TRAUMA Bringing Hope and Healing. HOSPIVISION Registered Sec. 21 Company Public Benefit Organization...
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Transcript of TRAUMA Bringing Hope and Healing. HOSPIVISION Registered Sec. 21 Company Public Benefit Organization...
TRAUMATRAUMA
Bringing Hope and Bringing Hope and HealingHealing
Bringing Hope and Bringing Hope and HealingHealing
HOSPIVISIONHOSPIVISION
• Registered Sec. 21 Company
• Public Benefit Organization
• Recognized by National Dept. of Health as counseling service provider
• Pastoral Services: More than 50 years!
• Specialized training in Clinical Pastoral Care and Counseling
The medical environmentThe medical environment
•Clinical and goal directed
•The role of personality
• A Holistic approach?
The patient’s expectationThe patient’s expectation
• The doctor is “God”
• “What does the doctor say?”
• “What is happening?” / “What is happening to me?”
• “What are they hiding from me?”
• “What must I do?”
Breaking it gentlyBreaking it gently
• “Telling it like it is”.
• “Not telling it like it is”
• Communication by accident: Missing the moment
• Communication by design: Sensitivity
• Clear digestible information
• “But I have told you ….”
The road to recoveryThe road to recovery
• Caring and clarity
• A sense of control
• Avoid misunderstanding
• An understandable prognosis
• Realistic expectation
• The cost of caring: Sharing the burden
DEBRIEFING AND COPINGSKILLSDEBRIEFING AND COPINGSKILLS
• What is debriefing?– systematic process of education,
emotional expression, cognitive reorganization
– group support : makes use of natural occurring groups- because of shared experience
– Can also be one on one.– Father of debriefing: S.L.A.
Marshall• (AMERICAN PSYCHIATRIC ASSOSIATION)
PROCESS OF DEBRIEFINGPROCESS OF DEBRIEFING
• Being present to each other
• Confronting• S.O.L.E.R – technique:
establishes trust so that patient share his story
• (Carl Rogers)
PROCESS OF DEBRIEFINGPROCESS OF DEBRIEFING
• REFLECT - What happened?
• How did you handle it?• Which coping
mechanisms is already present
• (Narrative Therapy)
PROCESS OF DEBRIEFINGPROCESS OF DEBRIEFING
• LISTENING SKILLS – empathy
• Open and closed questions
• Clarify- Am I the only support system?
• What is being said?• (Carl Rogers)
PROCESS OF DEBRIEFINGPROCESS OF DEBRIEFING
• VIDEO- establish baseline
• Eject thinking, feeling• (Narrative Therapy)• INTERPRETATION –
Acknowledgements• Coping skills• Cognitive reorganization• (Carl Rogers)
RISK GROUPS RISK GROUPS
• Patients moving in and out of consciousness
• Alcohol and drug abuse• Overdose patients • Rather do Traumatic
Incident Reduction
HIV Pre-Test CounselingHIV Pre-Test Counseling
• Introduction
• Explanation: Dr’s rely on different blood test to investigate the illness…
• You need to take blood to test for HIV
• What does the patient know about HIV?
• Explain basics if necessary (what it is and how it is transmitted)
• HIV test required written permission
• The results will be kept confidential
• Results will be given during post test counseling
• Any questions?
HIV Post-Test CounselingHIV Post-Test Counseling
• Introduction
• Did the patient receive pre-test counseling
• You have results of the test
• “Unfortunately you tested positive for HIV”
• Wait for reaction
• Acknowledge and validate emotions and concerns
• What does the person know about HIV?
• Review basic information (what it is, how it is transmitted, which steps to take)
• Ask if they would like follow up counseling/support