Providing Trauma Informed Care During Anorectal Evaluation

AbstractPurpose of ReviewPatients with a history of gastrointestinal (GI) conditions report high rates of psychological trauma. This review discusses the impact of previous trauma, as well as interactions with the medical system, on a patient ’s physical and mental health. Trauma-informed strategies for improving patient care during gastroenterology procedures are provided.Recent FindingsHistory of trauma increases risk of developing GI conditions and re-traumatization during sensitive anorectal procedures (i.e., anorectal manometry, balloon expulsion testing). Trauma-informed strategies include consistent trauma screening for all patients, obtaining consent before and during procedures, creating a safe environment, allowing for privacy, and post-procedure debriefing.SummaryDue to high rates of psychological trauma in the gastroenterology setting and the risk of medical trauma from the GI procedures themselves, having an established trauma-informed plan of care for all patients can reduce risk of iatrogenic harm and improve quality of care for patients with GI conditions.
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research