Practice Considerations for Trauma-Informed Care at End of Life

Ricks-Aherne, Elizabeth S; Wallace, Cara L.; Kusmaul, Nancy

doi:10.1080/15524256.2020.1819939

Cited by 7 publications

(6 citation statements)

References 30 publications

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“…47,48 Explicit attention to how intersections between the past and the present might influence the health experiences of LGBTQ2S+ people is helpful in informing trauma-informed approaches to LGBTQ2S+ palliative care. 49,50 Such approaches account for the ways that trauma has affected peoples' lives and take deliberate care to avoid re-traumatization. Rather than seeing trauma-informed practices as uniquely relevant for LGBTQ2S+ communities however, we encourage hospice and palliative care providers and services to embrace anti-oppressive, equitybased, and trauma-informed practices and policies as critically important for all patients, families, and community networks.…”

Section: Discussionmentioning

confidence: 99%

“…Rather than seeing trauma-informed practices as uniquely relevant for LGBTQ2S+ communities however, we encourage hospice and palliative care providers and services to embrace anti-oppressive, equitybased, and trauma-informed practices and policies as critically important for all patients, families, and community networks. 49,51,52 Furthermore, we believe that these practices and policies are also critical for the wellness, safety and resilience of health care providers, allied health providers, administrators, volunteers and students who work within hospice, palliative care. 53,54 Consideration of how the past relates to the present is also valuable for considering the implications for LGBTQ2S+ health experience of societal changes that occur with time.…”

Section: Discussionmentioning

confidence: 99%

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Centering sexual and gender diversity within Compassionate Communities: insights from a community network of LGBTQ2S+ older adults

et al. 2021

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Background and Rationale: The Compassionate Communities movement emphasizes the importance of illness, disability, dying, caregiving, and grief across the lifespan and highlights the communal responsibility of caring for one another. There is a need to recognize and incorporate the needs of diverse communities within this movement and research on dying, caregiving and grief. An important axis of this diversity is related to individuals’ sexual orientation and gender identity. Methods: As part of the early phases of Healthy End of Life Project Ottawa, a Compassionate Communities, community-based, participatory action research project, we held focus groups with older members of lesbian, gay, bisexual, transgender, queer, and two-spirit communities. Nine older lesbian, gay, bisexual, transgender, queer, and two-spirit people participated in the focus groups (mean age = 72 years). Data were analysed using an inductive, reflexive thematic approach. Results: Through an iterative analysis process, we identified themes related to lifecourse experiences of trauma, the need for safety within care contexts, the importance of relationships and connection, as well as participants’ ability to ask for and receive help. A core tenet of Compassionate Communities involves responding to the needs of diverse communities with respect to aging, end-of-life, and grief. Our findings emphasize the importance of incorporating the voices of diverse sexual and gender identities and promoting health equity within Compassionate Community initiatives.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Centering sexual and gender diversity within Compassionate Communities: insights from a community network of LGBTQ2S+ older adults

et al. 2021

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“…44 This review described the trauma-informed approaches that have been applied in, or developed for, (RAC) and explored the barriers, facilitators, and outcomes of TIC in RAC. Despite substantial evidence of the impact of trauma across the lifespan, 19,[46][47][48] there is a paucity of literature on the application of TIC in RAC settings. The studies included in this review illustrate that some staff use TIC approaches in some RAC settings.…”

Section: Barriers and Enablers For Ticmentioning

confidence: 99%

“…6,17,18 It requires a basic understanding of trauma and its impacts to provide a service system environment that avoids re-traumatisation through the routine use of trauma-sensitive approaches. 18,19 Initially developed for use in psychiatric settings, TIC has an established evidence base in other settings, including health care, child and family services, and education. 17,18,20 An increasing number of models and frameworks guide the application of TIC.…”

Section: Introductionmentioning

confidence: 99%

“…17,18,20 An increasing number of models and frameworks guide the application of TIC. 6,17,21,22 Whilst TIC is not a therapeutic approach or trauma treatment modality, nor can it replace these, 18 it can minimise the risk of further harm by focusing on wellbeing and safety, 19,23 restoring power through autonomy, choice, and control, and building self-worth. 17 Further benefits of TIC include reduction of service costs, decreased trauma symptoms, improved health outcomes and quality of life, 13,[24][25][26][27] increased staff satisfaction and reduced burnout through the promotion of staff collaboration, 28 and improved patient care.…”

Section: Introductionmentioning

confidence: 99%

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Trauma‐informed care within residential aged care settings: A systematic scoping review

MacRae,

Berkovic,

Ryan

et al. 2023

Int J Geriat Psychiatry

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ObjectivesThe importance of trauma‐informed care (TIC) within residential aged care (RAC) settings has been increasingly recognised. TIC would ensure that older people who have experienced trauma over their lifetime have their needs better understood and accommodated. This scoping review examined the extent to which TIC has been applied within RAC settings.MethodsA scoping review was conducted according to Cochrane recommendations and the PRISMA‐ScR checklist. A systematic search of six databases (Embase, Emcare, CENTRAL, CINAHL, PsychInfo and Medline) was performed in July 2022 and March 2023 and peer‐reviewed primary research, in English and involved RAC staff or residents (aged 65 years and over) providing or receiving TIC were eligible for inclusion. Studies focused on trauma intervention, assessment, screening, or treatment were excluded. Thematic synthesis was performed to extract themes relating to trauma‐informed practice, barriers and enablers to TIC, and outcomes from the application of TIC approaches.ResultsFive articles were included. There was little evidence of the implementation of TIC interventions in RAC settings. Only one study examined the application of a TIC framework in a RAC setting. However, there was some evidence that approaches that consider resident's experience of trauma have emerged from practice experience and been used in RAC as an extension of person‐centred care.ConclusionsWhilst trauma‐informed approaches to resident care are emerging through practice experience, and despite policy recommendations to do so, there is little evidence that formal TIC interventions or frameworks have been applied to RAC internationally. This study highlights a gap in research and practice and makes several recommendations for further research and implementation of TIC in RAC.

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Racism is Life-Threatening and Continues the Cycle of Racial Trauma: What Can Clinicians do to Interrupt This Cycle?

Mathew

2024

Clin Soc Work J

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Practice Considerations for Trauma-Informed Care at End of Life

Cited by 7 publications

References 30 publications

Centering sexual and gender diversity within Compassionate Communities: insights from a community network of LGBTQ2S+ older adults

Centering sexual and gender diversity within Compassionate Communities: insights from a community network of LGBTQ2S+ older adults

Trauma‐informed care within residential aged care settings: A systematic scoping review

Racism is Life-Threatening and Continues the Cycle of Racial Trauma: What Can Clinicians do to Interrupt This Cycle?

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