Trauma-Informed Care: A Podcast with Mariah Robertson, Kate Duchowny, and Ashwin Kotwal
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
47 min
3 speakers
8 chapters
transcribed 9 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is trauma‑informed care and why is it important for health‑care providers?
Welcome to the Jerry Pal podcast. This is Eric Widera. This is Alex Smith. And Alex, we have somebody in the room with us.
We do. We have Ann Kelly, who's back with us today. She is a guest host and she's a palliative care social worker. Welcome back, Ann.
Thanks. Happy to be here. And we have three guests to help us talk about trauma-informed care. Alex, who do we have with us on Zoom?
We're delighted to welcome Mariah Robertson, who's a geriatrician and assistant professor at Johns Hopkins. Mariah, welcome to the Jerry Pal podcast.
Glad to be here.
And we have Kate Dushani, who's a social epidemiologist and assistant professor at the University of Michigan, where it is freezing cold. Kate, welcome to the Jerry Powell podcast.
Great to be here. Thanks.
And returning, we have Ashwin Katwal, who is a palliative care doc and geriatrician and assistant professor at UCSF. Ashwin, welcome back to Jerry Powell.
Excited to
be back.
So we got a jam-packed episode today. We're going to be talking about trauma-informed care. We're going to be linking to two important JAGS articles that our guests wrote just recently in JAGS. But before we get into that topic, we always start off with a song request. Kate, do you have the song request?
Yeah, I requested Tears in Heaven by Eric Clapton.
And can you tell me why you chose Tears in Heaven?
Yes. So when I was a kid, I remember this being played probably... Well, actually, my dad played it on guitar. But my parents were big Eric Clapton fans. And so it was kind of in the background in my house growing up. Only for me to learn later on in life that it's a very heavy song about Eric Clapton's son who died by falling out of a window in a New York City apartment building. And so apropos of our podcast, I think it really... both in melody and in the words, captures, I think what anyone would agree is probably the deepest form of trauma, which is losing a child.
Yeah. And for those of you who are listening live on YouTube, you get me on guitar. And for those of you who are listening to the podcast, audio only, you get my son, Ren, who went a little crazy with the instrumentation on this one. Here you go.
Would you know my name? If I saw you in heaven Would it be the same? If I saw you in heaven I must be strong And carry on Cause I know I don't belong
Yeah, when you listen to it that way, it's such a heavy song.
You
know the backstory.
Well, let's get into the topic. I'm hoping that one of you would be willing to take on my first question, which comes from a very naive place. Even before we talk about what is trauma-informed care, how should we define trauma?
I like the SAMHSA definition as sort of a a guiding definition for it. And I'm happy to read it. The SAMHSA defines trauma as an event, series events, or set of circumstances experienced by an individual as physically or emotionally harmful or life-threatening with lasting adverse effects on the individual's functioning and mental, physical, social, emotional, or spiritual well-being. It's a pretty comprehensive definition.
Yeah, so there's an event or a series of events. There's the experience of those events, which I'm guessing can make it traumatizing or not traumatizing. And there's the effects of those events that may last the rest of your life. Is that right?
Exactly. And you can't really predict how each individual might react to the same experience.
How do the guests define trauma and what does the SAMHSA definition include?
It's very individual.
So it's highly subjective in some sense. And one experience that might be traumatizing for one person is not for another. As
well as how they cope with that event.
Does it need to be experienced directly? Is it something that happens to you directly or could you experience it indirectly? I'm just thinking we all went through a major traumatic event in 2020 and the subsequent years, so we all went through a pandemic. I guess that's an event. We may have known people, we may have cared for people who were dying, and we often do as healthcare providers care for people who are going through traumatic events through just being sick in the hospital or at home or dying at home.
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Chapters
8 chapters
1
What is trauma‑informed care and why is it important for health‑care providers?
0:00–4:43
2
How do the guests define trauma and what does the SAMHSA definition include?
4:43–10:20
3
How prevalent is lifetime trauma among older adults and what health outcomes are linked to it?
10:20–16:17
4
What are the main findings from the JAGS study on trauma‑informed home visits?
16:17–23:27
5
How does cumulative trauma affect physical, psychological, and social domains at the end of life?
23:27–28:36
6
What are the six core principles of trauma‑informed care and how can they be applied in practice?
28:36–35:13
7
How can a trauma‑informed approach be used for a challenging patient case (veteran with Parkinson’s disease)?
35:13–40:57
8
What practical safety and communication tips can clinicians use to create a trauma‑informed environment?
40:57–47:05
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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