automobiles, shopping, restaurants, technology, etc., to answer these questions.
    · When making a purchasing decision, is the brand important to you? What about the brand resonates with you?
    · Determine whether your favorite brand has a stated "brand promise." If so, what is it? If not, identify one from another company of your choice. Remember the brand promise is usually different than a tagline or slogan.
    · Do you have an emotional connection with the brand? If so, can you describe it briefly? Consider factors such as trust, respect, and other strong feelings.
    · When considering a purchase, do you look first for your favorite brand? This may be considered top-of-mind awareness or the first brand to come to mind. Provide an example of a brand that is on top of your mind.
    **Discussion: Your Favorite Brand**
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  • [Solved] Prof Double R

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    Address the expectations and roles of your selected group in a 3–4 page business report for the organization's management team in your selected country and the United States that addresses the following: – Describe how each country regards this group. – Be sure to describe three assumptions that inf…

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    Assignment Prompt & Instructions

    Address the expectations and roles of your selected group in a 3–4 page business report for the organization's management team in your selected country and the United States that addresses the following:
    – Describe how each country regards this group.
    – Be sure to describe three assumptions that influence views in each country. How could these assumptions influence employee management?
    – Assess how these assumptions impact an organization's global recruiting and hiring practices.
    – For example, could a member of this marginalized group hold a leadership role in your country of interest? How does this influence your organization and work culture?
    – Examine organizational integration and communication impacts for HR in this scenario.
    – For example, how will onboarding and training activities conducted by human resources be impacted?
    – What should HR do to prepare themselves for this change?
    SUBMISSION REQUIREMENT
    Your assessment is considered a professional style document appropriate for the workplace versus an academic paper. It should meet the following requirements and include the following:​
    – **Title page.**
    – A basic title page will contain the following information centered, about one-third of the way down the page:
    – Document title.
    – Your name.
    – Date.
    – Use 11- or 12-point type in one of the following fonts: Times New Roman, Arial, or Courier for the title page, business report pages, and references page. ​
    – **Business report.**
    – 3–4 pages, setting up the document pages with one-inch margins at the top, bottom, right, and left.
    – Left justify paragraphs, or indent 5–7 spaces.
    – Use single-spaced paragraphs and double-spacing between paragraphs.
    – Use subheadings to divide all documents, particularly those over one page in length, into logical, well-ordered sections.
    – Use ordered or bulleted lists to clarify points within your document.
    – Put page numbers on each page, including the cover page. You may add other information such as the title or your name to each page as well.
    – **References page.**
    – Include a reference page at the end of the document listing all sources referenced within the text. Ensure that all sources listed in the references section are used and cited within the document as in-text citations, using APA format.​
    – **Written communication:**Communicate in a manner that is scholarly and professional. Your writing should be:
    – Concise and logically organized.
    – Free of errors in grammar and mechanics.
    – **Validation and support:** Use a minimum of three relevant and credible scholarly or professional resources such as the _Wall Street Journal_ to support your work.
    – **APA style and format:** Format all citations and references in accordance with current APA guidelines.

  • [Solved] Applied Sciences Artist Report Assignment Instructions

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    You will write a 2-page research-based paper in current MLA format that focuses on one of the following artists:

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    Assignment Prompt & Instructions

    You will write a 2-page research-based paper in current MLA format that focuses on one of the following artists:

  • [Solved] week 2 discussion

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    A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly p…

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    Assignment Prompt & Instructions

    A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney function within the last year. The woman appears unusually tired and slightly pale. Additional history and examination rules out worsening heart failure, acute illness, and worsening kidney disease. The CBC results indicate hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28 breaths per minute, and blood pressure 138/72. The practitioner suspects the low hemoglobin level is related to the decline in kidney function and begins to address treatment related to the condition. Discuss the following:
    1. Which test(s) should be performed to determine whether the anemia is related to chronic disease or iron deficiency, and what would those results show?
    2. Should the practitioner consider a blood transfusion for this patient? Explain your answer.
    3. Which medication(s) should be considered for this patient?
    4. What considerations should the practitioner include in the care of the patient if erythropoietic agents are used for treatment?
    5. What follow-up should the practitioner recommend for the patient?
    **Submission Instructions:**
    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

