Journal article
The Case for Trauma-Informed Chronic Disease Care: Exploring Trauma Among Adults With Obesity On Dialysis
The journal of nephrology social work, v 48(1)
26 Mar 2024
PMID: 40242088
Abstract
This study describes how U.S. dialysis patients with obesity experience trauma and manage it and co-occurring chronic diseases. We interviewed 40 adult hemodialysis patients and 20 physicians and dietitians. Transcripts were inductively coded using trauma theory. Patients described trauma that impacted their ability to manage co-morbidities. Providers characterized patient trauma and their own vicarious trauma while working in dialysis care. Nearly all patients reported trauma, most with characteristics of chronic, emotional, and/or medical trauma, and many described trauma from systems and vicarious trauma across relationships. Complex intersecting trauma exacerbates chronic disease burdens and may impact treatment effectiveness, successful management of co-morbidities, and patients' relationships. Results demonstrate the need for trauma interventions within chronic disease treatment and community settings.
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Details
- Title
- The Case for Trauma-Informed Chronic Disease Care: Exploring Trauma Among Adults With Obesity On Dialysis
- Creators
- Rachael HaileSelasse - Department of Community Health and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PAMeera Nair Harhay - Drexel UniversityBrandy-Joe Milliron - Drexel UniversityBengucan Gunen - Drexel UniversitySneha Hingorany - Drexel UniversityJasmine Sweeting - Drexel UniversityJoanna H Lee - Department of Medicine, Drexel University College of Medicine, Philadelphia, PAAnn C Klassen - Drexel University
- Publication Details
- The journal of nephrology social work, v 48(1)
- Grant note
- R01 DK124388 / NIDDK NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; SOM Dean - Research Administration; Community Health and Prevention; Health Sciences
- Other Identifier
- 991022048373304721