Physiotherapy Assessment of Pain within a Trauma-Informed Care Model: Difference between revisions
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== Trauma-informed care model == | == Trauma-informed care model == | ||
The trauma-informed care model is the framework that involves the understanding of the 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><div class="noeditbox"> | The trauma-informed care model is the framework that involves the understanding of the 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 a 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 | |||
* Trustworthiness and transparency | |||
* Peer support | |||
* Collaboration and mutuality | |||
* Empowerment, voice, and choice | |||
* Cultural-historical and gender issues | |||
== Pain assessment within the key elements == | |||
=== 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 tell his/her story, describe his/her subjective feeling, emotion and during the assessment process, a physiotherapist 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>HF N. Intervention for physiotherapists working with torture survivors with special focus on chronic pain, PTSD, and sleep disturbances. Denmark: dignity; 2014</ref>He/she should be assured that confidentiality will be maintained between the physiotherapist and the patient.<ref>Sanders MR, Hall SL. Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness. Journal of Perinatology. 2018 Jan;38(1):3-10.</ref><div class="noeditbox"><div class="noeditbox"> | |||
== References == | |||
<references /> | |||
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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 of the 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 a 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 within the key elements[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 tell his/her story, describe his/her subjective feeling, emotion and during the assessment process, a physiotherapist 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]He/she should be assured that confidentiality will be maintained between the physiotherapist and the patient.[5]References[edit | edit source]
- ↑ 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)
- ↑ 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.
- ↑ 3.0 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.
- ↑ HF N. Intervention for physiotherapists working with torture survivors with special focus on chronic pain, PTSD, and sleep disturbances. Denmark: dignity; 2014
- ↑ Sanders MR, Hall SL. Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness. Journal of Perinatology. 2018 Jan;38(1):3-10.