  • [Solved] unit 7 discussion

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    see attached – ## 675unit7discussioninstructions.docx **## 675unit7discussioninstructions.docx** **Psychosis in the Pediatric Population** Research psychosis in the pediatric population and discuss symptoms and diagnoses that relate to this population. Make sure to include epidemiology and risk fact…

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    Assignment Prompt & Instructions

    see attached

    – ## 675unit7discussioninstructions.docx

    **## 675unit7discussioninstructions.docx**

    **Psychosis in the Pediatric Population**

    Research psychosis in the pediatric population and discuss symptoms and diagnoses that relate to this population. Make sure to include epidemiology and risk factors that children have for certain psychotic disorders. Discuss treatment options for these patients. Be sure to include ethical considerations in the diagnosis and treatment of psychosis.

    **## 675unit7discussioninstructions.docx**

    **Psychosis in the Pediatric Population**

    Research psychosis in the pediatric population and discuss symptoms and diagnoses that relate to this population. Make sure to include epidemiology and risk factors that children have for certain psychotic disorders. Discuss treatment options for these patients. Be sure to include ethical considerations in the diagnosis and treatment of psychosis.

  • [Solved] unit 8 journal

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    see attached – ## 675unit8journal.docx – ## sma16-4923_0.pdf **## 675unit8journal.docx** Visit the Substance Abuse and Mental Health Services Administration (SAMHSA) website regarding [**resources for child trauma-informed care**](https://www.samhsa.gov/mental-health/trauma-violence/child-trauma). …

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    Assignment Prompt & Instructions

    see attached

    – ## 675unit8journal.docx

    – ## sma16-4923_0.pdf

    **## 675unit8journal.docx**

    Visit the Substance Abuse and Mental Health Services Administration (SAMHSA) website regarding
    [**resources for child trauma-informed care**](https://www.samhsa.gov/mental-health/trauma-violence/child-trauma). Briefly discuss one of the trauma-related resources listed in SAMHSA.

    Your journal entry should be at least 250 words in length. Be sure to cite any references in APA format that you use.

    **## sma16-4923_0.pdf**

    Understanding
    Child Trauma

    Child trauma occurs more than you think.

    More than TWO THIRDS OF CHILDREN reported at least 1
    traumatic event by age 16.1 Potentially traumatic events include:

    PSYCHOLOGICAL, PHYSICAL, OR SEXUAL ABUSE

    COMMUNITY OR SCHOOL VIOLENCE

    WITNESSING OR EXPERIENCING DOMESTIC VIOLENCE

    NATURAL DISASTERS OR TERRORISM

    COMMERCIAL SEXUAL EXPLOITATION

    SUDDEN OR VIOLENT LOSS OF A LOVED ONE

    REFUGEE OR WAR EXPERIENCES

    MILITARY FAMILY-RELATED STRESSORS
    (E.G., DEPLOYMENT, PARENTAL LOSS OR INJURY)

    PHYSICAL OR SEXUAL ASSAULT

    NEGLECT

    SERIOUS ACCIDENTS OR LIFE-THREATENING ILLNESS

    The national average of child abuse and neglect victims in

    2013 was 679,000, or 9.1 victims per 1,000 children.2

    Each year, the number of youth requiring hospital

    treatment for physical assault-related injuries

    would fill EVERY SEAT IN 9 STADIUMS.3

    1 IN 4 HIGH SCHOOL STUDENTS
    was in at least 1 PHYSICAL FIGHT.4

    1 in 5 high school students was bullied

    at school; 1 IN 6 EXPERIENCED
    CYBERBULLYING.5

    19% of injured and 12% of physically ill youth

    have post-traumatic stress disorder.6

    1,000 More than half of U.S. families have been

    affected by some type of disaster (54%).7

    1 Copeland, W.E., Keeler G., Angold, A., & Costello, E.J. (2007). Traumatic Events and Posttraumatic Stress in Childhood. Archives of General Psychiatry. 64(5), 577-584.
    2 U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2015).

