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Providing Trauma Informed Care During Anorectal Evaluation
Christina H Jagielski1, Jessica P Naftaly2, Megan E Riehl2
1Division of Gastroenterology and Hepatology, University of Michigan/Michigan Medicine, 1500 E. Medical Center Drive, 3912 Taubman Center, SPC 5362, Ann Arbor, MI, 48109-5362, USA. cjagiels@med.umich.edu.
Current Gastroenterology Reports
|July 20, 2023
Summary
Patients with gastrointestinal (GI) conditions often have trauma histories. Trauma-informed care in gastroenterology, including screening and consent, can prevent re-traumatization and improve patient outcomes.
Area of Science:
- Gastroenterology
- Psychology
- Trauma-Informed Care
Background:
- High prevalence of psychological trauma among patients with gastrointestinal (GI) conditions.
- Trauma history impacts physical and mental health, and medical system interactions.
- Gastroenterology procedures carry a risk of re-traumatization.
Purpose of the Study:
- To review the impact of prior trauma on patients with GI conditions.
- To discuss the influence of medical system interactions on patient well-being.
- To provide trauma-informed strategies for gastroenterology care.
Main Methods:
- Literature review on trauma and GI conditions.
- Analysis of patient experiences in gastroenterology settings.
- Identification of best practices for trauma-informed care.
Main Results:
- Trauma history elevates the risk of developing GI conditions.
- Sensitive procedures like anorectal manometry can cause re-traumatization.
- Key strategies include trauma screening, informed consent, safe environments, privacy, and debriefing.
Conclusions:
- Trauma-informed care is crucial in gastroenterology due to high trauma rates.
- Implementing a trauma-informed plan reduces iatrogenic harm.
- Improved quality of care and patient outcomes are achievable with these strategies.
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