Children in the foster care system are exposed early in life to adverse experiences by living within dysfunctional families and specific facts have not changed. What has changed is the recognition of the need for the healthcare system to change its care for these vulnerable children to prevent the adverse effects that traumatic stress imposes on their physical and emotional development and well-being.
The pediatrician may be one of the only sources of advocacy, support, stability, and advice for the child in foster care. In that role, he or she must understand the needs and experiences of a foster child compared with other patients in the practice so that the unmet needs of this vulnerable population can be addressed.
I was reading the causes of mortality and morbidity in children and noticed that beyond age 2 years, many of the most likely serious harms to children, especially death, are considered “accidents.” I began wondering about all those situations that we so readily call “accidents.”
Ensuring correct alignment between the syringe and the cap during silicone oil injection can prevent complications during vitrectomy, said Jay M. Stewart, MD, (San Francisco) presenting during the Retina Subspecialty Day of the 2015 American Academy of Ophthalmology meeting.
Changes in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) relating to trauma and stressor-related disorders have important implications for optimizing care of pediatric patients.
There’s no shortage of worldwide traumatic events impacting children. Most recently, a natural disaster in Nepal and protests-gone-violent in Baltimore took center stage. As traumatic as they are, disasters such as these tend not to be as mentally and physically damaging and prevalent as the chronic stressors many of America’s children experience.