    Child maltreatment 2013. http://www.acf.hhs.gov/sites/default/files/cb/cm2013.pdf
    3,4,5 National Center for Injury Prevention and Control: Division of Violence Protection (2014).

    Taking Action to Prevent Youth Violence: A Companion Guide to Preventing Youth Violence: Opportunities for Action.
    http://www.cdc.gov/violenceprevention/youthviolence/pdf/opportunities-for-action-companion-guide.pdf

    6 Kahana, S., Feeny, N. C., Youngstrom, E. R., & Drotar, D. (2006). Posttraumatic stress in youth experiencing illnesses and injuries:
    An exploratory meta-analysis. Traumatology, 12, 148-161. doi: 10.1177/1534765606294562

    7 Save The Children (2014). 2014 National Report Card on Protecting Children in Disasters.
    http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/SC-2014_DISASTERREPORT.PDF

    Understanding
    Child Trauma

    It’s important to recognize the signs of traumatic stress
    and its short- and long-term impact.

    The signs of traumatic stress may be different in each child.
    Young children may react differently than older children.

    PRESCHOOL CHILDREN
    Fear being separated from their parent/caregiver
    Cry or scream a lot
    Eat poorly or lose weight
    Have nightmares

    ELEMENTARY SCHOOL CHILDREN
    Become anxious or fearful
    Feel guilt or shame
    Have a hard time concentrating
    Have difficulty sleeping

    MIDDLE AND HIGH SCHOOL CHILDREN
    Feel depressed or alone
    Develop eating disorders or self-harming behaviors
    Begin abusing alcohol or drugs
    Become involved in risky sexual behavior

    THE BODY’S ALARM SYSTEM

    Everyone has an alarm system in their body that
    is designed to keep them safe from harm. When
    activated, this tool prepares the body to fight
    or run away. The alarm can be activated at any
    perceived sign of trouble and leave kids feeling
    scared, angry, irritable, or even withdrawn.

    HEALTHY STEPS KIDS CAN TAKE
    TO RESPOND TO THE ALARM:

    Recognize what activates the alarm
    and how their body reacts

    Decide whether there is real trouble
    and seek help from a trusted adult

    Practice deep breathing and other
    relaxation methods

    “I’M A

    BAD
    KID.”

    “NO ONE UNDERSTANDS ME.”

    “IT’S ALLMYFAULT.”

    “IS SOMETHING
    WRONG WITH ME?”

    IMPACT OF TRAUMA
    The impact of child traumatic stress can last well
    beyond childhood. In fact, research has shown
    that child trauma survivors may experience:

    Learning problems, including lower grades
    and more suspensions and expulsions

    Increased use of health and
    mental health services

    Increased involvement with the child
    welfare and juvenile justice systems

    Long-term health problems
    (e.g., diabetes and heart disease)

    TRAUMA is a risk factor for nearly all behavioral
    health and substance use disorders.

    Understanding
    Child Trauma

    There is hope. Children can and do recover from traumatic events,
    and you play an important role in their recovery.

    “I AM
    STRONG.”

    “I AM A GOOD KID WHO
    HAD A BAD THING HAPPEN.”

    “PEOPLE CARE
    ABOUT ME.”

    “IT’S NOT MY FAULT.”

    A CRITICAL PART OF CHILDREN’S RECOVERY IS
    HAVING A SUPPORTIVE CAREGIVING SYSTEM,
    access to effective treatments, and service systems that are
    trauma informed.

    GET HELP NOW
    https://findtreatment.samhsa.gov
    http://nctsn.org/resources/get-help-now
    http://www.healthcaretoolbox.org

    Not all children experience child traumatic stress
    after experiencing a traumatic event. With support,
    many children are able to recover and thrive.

    As a caring adult and/or family member, you play
    an important role.

    REMEMBER TO:

    Assure the child that he or she is safe.

    Explain that he or she is not responsible.
    Children often blame themselves for events
    that are completely out of their control.

    Be patient. Some children will recover quickly
    while others recover more slowly. Reassure
    them that they do not need to feel guilty or
    bad about any feelings or thoughts.

