The 4 R’s: Realizing, Recognizing, Responding, Resisting Retraumatization

Creating a safe environment for those with medical PTSD

Adjusting care to avoid triggering medical trauma reactions

Importance of universal precautions approach

DEI Aspects

When and how to screen patients for medical trauma history

Compassionate communication after disclosure of medical PTSD

Balancing mandatory reporting duties and patient autonomy

Considerations for documenting medical trauma in records

Understanding how culture shapes trauma experiences and responses

Medical trauma exacerbated in marginalized patients from past unethical treatment

Avoiding cultural assumptions in screening and treatment

Mitigating biases and using inclusive language

Accounting for barriers to disclosure

Connecting patients to culturally competent services

Recognizing occupational exposure to medical trauma

Witnessing patients’ suffering from medical PTSD causing secondary trauma

Building resilience and practicing trauma stewardship

DEI Aspects

Common barriers to implementing Trauma-Informed Care

Problem-solving strategies to overcome or mitigate barriers

Promoting Organizational Change

Reflect on motivations for providing trauma-informed care

Develop personal plan for implementing TIC that addresses anticipated barriers