I took a two day course in New York City called Pastoral
Crisis Intervention. I called ahead to find out that I didn’t need
to be a pastor or religious leader to take the course. Although most of the sixteen participants
were clergy of some type, the skills I learned in those two days had very
little to do with being a religious leader.
Tragedy and trauma that someone may encounter after an event
can be obvious or subtle. Learning the
mental state of a person following a trauma, making an assessment and possibly
a need for referral must be fast and accurate.
Patients or family members who have suffered a medical error
or anything that causes them to distrust or question the healthcare system can
be severely traumatic. At our most
vulnerable, due to illness, injury or just age, we need to trust those who are
caring for us and often making life decisions.
Each time we are asked to sign a consent (which won’t happen in an
emergency anyway) we are trusting the professionals to do the right thing. When that trust is broken, then what? It’s not like we can say let’s do this over.
There is a cost to not receiving help that goes beyond the
patient’s rights. Patients or their
family members may avoid care until an illness needs attention that costs more
and takes more time. Avoiding treatment
because a patient is fearful of the healthcare system is a symptom of post
traumatic stress. Not being able to
overcome their fear, anger or depression because someone they love was injured
or killed by a medical error, medication error or hospital acquired infection
can be deadly.
When there is an unplanned outcome with someone’s medical
treatment, it is important that they are assessed for trauma. It can make a big difference in their future
medical care and that of the people close to them.
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