    Seek the help of a trained professional.
    When needed, a mental health professional
    trained in evidence-based trauma
    treatment can help children and families
    cope and move toward recovery. Ask
    your pediatrician, family physician, school
    counselor, or clergy member for a referral.

    Visit the following websites for
    more information:

    http://www.samhsa.gov/child-trauma

    http://www.samhsa.gov/trauma-violence

    http://www.nctsn.org

    SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities

    SMA16-4923 Printed 2016

    **## sma16-4923_0.pdf**

    Understanding
    Child Trauma

    Child trauma occurs more than you think.

    More than TWO THIRDS OF CHILDREN reported at least 1
    traumatic event by age 16.1 Potentially traumatic events include:

    PSYCHOLOGICAL, PHYSICAL, OR SEXUAL ABUSE

    COMMUNITY OR SCHOOL VIOLENCE

    WITNESSING OR EXPERIENCING DOMESTIC VIOLENCE

    NATURAL DISASTERS OR TERRORISM

    COMMERCIAL SEXUAL EXPLOITATION

    SUDDEN OR VIOLENT LOSS OF A LOVED ONE

    REFUGEE OR WAR EXPERIENCES

    MILITARY FAMILY-RELATED STRESSORS
    (E.G., DEPLOYMENT, PARENTAL LOSS OR INJURY)

    PHYSICAL OR SEXUAL ASSAULT

    NEGLECT

    SERIOUS ACCIDENTS OR LIFE-THREATENING ILLNESS

    The national average of child abuse and neglect victims in

    2013 was 679,000, or 9.1 victims per 1,000 children.2

    Each year, the number of youth requiring hospital

    treatment for physical assault-related injuries

    would fill EVERY SEAT IN 9 STADIUMS.3

    1 IN 4 HIGH SCHOOL STUDENTS
    was in at least 1 PHYSICAL FIGHT.4

    1 in 5 high school students was bullied

    at school; 1 IN 6 EXPERIENCED
    CYBERBULLYING.5

    19% of injured and 12% of physically ill youth

    have post-traumatic stress disorder.6

    1,000 More than half of U.S. families have been

    affected by some type of disaster (54%).7

    1 Copeland, W.E., Keeler G., Angold, A., & Costello, E.J. (2007). Traumatic Events and Posttraumatic Stress in Childhood. Archives of General Psychiatry. 64(5), 577-584.
    2 U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2015).

    Child maltreatment 2013. http://www.acf.hhs.gov/sites/default/files/cb/cm2013.pdf
    3,4,5 National Center for Injury Prevention and Control: Division of Violence Protection (2014).

    Taking Action to Prevent Youth Violence: A Companion Guide to Preventing Youth Violence: Opportunities for Action.
    http://www.cdc.gov/violenceprevention/youthviolence/pdf/opportunities-for-action-companion-guide.pdf

    6 Kahana, S., Feeny, N. C., Youngstrom, E. R., & Drotar, D. (2006). Posttraumatic stress in youth experiencing illnesses and injuries:
    An exploratory meta-analysis. Traumatology, 12, 148-161. doi: 10.1177/1534765606294562

    7 Save The Children (2014). 2014 National Report Card on Protecting Children in Disasters.
    http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/SC-2014_DISASTERREPORT.PDF

    Understanding
    Child Trauma

    It’s important to recognize the signs of traumatic stress
    and its short- and long-term impact.

    The signs of traumatic stress may be different in each child.
    Young children may react differently than older children.

    PRESCHOOL CHILDREN
    Fear being separated from their parent/caregiver
    Cry or scream a lot
    Eat poorly or lose weight
    Have nightmares

    ELEMENTARY SCHOOL CHILDREN
    Become anxious or fearful
    Feel guilt or shame
    Have a hard time concentrating
    Have difficulty sleeping

    MIDDLE AND HIGH SCHOOL CHILDREN
    Feel depressed or alone
    Develop eating disorders or self-harming behaviors
    Begin abusing alcohol or drugs
    Become involved in risky sexual behavior

    THE BODY’S ALARM SYSTEM

    Everyone has an alarm system in their body that
    is designed to keep them safe from harm. When
    activated, this tool prepares the body to fight
    or run away. The alarm can be activated at any
    perceived sign of trouble and leave kids feeling
    scared, angry, irritable, or even withdrawn.

