Managing the Psychological Impact of Medical Trauma (eBook)

About the Authors

Preface

Acknowledgements

Introduction

Chapter One: What is Medical Trauma?

Definition of Medical Trauma

Model of Medical Trauma

The Effects of Medical Trauma

Chapter Two: Medical Trauma Factors: The Patient

Personality Factors

Coping Skills

Past Trauma History

Previous Medical Experiences

Pre-Existing Mental Health Issues

Lifestyle Factors and Stress

Support System

Existential Factors

Resilience

Chapter Three: Medical Trauma Factors: Diagnoses and Procedures

Level 3 Medical Traumas

Obstetrical Trauma

Vascular Trauma

Accidents

Level 2 Medical Traumas

Cancer

Diabetes

Cardiac Disorders

Pulmonary Disorders

Autoimmune Disorders

Other Disorders

Level 1 Medical Traumas

Outpatient Surgery

Primary/Preventative Care

Medical Avoidance and Non-Adherence

Chapter Four: Medical Trauma Factors: Medical Staff

Staff Communication Style

Staff Personal Factors

Personality

Optimism

Perfectionism

Medical Narcissism

Stress

Coping Style

Beliefs about Autonomy and Patient-Centeredness

Vicarious Traumatization

Staff Emotional Intelligence

Empathy

Teamwork, Patient Safety, and Training

Chapter Five: Medical Trauma Factors: Medical Environment

The Hospital Environment and Medical Trauma

The Emergency Department (ED)

Intensive Care Unit (ICU)

Hospital Contextual Factors

Privacy

Light

Sound

Temperature

Odors

Chapter Six: Case Studies

Level 1 Medical Trauma: The Case of Keith

Level 2 Medical Trauma: The Case of Sharon

Level 3 Medical Trauma: The Case of Ann

Chapter Seven: Prevention and Intervention: Level 1 Medical Trauma and Primary Care

Managing Medical Trauma in the Primary Care Setting

Prevention

Patient Protective Factors

Holistic Wellness

Current Models of Integrative Medicine

Spotlight on an Integrative Care Model: Duke University

Screening for Trauma-Related Risk Factors

Assessing the Seven Areas of Secondary Crisis

Using In-House Mental Health Professionals

Understanding Mental Health Professions

Mental Health Treatment for Medical Trauma

Tying It All Together: Revisiting the Case of Keith

Chapter Eight: Prevention and Intervention: Level 2 Medical Trauma and Specialist Care

High-Quality Care for Chronic Illness

How Medical Trauma Manifests in Patients with Chronic Illness

Specialist Care for Chronic Illness: Opportunities for Detecting Medical Trauma

Intervention for Level 2 Medical Trauma: Collaboration for Chronic Disease Management

Integrated Care in Leading Health Care Organizations

Spotlight on a Leading Health Care Organization: The Cleveland Clinic

Specialized Treatment Centers and Co-Located Coordination

Spotlight on a Leading Specialized Treatment Center: Joslin Diabetes Center

Non-Medical Adjunct Support Services and Coordinated Care

Spotlight on an Adjunct Support Organization: The Cancer Support Community

Specialist Care Practices: Striving towards Integration

Tying It All Together: Revisiting the Case of Sharon

Chapter Nine: Treatment in the Acute Care Setting: A Team Sport

What are Interprofessional Teams?

Interprofessional Collaborative Practice: The Domains of Competency

Management of Medical Trauma: An Interprofessional Endeavor

Strategies for Health Care Providers

Training the Lens to See Medical Trauma

Using Good Communication

Using Tools for Assessing Patient Distress

Collaborating with Mental Health Professionals

Current Roles of Mental Health Professionals in the Hospital Setting

Expanded Roles for Mental Health Professionals in Managing Medical Trauma

Tying It All Together: Revisiting the Case of Ann

Chapter Ten: Technology’s Role in Managing Medical Trauma

Using Applications and ‘Wearables’ to Manage Medical Trauma

Using Technology for Aftercare

Using Telehealth for Medical Avoidance

Interprofessional Education: Training a Collaborative Health Care Workforce

The Mindfulness Revolution in Health Care: Applications for Medical Trauma

Caring for Those Who Care for Patients: Vicarious Traumatization

Medical Trauma and Implications for Future Research

The Business Case for Hiring More Mental Health Professionals

Appendices Appendix A: Trauma Resources

Appendix B: Secondary 7 – Lifestyle Effects Screening (S7-LES)

Appendix C: Medical Mental Health Screening (MMHS)

Appendix D: Support Organizations for Chronic Illness

Appendix E: Mindfulness Resources

Appendix F: Recognizing the Signs of Acute Stress Disorder

Appendix G: Experience of Medical Trauma Scale (EMTS)

Appendix H: New Roles for Mental Health Professionals Protocol

Appendix I: Understanding the Emotional Effects of a Difficult Childbirth

Index