Friday, July 20, 2012
living on the borderline
1) Oh man I have to sit through this for 8 hours.
2) If they want to pay me to sit through this, well OK.
I DO pay attention. I even got a couple of things out of it. Sort of a new perspective as it were...
These classes center mostly around dealing with mental health patients. A group I have a lot of sympathy for, actually. They talked about a fairly new approach to mental health care: trauma informed care. Basically it approaches care of mental health patients with the idea that the majority of them have had some kind of trauma in their lives that has led to/contributed to, their mental illness. Many have PTSD from childhood trauma. Certain situations can cause them to re-experience the symptoms around their trauma. It attempts to recognize triggers and teaches the patients, and caregivers how to deal with them. There is a lot more to it than that too.
One of the statistics that struck me is that 81% of those with boderline personality disorders experienced some kind of trauma. How does that apply to the ER? We get many people in the ER with the symptoms of this disorder.
What is borderline personality disorder? ".. an emotional disorder that causes emotional instability, leading to stress and other problems....your image of yourself is distorted, making you feel worthless and fundamentally flawed. Your anger, impulsivity and frequent mood swings may push others away.." Often times the continual stress of their lives manifests itself physically with vague symptoms, chronic medical conditions. We see this every day in the ER. These are those difficult patients that are so hard to deal with.
My thought: Wouldn't it be nice if using this information and a different approach, we could learn how to deal with this type of patient? It would make our lives, and theirs, a lot easier.
Posted by girlvet at 3:35 PM