COVID-19 Lessons: The Alignment of Palliative Medicine and Trauma-Informed Care

J Pain Symptom Manage. 2020 Aug;60(2):e26-e30. doi: 10.1016/j.jpainsymman.2020.05.014. Epub 2020 May 19.

Abstract

As the COVID-19 pandemic wears on, its psychological, emotional, and existential toll continues to grow and indeed may now rival the physical suffering caused by the illness. Patients, caregivers, and health-care workers are particularly at risk for trauma responses and would be well served by trauma-informed care practices to minimize both immediate and long-term psychological distress. Given the significant overlap between the core tenets of trauma-informed care and accepted guidelines for the provision of quality palliative care (PC), PC teams are particularly well poised to both incorporate such practices into routine care and to argue for their integration across health systems. We outline this intersection to highlight the uniquely powerful role PC teams can play to reduce the long-term psychological impact of the COVID-19 pandemic.

Keywords: COVID-19; Trauma-informed care; coronavirus; palliative care; transdisciplinary; trauma.

MeSH terms

  • COVID-19
  • Coronavirus Infections / psychology
  • Coronavirus Infections / therapy*
  • Humans
  • Palliative Care / methods*
  • Palliative Care / psychology
  • Pandemics
  • Patient Care Team
  • Pneumonia, Viral / psychology
  • Pneumonia, Viral / therapy*
  • Psychological Trauma / etiology
  • Psychological Trauma / therapy