Trauma is a personal stress response to experiences perceived as harmful or life-threatening, and has ongoing impacts on illness and health. Exposure to trauma is increasingly prevalent, and the risk of medical trauma or re-traumatization is heightened for people living with serious illness. Trauma not only impacts health outcomes, but can also interfere with decision-making and worsen symptom burden at the end of life. Thus, it is critical that palliative care clinicians in all professions be skilled at providing high-quality trauma-informed care (TIC). TIC seeks to provide more holistic and equitable care through better understanding of how a person's life situation impacts behavior, reactions, behavior, responses, or relationships. A clinician using a trauma-informed lens asks, "What has happened to this person?" instead of, "What is wrong with this person?" A "universal precautions" approach is recommended, encouraging broad acknowledgment of possible trauma and recognition...
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