Trauma-Informed Hospice and Palliative Care
Autor: | Barbara L. Ganzel |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Palliative care Population Psychological intervention Pain Anxiety Psychological Trauma Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans Pain Management 030212 general & internal medicine education education.field_of_study Terminal Care business.industry Palliative Care Delirium General Medicine medicine.disease Mental health Hospice Care Mental Health 030220 oncology & carcinogenesis Family medicine Dementia Geriatrics and Gerontology medicine.symptom business Gerontology Psychological trauma |
Zdroj: | The Gerontologist. 58(3) |
ISSN: | 1758-5341 |
Popis: | This review highlights the need to integrate trauma-informed practices into hospice and palliative care. The pervasiveness of psychological trauma exposure has been established in the general population and among the elderly adults. Moreover, there is emerging evidence for multiple additional opportunities for exposure to psychological trauma at or near the end of life. For example, many people experience intensive medical interventions prior to their admission to hospice and/or palliative care, and there is increasing recognition that these interventions may be traumatic. These and related opportunities for trauma exposure may combine synergistically at the end of life, particularly in the presence of pain, anxiety, delirium, dementia, or ordinary old age. This, in turn, can negatively affect patient mental health, well-being, behavior, and reported experience of pain. This review closes with suggestions for future research and a call for universal assessment of psychological trauma history and symptoms in hospice and palliative care patients, along with the development of palliative trauma intervention strategies appropriate to these populations. |
Databáze: | OpenAIRE |
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