Department
Social Work
Date of Paper/Work
5-2022
Degree Name
Doctor of Social Work (DSW)
Type of Paper/Work
Banded Dissertation
Advisors
Robin Whitebird, PhD
Abstract
Adverse childhood experiences (ACEs) have been shown to significantly impact health outcomes for individuals exposed to trauma. Despite the recognition that many chronic health conditions are strongly correlated to ACEs, there are substantial gaps in the literature related to the impact of ACEs on people with end-stage renal disease (ESRD). This is particularly concerning as patients with ESRD are often labeled as medically non-adherent to treatment, and there is often no consideration by providers that ACEs may be impacting their health beliefs, behaviors, and decisions. This banded dissertation addresses the gaps in the literature related to providers' perspectives and knowledge on the potential impact of ACEs on adherence in individuals with ESRD and provider knowledge and training of trauma-informed care practices. Further, this banded dissertation introduces a trauma-informed care model specific to the care of patients with ESRD through a health belief model lens. The trauma-informed model of care was constructed to guide nephrology providers, specifically social workers, in providing traumainformed practices and interventions to best understand, treat, and care for patients with ESRD who may have histories of trauma.
Keywords
Adverse childhood experiences, ACEs, trauma-informed practices, end-stage renal disease, chronic kidney disease
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Breckenridge, Tiffany, "Recognizing and Responding to Childhood Adversity in People with End-Stage Renal Disease" (2022). Doctor of Social Work Banded Dissertation. 100.
https://ir.stthomas.edu/ssw_docdiss/100