Daily Theme: Creating a Culture of Caring in Service to Families
Over half of the U.S. population has suffered least one adverse childhood experience, which includes various types of abuse and household dysfunction. Health literature has repeatedly linked adverse childhood experiences (ACEs) with unfavorable adult health outcomes including mental illness, various chronic illnesses, disability, and early death. Toxic stress resulting from ACEs affects brain development in infants and young children and changes the architecture of the brain. These changes influence behavior, learning, and overall health. In order to provide appropriate care to ACE survivors, it is important for nurse practitioners to be aware of the detrimental effects of ACEs on adult health.
1. Identify the seven categories of adverse childhood experiences (ACEs)
2. Understand the pathophysiology of how ACEs affect brain development
3. Recognize health risk behaviors and adverse adult health outcomes associated with ACEs
4. Describe how universal precautions is used in implementing a trauma-informed care approach
5. Describe how nurse practitioners can use primary, secondary, and tertiary prevention to reduce the burden of ACEs
Practical Application: Survivors of child maltreatment are more likely to maltreat their children, and nurse practitioners have a unique opportunity to break the cycle of ACEs with primary prevention strategies for ACE survivors, particularly adult patients with young children. Secondary and tertiary prevention strategies will also be discussed.
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Dr. Jana Esden
Dr. Jana Esden is a Family Nurse Practitioner and an Associate Professor at Frontier Nursing University. Dr. Esden graduated from Marquette University in Milwaukee, Wisconsin, in 2003 with a Bachelor’s Degree in Nursing. In 2006, she entered the Family Nurse Practitioner program at the Frontier School of Midwifery and Family Nursing, now Frontier Nursing University, and graduated in 2008 with a Master’s of Science in Nursing. She graduated with her Doctor of Nursing Practice degree in 2012, also from Frontier Nursing University.
Her current research interests include chronic care, underserved populations, adverse childhood experiences, and trauma-informed care. In her clinical work, she works with a community clinic to serve patients at a transitional housing complex in Northeast Wisconsin. Her area of expertise is adults with chronic illness.
Dr. Esden lives in Neenah, Wisconsin, with her husband, Eric, and with children Callie, Micah, and Elena.