    HEALTHY STEPS KIDS CAN TAKE
    TO RESPOND TO THE ALARM:

    Recognize what activates the alarm
    and how their body reacts

    Decide whether there is real trouble
    and seek help from a trusted adult

    Practice deep breathing and other
    relaxation methods

    “I’M A

    BAD
    KID.”

    “NO ONE UNDERSTANDS ME.”

    “IT’S ALLMYFAULT.”

    “IS SOMETHING
    WRONG WITH ME?”

    IMPACT OF TRAUMA
    The impact of child traumatic stress can last well
    beyond childhood. In fact, research has shown
    that child trauma survivors may experience:

    Learning problems, including lower grades
    and more suspensions and expulsions

    Increased use of health and
    mental health services

    Increased involvement with the child
    welfare and juvenile justice systems

    Long-term health problems
    (e.g., diabetes and heart disease)

    TRAUMA is a risk factor for nearly all behavioral
    health and substance use disorders.

    Understanding
    Child Trauma

    There is hope. Children can and do recover from traumatic events,
    and you play an important role in their recovery.

    “I AM
    STRONG.”

    “I AM A GOOD KID WHO
    HAD A BAD THING HAPPEN.”

    “PEOPLE CARE
    ABOUT ME.”

    “IT’S NOT MY FAULT.”

    A CRITICAL PART OF CHILDREN’S RECOVERY IS
    HAVING A SUPPORTIVE CAREGIVING SYSTEM,
    access to effective treatments, and service systems that are
    trauma informed.

    GET HELP NOW
    https://findtreatment.samhsa.gov
    http://nctsn.org/resources/get-help-now
    http://www.healthcaretoolbox.org

    Not all children experience child traumatic stress
    after experiencing a traumatic event. With support,
    many children are able to recover and thrive.

    As a caring adult and/or family member, you play
    an important role.

    REMEMBER TO:

    Assure the child that he or she is safe.

    Explain that he or she is not responsible.
    Children often blame themselves for events
    that are completely out of their control.

    Be patient. Some children will recover quickly
    while others recover more slowly. Reassure
    them that they do not need to feel guilty or
    bad about any feelings or thoughts.

    Seek the help of a trained professional.
    When needed, a mental health professional
    trained in evidence-based trauma
    treatment can help children and families
    cope and move toward recovery. Ask
    your pediatrician, family physician, school
    counselor, or clergy member for a referral.

    Visit the following websites for
    more information:

    http://www.samhsa.gov/child-trauma

    http://www.samhsa.gov/trauma-violence

    http://www.nctsn.org

    SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities

    SMA16-4923 Printed 2016

    **## 675unit8journal.docx**

    Visit the Substance Abuse and Mental Health Services Administration (SAMHSA) website regarding
    [**resources for child trauma-informed care**](https://www.samhsa.gov/mental-health/trauma-violence/child-trauma). Briefly discuss one of the trauma-related resources listed in SAMHSA.

    Your journal entry should be at least 250 words in length. Be sure to cite any references in APA format that you use.

    **## sma16-4923_0.pdf**

    Understanding
    Child Trauma

    Child trauma occurs more than you think.

    More than TWO THIRDS OF CHILDREN reported at least 1
    traumatic event by age 16.1 Potentially traumatic events include:

    PSYCHOLOGICAL, PHYSICAL, OR SEXUAL ABUSE

    COMMUNITY OR SCHOOL VIOLENCE

    WITNESSING OR EXPERIENCING DOMESTIC VIOLENCE

    NATURAL DISASTERS OR TERRORISM

    COMMERCIAL SEXUAL EXPLOITATION

    SUDDEN OR VIOLENT LOSS OF A LOVED ONE

    REFUGEE OR WAR EXPERIENCES

    MILITARY FAMILY-RELATED STRESSORS
    (E.G., DEPLOYMENT, PARENTAL LOSS OR INJURY)

