The Trauma Informed Oral Exam
Trauma-informed care (TIC) is a way of providing care that is compassionate and supportive, and that avoids re-traumatizing patients. It can help clinicians interact with patients who have experienced trauma, even if they don't disclose their history.
Here are some ways to provide trauma-informed care while doing an oral exam:
- Consider past trauma: Consider how a patient's past trauma may affect their ability to undergo an examination of the head and neck. For example, a patient who was choked during an assault may feel stressed when hands are placed on their neck.
- Be aware of patient non-verbal cues: Look for signs like tensing muscles, fidgeting, or breathing quickly.
- Speak clearly and calmly: Maintain eye contact and sit or stand at eye level with the patient.
- Set an agenda: Let the patient know what you plan to do.
- Ask about comfort: Offer a chaperone if needed.
- Involve the patient: Let the patient help decide what works best for them.
