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