    PHYSICAL OR SEXUAL ASSAULT

    NEGLECT

    SERIOUS ACCIDENTS OR LIFE-THREATENING ILLNESS

    The national average of child abuse and neglect victims in

    2013 was 679,000, or 9.1 victims per 1,000 children.2

    Each year, the number of youth requiring hospital

    treatment for physical assault-related injuries

    would fill EVERY SEAT IN 9 STADIUMS.3

    1 IN 4 HIGH SCHOOL STUDENTS
    was in at least 1 PHYSICAL FIGHT.4

    1 in 5 high school students was bullied

    at school; 1 IN 6 EXPERIENCED
    CYBERBULLYING.5

    19% of injured and 12% of physically ill youth

    have post-traumatic stress disorder.6

    1,000 More than half of U.S. families have been

    affected by some type of disaster (54%).7

    1 Copeland, W.E., Keeler G., Angold, A., & Costello, E.J. (2007). Traumatic Events and Posttraumatic Stress in Childhood. Archives of General Psychiatry. 64(5), 577-584.
    2 U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2015).

    Child maltreatment 2013. http://www.acf.hhs.gov/sites/default/files/cb/cm2013.pdf
    3,4,5 National Center for Injury Prevention and Control: Division of Violence Protection (2014).

    Taking Action to Prevent Youth Violence: A Companion Guide to Preventing Youth Violence: Opportunities for Action.
    http://www.cdc.gov/violenceprevention/youthviolence/pdf/opportunities-for-action-companion-guide.pdf

    6 Kahana, S., Feeny, N. C., Youngstrom, E. R., & Drotar, D. (2006). Posttraumatic stress in youth experiencing illnesses and injuries:
    An exploratory meta-analysis. Traumatology, 12, 148-161. doi: 10.1177/1534765606294562

    7 Save The Children (2014). 2014 National Report Card on Protecting Children in Disasters.
    http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/SC-2014_DISASTERREPORT.PDF

    Understanding
    Child Trauma

    It’s important to recognize the signs of traumatic stress
    and its short- and long-term impact.

    The signs of traumatic stress may be different in each child.
    Young children may react differently than older children.

    PRESCHOOL CHILDREN
    Fear being separated from their parent/caregiver
    Cry or scream a lot
    Eat poorly or lose weight
    Have nightmares

    ELEMENTARY SCHOOL CHILDREN
    Become anxious or fearful
    Feel guilt or shame
    Have a hard time concentrating
    Have difficulty sleeping

    MIDDLE AND HIGH SCHOOL CHILDREN
    Feel depressed or alone
    Develop eating disorders or self-harming behaviors
    Begin abusing alcohol or drugs
    Become involved in risky sexual behavior

    THE BODY’S ALARM SYSTEM

    Everyone has an alarm system in their body that
    is designed to keep them safe from harm. When
    activated, this tool prepares the body to fight
    or run away. The alarm can be activated at any
    perceived sign of trouble and leave kids feeling
    scared, angry, irritable, or even withdrawn.

    HEALTHY STEPS KIDS CAN TAKE
    TO RESPOND TO THE ALARM:

    Recognize what activates the alarm
    and how their body reacts

    Decide whether there is real trouble
    and seek help from a trusted adult

    Practice deep breathing and other
    relaxation methods

    “I’M A

    BAD
    KID.”

    “NO ONE UNDERSTANDS ME.”

    “IT’S ALLMYFAULT.”

    “IS SOMETHING
    WRONG WITH ME?”

    IMPACT OF TRAUMA
    The impact of child traumatic stress can last well
    beyond childhood. In fact, research has shown
    that child trauma survivors may experience:

    Learning problems, including lower grades
    and more suspensions and expulsions

    Increased use of health and
    mental health services

    Increased involvement with the child
    welfare and juvenile justice systems

    Long-term health problems
    (e.g., diabetes and heart disease)

    TRAUMA is a risk factor for nearly all behavioral
    health and substance use disorders.

    Understanding
    Child Trauma

    There is hope. Children can and do recover from traumatic events,
    and you play an important role in their recovery.

    “I AM
    STRONG.”

    “I AM A GOOD KID WHO
    HAD A BAD THING HAPPEN.”

    “PEOPLE CARE
    ABOUT ME.”

