re·sist·ing re·trau·ma·tiz·a·tion: to exert oneself so as to counteract or defeat the repeated infliction of a trauma
Resisting Re-Traumatization: The Reason for Trauma-Informed Care
A critical responsibility of Emergency Medical Responders is to treat the patient in a way that resists re-traumatization. As the first point of contact for many patients, it is crucial that they feel safe and in control. By doing so, patients will be more open to seeking care when they need it. It also ensures that interactions are sensitive to their needs and triggers, reducing the likelihood of further harm.
There are myriad ways to proactively prevent healthcare trauma and resist re-traumatization during patient interactions. Here we provide some options that are felt to be the most important and should be integrated into every patient interaction. At its core, though, resisting healthcare trauma is achieved by building trust, involving patients in their care, and treating them with respect and dignity.
Permission and Control
One must offer choices when appropriate and involve patients in decisions regarding their treatment.
Phrases:
"You have the right to express your concerns, and you can refuse our care, but if you’d be open to it, I would like to go through an assessment to make sure you are taken care of.
You can decline to be treated; that is your right. With that being said, I am worried about _____. Could we go through a quick assessment to make sure everything is alright? You can pull out anytime
Clear Communication
One must provide clear and concise information about the current situation and treatment plan.
Phrases:
"I am committed to providing you with the best care possible, and I will keep you informed every step of the way."
Right now, I am ______. Later we will ______. If ______, then the best course of action would be to get you to a hospital because _______.
Personalized Care
One must be able to adapt care approaches based on the patient's preferences, taking into account their past experiences. This can only be achieved if a provider makes the effort to learn about a patient's experiences
Phrases:
Have you felt this way before? What brought it on? What makes it better or worse? How can I support you right now?
"I understand that everyone's experience is unique. When you normally feel this way, do you prefer ______ or _____?"
To verify the effectiveness of your efforts to resist re-traumatization, there are many indicators to look out for. Some signals to look out for can be found within the “Reassurance” tenet.
Video: Staying Mindful of Trauma Triggers (Coming Soon)