Nursing and Post-Traumatic Stress Disorder: Care Proposal in Post-Conflict

Abstract

Every day it is associated with Post-traumatic Stress Disorder (PTSD) to situations associated with war, violence, armed conflicts, etc., this has an explanation, and is due to the origin and development of this psychiatric diagnosis, having as first record the classical Greece where Hippocrates describes the behaviors and nightmares of soldiers exposed to battle (1), through the concept of "Traumatic Neurosis" defined by Hermman Oppenheim associated with fighters and violent scenarios (2), later the "Trench Shock" "Or" Shell shock ", the famous" war neurosis "(3) phenomena defined and studied during World War I and II, including the use of psychiatrists on combat fronts, in order to detect psychic alterations associated with violent scenarios; henceforth, more scenarios such as conflicts in Vietnam and the Gulf War were studied, where new evidence related to the experiences of combatants and their responses to hostile scenarios emerged (1) (4). But it is pertinent to clarify that PTSD Not only does it relate to situations of armed conflict or combat violence, it must basically be associated with any experience or context that contemplates a possible trauma, defining this word as an emotional injury due to exposure to a situation, moment, or act that leaves a shocking experience (5). Clarifying the above, a series of questions arises that can be placed within the Colombian context, one of which is: What traumatic scenarios did the armed conflict have / have in Colombia ?, and that is where the relevance of the nursing role is centered (and of the entire interdisciplinary health team) in addressing the possible care needs that arise from physical, emotional, cognitive and behavioral responses due to pathological exposure to traumatic scenarios (in this specific case of conflict, combat), of the civilian population, active actors of the conflict, as members of the armed forces or members of the armed groups that are outside the law.The nursing professional must focus his intervention on the needs detected to the people who need his knowledge and skills, in the scenario described above, people who are diagnosed with Post Stress Disorder are mentioned Raumatic (PTSD), a disease characterized by a series of signs and symptoms that appear after exposure to an extremely traumatic event (a combat, for example) (6) with the flashback (7) as a determining sign (among other findings), constituted and defined as the revival of the traumatic event, re-experiencing the same psychic and physical responses of the original moment (7). Within the nursing faculty of the National University of Colombia, Bogotá headquarters in its Masters in Nursing with deepening in mental health, a grade work was carried out focused on proposing a possible solution of this problem scenario, in the grade work “Nursing Care for Patients diagnosed with PTSD, associated with combat”, a nursing intervention based on the theory of interpersonal relationships is described by Hildegard Peplau (8), which is linked to an intervention technique called “Remotivation (9), addressing groups of people who suffer from this disorder, in order to discuss and develop healthy and healthy aspects of these people, focusing on themselves (9). All of the above focused on the Nursing Care Process (PAE), with the proposal to work with the diagnosis “00141- Post-traumatic syndrome” (10), with the nursing intervention “5240-Counseling” (11), which is complemented with the role of the same name that Hildegard exposes and proposes in his theory. This type of proposal invites continuity in the generation of intervention proposals focused on solving problems detected in the development of the practice, always trying to use a unified language of As the NANDA taxonomy is the profession, it is necessary to aim at addressing the needs of the population of Colombia (as a priority) or if it is the case of the professional or academic development of the professional, it can be anywhere in the world, you must lead health disease processes and therefore, interdisciplinary groups.