RESUMO
Trauma-informed care has emerged as an important model to address the pervasiveness of traumatic experiences across the life cycle and their association with significant adverse medical and psychiatric consequences. To achieve health equity, in which all people have the opportunity for health, it is crucial for physicians to become comfortable with a neurobiopsychosocial understanding of trauma and how to provide optimal trauma-informed care. Given the pervasiveness of trauma exposure, and its impact on individual and community health, this paradigm shift in adult health care delivery systems requires physician engagement at every stage of development and implementation.
Assuntos
Equidade em Saúde/normas , Política de Saúde/tendências , Desenvolvimento de Programas/métodos , Saúde Pública/normas , HumanosRESUMO
Reflections from a nurse and survivor on Christine Blasey Ford's recent testimony.
Assuntos
Estupro/legislação & jurisprudência , Assédio Sexual/legislação & jurisprudência , Local de Trabalho/legislação & jurisprudência , Humanos , Saúde Ocupacional/legislação & jurisprudênciaRESUMO
The vulnerability of children in Haiti has increased dramatically since the earthquake in January 2010. Prior to the earthquake, the prevalence of orphans and at-risk children was high but since the earthquake, more than 1 million people-with more than 380,000 children remaining displaced and living in over 1200 displacement sites. These existing conditions leave orphans and at-risk children vulnerable to exploitation, abuse, and increased risk of HIV/AIDS. This article will focus on the complex issues affecting orphans and at-risk children and the intersection with HIV/AIDS and human rights. Specific recommendations by United Nations Children's Fund are discussed. Nursing in Haiti must address the policy-related and population-specific approaches for the care of children living with or affected by HIV/AIDS.