Systemic Sclerosis (Scleroderma)
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PTSD nursing care focuses on creating safety, processing trauma, and managing symptoms through therapeutic interventions and support. PTSD develops after exposure to traumatic event with symptoms: re-experiencing (flashbacks, nightmares); avoidance; negative alterations in mood/cognition; and hyperarousal. Nursing interventions: establish therapeutic relationship; provide psychoeducation; teach grounding techniques for dissociation; encourage gradual exposure to trauma memories (often with therapist); manage hyperarousal (relaxation, sleep hygiene); address comorbid conditions (depression, substance use). Trauma-informed care principles: safety, trustworthiness, choice, collaboration, empowerment. Documentation respects trauma history. Medications (SSRIs, prazosin for nightmares) may be used. Nurses avoid retraumatization through sensitive approach. Family education about PTSD. Long-term recovery possible with treatment. Prevention through early intervention after trauma (psychological first aid). Nurses may experience vicarious trauma; self-care essential.
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Zambia
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