Tia is Maori, and has been the victim of domestic violence. She has contacted a
ID: 127917 • Letter: T
Question
Tia is Maori, and has been the victim of domestic violence. She has contacted a women’s shelter and is seeking assistance for herself and her three young children. Tia has experienced severe psychological and physical abuse over the last eight years, so has severe post-traumatic stress symptoms, such as sleeplessness, nervousness and vigilance, and she constantly relives traumatic experiences. Aria and Sam are providing support and care to Tia and her children, which includes meeting Tia’s basic needs, providing counselling and referring her for medical assistance, and arranging legal support. Tia’s partner is also Maori, and Tia says his family background explains a lot of his behaviour. She excuses much of the violence because of the culture she grew up with. Tia’s culture, and her trauma, also affect the way she interacts with Aria and Sam. She does not comfortable making eye contact, and finds it difficult to interact with the staff and other clients.
Discuss Tia’s human rights, and how these relate to her human needs.
What frameworks, approaches and instruments might be available to Aria and Sam when working with Tia?
Discuss Tia’s physical, mental and emotional issues or needs.
What impact could discrimination, trauma, exclusion and negative attitudes have on Tia’s wellbeing?
Discuss Sam and Aria’s rights and responsibilities when providing care, and identify what would happen if these weren’t carried out.
What are Tia’s protective factors?
How can Sam and Aria ensure a workplace that is safe for Tia, her children and other clients, as well as themselves?
Explanation / Answer
Post traumatic stress disorder(PTSD) is a disorder which happens in some person who have gone through some scared, feary or dangerous event in life, that leads to recurrent fight or flight response to escape from the hurt or harm related to that event. Not everyone goes through such dangerous event, but a loss or death of a loved one can leads to PTSD. The individual with PTSD exhibits features like nervousness, sleepless nights, bad dreams, flashbacks, threatening thoughts and lack of eye contact. The symptoms are exhibited within the first three months or a year onwards post event.
Frameworks and Approaches :
Any individual can develop this disorder at any age. This includes war veterans, children, and people who have been through a physical or sexual assault, abuse, accident, disaster, or many other serious events. PTSD can be treated effectively with correct assessments and interventions. Treatment and support to the patients ta timely manner are very importand for speedy recovery. The early treatment can bring out effective slow down in the frequency and intensity of symptoms and reactions. The following interventions can give rise to effective way of treating the clients with PTSD;
A) Psychotherapy. It is a great way of treating the patient with the help of mental health provider, however initially the patient may feel it very difficult to undergo this therapy. There are different types of therapy.
B) Medicine, such as
C) Support groups. This form of therapy, led by a mental health professional, involves groups of four to 12 people with similar issues to talk about. Sharing of thoughts helps in releasing the emotional turbulence to people who faced the same problems.This helps in speeding up the recovery,gain confidence in coping with the memories and symptoms and find comfort with others having similar problems.
Physical, Mental and Emotional issues or needs :
The patient's undergoing PTSD are completely disturbed by means of emotional physical and mental needs. The severity of the disorder is the frequency and amount of exposure to the untoward event and the person involved in causing the evenyt to occur and the loss they recieved because of the event.
- Self-care: It is very importand because many a times the patient neglect self care and stay very unhygienic and ungroomed. Recovering from PTSD is an ongoing process. Certain healthy tasks can help the patient to tackle all these needs in a welll planned manner.
Rights and Responsibilities :
Rights:
The care giver has the right to know about the complete hones details of the patient in terms of demographic details, event details, social, past medical history.
Responsibilities:
Assisting with personal care: bathing and grooming, dressing, toileting, and exercise.
Responsibility to maintain confidentiality of patient care
maintain good inter personal relationship with patient and family
Maintaining documentation
Protective Factors:
These are factors which will reduce the occurrence of PTSD, these are;
- better training and preparation to respond to a traumatic event
- Occupational therapy can help to learn and focus on some tasks,
- a sense of mastery or self-esteem,
- involvement of her children in care can help her to involve in treatment
- easy accessibility to social or support groups dealing with PTSD
- diversional and relaxation therapies can induce sleep and reduce the state of anxiety
Safety Environment:
- Avoid having sharp items around the area
- Maintaining calm amd quiet environment which can induce sleep and stable mind
- Keeping things of daily needs within reach of patient
- Keeping medicinesaway from the patient
- Maintain the height of the cot at the lowest to prevent fall
- Assist the patient whenever needed
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