Physiotherapy Assessment of Pain within a Trauma-Informed Care Model: Difference between revisions

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The trauma-informed care model is the framework that involves the understanding impact of trauma, ways to respond to the trauma and it also enhances the physical, psychological and emotional safety for both service providers and patients. It also provides opportunities for the patients to rebuild the self-control and empowerment.<ref>Hopper EK, Bassuk EL, Olivet J. Shelter from the storm: Trauma-informed care in homelessness services settings. The open health services and policy journal. 2010;3(2):80-100.</ref>
The trauma-informed care model is the framework that involves the understanding impact of trauma, ways to respond to the trauma and it also enhances the physical, psychological and emotional safety for both service providers and patients. It also provides opportunities for the patients to rebuild the self-control and empowerment.<ref>Hopper EK, Bassuk EL, Olivet J. Shelter from the storm: Trauma-informed care in homelessness services settings. The open health services and policy journal. 2010;3(2):80-100.</ref>


There are six key elements of trauma-informed approach<ref>Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration,2014.</ref> and they are:
There are six key elements of trauma-informed approach<ref name=":0">Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration,2014.</ref> and they are:
* Safety  
* Safety  
* Trustworthiness and transparency
* Trustworthiness and transparency
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== Pain assessment and key elements of the trauma-informed approach ==
== Pain assessment and key elements of the trauma-informed approach ==
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=== Safety ===
While assessing a patient, the physiotherapist should create an environment. where patients can feel safe physically and psychologically.<ref name=":0" /> A physiotherapist should interact and ask questions in such a way that patient feels comfortable to talk his story, describe his/her subjective feeling, emotion and during the assessment process, therapist should ensure patient that if he/she feels uncomfortable at any point of time he/she can disclose the assessment process at any time.<ref>Nielsen HF. Intervention for physiotherapists working with torture survivors with specialfocus on chronic pain, PTSD, and sleep disturbances. Denmark: dignity; 2014.</ref> <div class="noeditbox"><div class="noeditbox">
# Trustworthiness and transparency
# Peer support
# Collaboration and mutuality
# Empowerment voice and choice
# Cultural-historical and gender issues<br>


== References ==
== References ==
<div class="noeditbox"><references />
<div class="noeditbox"><references />

Revision as of 09:56, 24 May 2020

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Pain[edit | edit source]

According to the International Association For Study of Pain(ISAP), pain is defined as" an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage". [1]


Trauma-Informed Care model[edit | edit source]

The trauma-informed care model is the framework that involves the understanding impact of trauma, ways to respond to the trauma and it also enhances the physical, psychological and emotional safety for both service providers and patients. It also provides opportunities for the patients to rebuild the self-control and empowerment.[2]

There are six key elements of trauma-informed approach[3] and they are:

  • Safety
  • Trustworthiness and transparency
  • Peer support
  • Collaboration and mutuality
  • Empowerment voice and choice
  • Cultural-historical and gender issues


Pain assessment and key elements of the trauma-informed approach[edit | edit source]

Safety[edit | edit source]

While assessing a patient, the physiotherapist should create an environment. where patients can feel safe physically and psychologically.[3] A physiotherapist should interact and ask questions in such a way that patient feels comfortable to talk his story, describe his/her subjective feeling, emotion and during the assessment process, therapist should ensure patient that if he/she feels uncomfortable at any point of time he/she can disclose the assessment process at any time.[4]
  1. Trustworthiness and transparency
  2. Peer support
  3. Collaboration and mutuality
  4. Empowerment voice and choice
  5. Cultural-historical and gender issues

References[edit | edit source]

  1. International Association for the Study of Pain.IASP terminology.Available from:https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698 (Accessed:2020/22/15)
  2. Hopper EK, Bassuk EL, Olivet J. Shelter from the storm: Trauma-informed care in homelessness services settings. The open health services and policy journal. 2010;3(2):80-100.
  3. 3.0 3.1 Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration,2014.
  4. Nielsen HF. Intervention for physiotherapists working with torture survivors with specialfocus on chronic pain, PTSD, and sleep disturbances. Denmark: dignity; 2014.