Top Ten Tips Palliative Care Clinicians Should Know About Trauma-Informed Care.

IF 2.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
J Janet Ho, Chelsea K Brown, Heather Bemis, L Emily Cotter, Jennifer DiBiase, Megan R Gerber, Dana E Greenfield, Nancy Kusmaul, Hedieh Matinrad, Jason Mills, Abigail Nathanson, Sarah Peck, Linda M Radbill, Cara L Wallace, William E Rosa
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Abstract

Trauma is a personal stress response to experiences perceived as harmful or life-threatening, and has ongoing impacts on illness and health. Exposure to trauma is increasingly prevalent, and the risk of medical trauma or re-traumatization is heightened for people living with serious illness. Trauma not only impacts health outcomes, but can also interfere with decision-making and worsen symptom burden at the end of life. Thus, it is critical that palliative care clinicians in all professions be skilled at providing high-quality trauma-informed care (TIC). TIC seeks to provide more holistic and equitable care through better understanding of how a person's life situation impacts behavior, reactions, behavior, responses, or relationships. A clinician using a trauma-informed lens asks, "What has happened to this person?" instead of, "What is wrong with this person?" A "universal precautions" approach is recommended, encouraging broad acknowledgment of possible trauma and recognition of signs of trauma responses, to better understand triggers for medical retraumatization among patients, caregivers, and even us as clinicians. TIC provides a framework that guides clinicians to acknowledge the widespread experience and consequences of trauma, recognize the symptoms of traumatic stress, mitigate mistrust and disempowerment, and advocate for culture change in health care systems to reduce the risk of further health care-based traumatization.

关于创伤知情护理,姑息治疗临床医生应该知道的十大提示。
创伤是对有害或危及生命的经历的一种个人压力反应,对疾病和健康有持续的影响。创伤暴露越来越普遍,对于患有严重疾病的人来说,医疗创伤或再创伤的风险增加了。创伤不仅会影响健康结果,还会干扰决策,并在生命结束时加重症状负担。因此,所有职业的姑息治疗临床医生都必须熟练地提供高质量的创伤知情护理(TIC)。通过更好地了解一个人的生活状况如何影响行为、反应、行为、反应或关系,TIC力求提供更全面和公平的护理。临床医生会用创伤知情镜问:“这个人怎么了?”而不是“这个人怎么了?”建议采用“普遍预防”方法,鼓励广泛承认可能的创伤和识别创伤反应的迹象,以便更好地了解患者,护理人员甚至我们作为临床医生的医疗再创伤的触发因素。TIC提供了一个框架,指导临床医生认识到创伤的广泛经历和后果,认识到创伤应激的症状,减轻不信任和丧失权力,并倡导卫生保健系统的文化变革,以减少进一步的卫生保健创伤的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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