Providing Trauma Informed Care During Anorectal Evaluation

Purpose of Review Patients 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 imp...

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Bibliographic Details
Published in:Current gastroenterology reports 2023-09, Vol.25 (9), p.204-211
Main Authors: Jagielski, Christina H., Naftaly, Jessica P., Riehl, Megan E.
Format: Article
Language:English
Subjects:
Adverse childhood experiences
Anal Canal
Domestic violence
Gastroenterology
Gastrointestinal Diseases
Health care
Health services utilization
Humans
Inflammatory bowel disease
Irritable bowel syndrome
Medicine
Medicine & Public Health
Mental health
Pain
Patients
Pelvis
Post traumatic stress disorder
Sex crimes
Sexual abuse
Topical Collection on Large Intestine
Trauma
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Summary:Purpose of Review Patients 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 Findings History 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. Summary Due 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.
ISSN:1522-8037
1534-312X
DOI:10.1007/s11894-023-00879-4