    “IT’S NOT MY FAULT.”

    A CRITICAL PART OF CHILDREN’S RECOVERY IS
    HAVING A SUPPORTIVE CAREGIVING SYSTEM,
    access to effective treatments, and service systems that are
    trauma informed.

    GET HELP NOW
    https://findtreatment.samhsa.gov
    http://nctsn.org/resources/get-help-now
    http://www.healthcaretoolbox.org

    Not all children experience child traumatic stress
    after experiencing a traumatic event. With support,
    many children are able to recover and thrive.

    As a caring adult and/or family member, you play
    an important role.

    REMEMBER TO:

    Assure the child that he or she is safe.

    Explain that he or she is not responsible.
    Children often blame themselves for events
    that are completely out of their control.

    Be patient. Some children will recover quickly
    while others recover more slowly. Reassure
    them that they do not need to feel guilty or
    bad about any feelings or thoughts.

    Seek the help of a trained professional.
    When needed, a mental health professional
    trained in evidence-based trauma
    treatment can help children and families
    cope and move toward recovery. Ask
    your pediatrician, family physician, school
    counselor, or clergy member for a referral.

    Visit the following websites for
    more information:

    http://www.samhsa.gov/child-trauma

    http://www.samhsa.gov/trauma-violence

    http://www.nctsn.org

    SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities

    SMA16-4923 Printed 2016

    **## 675unit8journal.docx**

    Visit the Substance Abuse and Mental Health Services Administration (SAMHSA) website regarding
    [**resources for child trauma-informed care**](https://www.samhsa.gov/mental-health/trauma-violence/child-trauma). Briefly discuss one of the trauma-related resources listed in SAMHSA.

    Your journal entry should be at least 250 words in length. Be sure to cite any references in APA format that you use.

    **## sma16-4923_0.pdf**

    Understanding
    Child Trauma

    Child trauma occurs more than you think.

    More than TWO THIRDS OF CHILDREN reported at least 1
    traumatic event by age 16.1 Potentially traumatic events include:

    PSYCHOLOGICAL, PHYSICAL, OR SEXUAL ABUSE

    COMMUNITY OR SCHOOL VIOLENCE

    WITNESSING OR EXPERIENCING DOMESTIC VIOLENCE

    NATURAL DISASTERS OR TERRORISM

    COMMERCIAL SEXUAL EXPLOITATION

    SUDDEN OR VIOLENT LOSS OF A LOVED ONE

    REFUGEE OR WAR EXPERIENCES

    MILITARY FAMILY-RELATED STRESSORS
    (E.G., DEPLOYMENT, PARENTAL LOSS OR INJURY)

    PHYSICAL OR SEXUAL ASSAULT

    NEGLECT

    SERIOUS ACCIDENTS OR LIFE-THREATENING ILLNESS

    The national average of child abuse and neglect victims in

    2013 was 679,000, or 9.1 victims per 1,000 children.2

    Each year, the number of youth requiring hospital

    treatment for physical assault-related injuries

    would fill EVERY SEAT IN 9 STADIUMS.3

    1 IN 4 HIGH SCHOOL STUDENTS
    was in at least 1 PHYSICAL FIGHT.4

    1 in 5 high school students was bullied

    at school; 1 IN 6 EXPERIENCED
    CYBERBULLYING.5

    19% of injured and 12% of physically ill youth

    have post-traumatic stress disorder.6

    1,000 More than half of U.S. families have been

    affected by some type of disaster (54%).7

    1 Copeland, W.E., Keeler G., Angold, A., & Costello, E.J. (2007). Traumatic Events and Posttraumatic Stress in Childhood. Archives of General Psychiatry. 64(5), 577-584.
    2 U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. (2015).

    Child maltreatment 2013. http://www.acf.hhs.gov/sites/default/files/cb/cm2013.pdf
    3,4,5 National Center for Injury Prevention and Control: Division of Violence Protection (2014).

