Roman is a PSW who works in a long-term care home. He has just been assigned to work with a new resident, Mary, who is an 82-year-old woman with advanced dementia. In a conversation with Roman, Mary’s daughter mentions, “Mom had a hard time with dad.” Roman has no other information on Mary’s social history. He has received trauma-informed care training at his nursing home and decides he should use this approach when providing care to Mary.
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Drag the appropriate strategy to its matching practice tip for trauma-informed care.
- Roman recognizes that based on the daughter’s report, Mary may have a trauma history
- Roman reflects that Mary may find it traumatic to receive personal care from a male care provider
- Roman asks a female colleague to assist him with Mary’s personal care to ensure that Mary feels safe
- Roman realizes that Mary may not be able to provide history due to her advanced dementia. He decides to talk to Mary’s daughter on her next visit to get more information
- Roman observes carefully when providing care to Mary to ensure that she is not becoming triggered. He uses orienting cues throughout the care activity, such as telling her what he is doing, involving her in the activity, and checking in frequently to make sure she is tolerating the activity
- Roman thanks the daughter for sharing more information and tells her, “I know it can be difficult to share these things with other people and I really appreciate you telling me about your mother's history. It will help us to provide her better care and make sure she feels safe and comfortable”
- Roman reports Mary’s history in team rounds. The team decides to make a referral to the behaviour support consultation service so that a comprehensive assessment can be completed and an individualized care plan developed for Mary
Be aware of the prevalence of trauma and its impacts
Recognize that some health practices can be traumatizing
Provide a safe environment
Routine query about trauma history
Recognize when someone is being triggered
Respond to disclosures
Risk assessment and referral