Physiotherapy Assessment of Pain within a Trauma-Informed Care Model: Difference between revisions
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=== Safety === | === 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"> | 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 name=":1">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 name=":2">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> | ||
=== Trustworthiness and transparency === | |||
The decision which is taken and the goal prepared should be transparent so that patient can have trust towards the physiotherapist. The assessment should be client-oriented and the findings should be recorded so that there is consistency between the therapy sessions.<ref name=":1" />The type and behavior of pain described should be recorded exactly as described by the patient. The patient's autonomy should be respected. While measuring pain, validated outcome measures should be used. <ref>Wideman TH, Edwards RR, Walton DM, Martel MO, Hudon A, Seminowicz DA. The multimodal assessment model of pain: a novel framework for further integrating the subjective pain experience within research and practice. The Clinical journal of pain. 2019 Mar;35(3):212.</ref> | |||
=== Peer support === | |||
Peer means the group of people who have faced the same kind of trauma. During the assessment, if the patient feels comfortable being with the peer group, the therapist can offer the option to the patient.<ref name=":0" /> Many patients may have little knowledge regarding their pain experience as some pain might be due to emotional suffering and central sensitization.<ref name=":1" />Peer support might provide emotional support and it can be provided face to face, in a group, or via the internet as per the patient's choice.<ref name=":2" /> | |||
<div class="noeditbox"><div class="noeditbox"><div class="noeditbox"> | |||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 07:07, 26 May 2020
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]
Trustworthiness and transparency[edit | edit source]
The decision which is taken and the goal prepared should be transparent so that patient can have trust towards the physiotherapist. The assessment should be client-oriented and the findings should be recorded so that there is consistency between the therapy sessions.[4]The type and behavior of pain described should be recorded exactly as described by the patient. The patient's autonomy should be respected. While measuring pain, validated outcome measures should be used. [6]
Peer support[edit | edit source]
Peer means the group of people who have faced the same kind of trauma. During the assessment, if the patient feels comfortable being with the peer group, the therapist can offer the option to the patient.[3] Many patients may have little knowledge regarding their pain experience as some pain might be due to emotional suffering and central sensitization.[4]Peer support might provide emotional support and it can be provided face to face, in a group, or via the internet as per the patient's choice.[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 3.2 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.
- ↑ 4.0 4.1 4.2 HF N. Intervention for physiotherapists working with torture survivors with special focus on chronic pain, PTSD, and sleep disturbances. Denmark: dignity; 2014
- ↑ 5.0 5.1 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.
- ↑ Wideman TH, Edwards RR, Walton DM, Martel MO, Hudon A, Seminowicz DA. The multimodal assessment model of pain: a novel framework for further integrating the subjective pain experience within research and practice. The Clinical journal of pain. 2019 Mar;35(3):212.