    Taking Action to Prevent Youth Violence: A Companion Guide to Preventing Youth Violence: Opportunities for Action.
    http://www.cdc.gov/violenceprevention/youthviolence/pdf/opportunities-for-action-companion-guide.pdf

    6 Kahana, S., Feeny, N. C., Youngstrom, E. R., & Drotar, D. (2006). Posttraumatic stress in youth experiencing illnesses and injuries:
    An exploratory meta-analysis. Traumatology, 12, 148-161. doi: 10.1177/1534765606294562

    7 Save The Children (2014). 2014 National Report Card on Protecting Children in Disasters.
    http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/SC-2014_DISASTERREPORT.PDF

    Understanding
    Child Trauma

    It’s important to recognize the signs of traumatic stress
    and its short- and long-term impact.

    The signs of traumatic stress may be different in each child.
    Young children may react differently than older children.

    PRESCHOOL CHILDREN
    Fear being separated from their parent/caregiver
    Cry or scream a lot
    Eat poorly or lose weight
    Have nightmares

    ELEMENTARY SCHOOL CHILDREN
    Become anxious or fearful
    Feel guilt or shame
    Have a hard time concentrating
    Have difficulty sleeping

    MIDDLE AND HIGH SCHOOL CHILDREN
    Feel depressed or alone
    Develop eating disorders or self-harming behaviors
    Begin abusing alcohol or drugs
    Become involved in risky sexual behavior

    THE BODY’S ALARM SYSTEM

    Everyone has an alarm system in their body that
    is designed to keep them safe from harm. When
    activated, this tool prepares the body to fight
    or run away. The alarm can be activated at any
    perceived sign of trouble and leave kids feeling
    scared, angry, irritable, or even withdrawn.

    HEALTHY STEPS KIDS CAN TAKE
    TO RESPOND TO THE ALARM:

    Recognize what activates the alarm
    and how their body reacts

    Decide whether there is real trouble
    and seek help from a trusted adult

    Practice deep breathing and other
    relaxation methods

    “I’M A

    BAD
    KID.”

    “NO ONE UNDERSTANDS ME.”

    “IT’S ALLMYFAULT.”

    “IS SOMETHING
    WRONG WITH ME?”

    IMPACT OF TRAUMA
    The impact of child traumatic stress can last well
    beyond childhood. In fact, research has shown
    that child trauma survivors may experience:

    Learning problems, including lower grades
    and more suspensions and expulsions

    Increased use of health and
    mental health services

    Increased involvement with the child
    welfare and juvenile justice systems

    Long-term health problems
    (e.g., diabetes and heart disease)

    TRAUMA is a risk factor for nearly all behavioral
    health and substance use disorders.

    Understanding
    Child Trauma

    There is hope. Children can and do recover from traumatic events,
    and you play an important role in their recovery.

    “I AM
    STRONG.”

    “I AM A GOOD KID WHO
    HAD A BAD THING HAPPEN.”

    “PEOPLE CARE
    ABOUT ME.”

    “IT’S NOT MY FAULT.”

    A CRITICAL PART OF CHILDREN’S RECOVERY IS
    HAVING A SUPPORTIVE CAREGIVING SYSTEM,
    access to effective treatments, and service systems that are
    trauma informed.

    GET HELP NOW
    https://findtreatment.samhsa.gov
    http://nctsn.org/resources/get-help-now
    http://www.healthcaretoolbox.org

    Not all children experience child traumatic stress
    after experiencing a traumatic event. With support,
    many children are able to recover and thrive.

    As a caring adult and/or family member, you play
    an important role.

    REMEMBER TO:

    Assure the child that he or she is safe.

    Explain that he or she is not responsible.
    Children often blame themselves for events
    that are completely out of their control.

    Be patient. Some children will recover quickly
    while others recover more slowly. Reassure
    them that they do not need to feel guilty or
    bad about any feelings or thoughts.

    Seek the help of a trained professional.
    When needed, a mental health professional
    trained in evidence-based trauma
    treatment can help children and families
    cope and move toward recovery. Ask
    your pediatrician, family physician, school
    counselor, or clergy member for a referral.

    Visit the following websites for
    more information:

    http://www.samhsa.gov/child-trauma

    http://www.samhsa.gov/trauma-violence

    http://www.nctsn.org

    SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities

    SMA16-4923 Printed 2016

    – 1
    – 2

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