TRAUMA INFORMED CARE IN THE ACUTE CARDIAC CARE SETTING: A PATIENT PARTNERSHIP CASE STUDY

Abstract

Despite there being an established relationship between acute hospitalization and experiencing symptoms of trauma, there is a paucity of research in the application of a trauma-informed approach in the cardiac acute care setting. Trauma-informed approach is defined as an approach of care aimed at promoting health and healing that reduces the occurrence of re-traumatization in the health care setting. The goal of this patient partnership presentation is to tell the story of a critically ill cardiac patient’s 8-month hospital stay, and how a trauma-informed approach to his care could have changed his experience. We present the case of Jeff, a 47-year-old male patient who presented in cardiogenic shock, was placed on extracorporeal membrane oxygenation (ECMO) and then transferred to left ventricular assist device (LVAD). During his recovery he developed a serious mediastinal infection prolonging his hospitalization leading to numerous tests, procedures and setbacks in his trajectory. Jeff shares his experience and outlines some of the traumatic events that are viewed as routine care for health professionals such as blood work, invasive and non-invasive testing, and vital signs. We will then collaborate to offer suggestions to minimize triggers for future patients and improve patient care. This presentation provides health care professionals with experiences from both patient and health care practitioner perspectives. This patient partnership presentation may guide future research on trauma-informed approach in acute and critical care settings, and shape how patient care is provided to those who have experienced multiple traumatic events secondary to their illness trajectory.