Abstract：
Many individuals who present for hospice or palliative care might have experienced trauma during their lives, with some progressing to post-traumatic stress disorder. As these individuals face life-limiting illness, trauma might resurface. Consequently, physical and emotional health might suffer due to exacerbation of trauma-related symptoms, such as anxiety, irritability, or flashbacks. Providing trauma-informed care can help mitigate the effects of trauma for those facing life-limiting illness who might not be able to tolerate formal trauma treatment due to limited prognosis, fatigue, or lack of willingness to engage in treatment. The goal of this narrative review is to describe how aging and the end-of-life experience can lead to a re-engagement with previous traumatic experiences and, using case-based examples, provide recommendations for all members of the interprofessional hospice or palliative care team on how to elicit and respond to a history of trauma to minimize the potential negative impact of trauma at end-of-life.
摘要：
许多参加临终关怀或姑息治疗的人在他们的生活中可能经历过创伤，有些进展为创伤后应激障碍。当这些人面临限制生命的疾病时，创伤可能会重新出现。因此,身体和情绪健康可能会由于创伤相关症状的恶化而受到影响，比如焦虑，烦躁，或闪回。提供创伤知情护理可以帮助减轻创伤对那些面临生命限制性疾病的人的影响，他们可能由于预后有限而无法忍受正式的创伤治疗。疲劳,或缺乏参与治疗的意愿。这篇叙述性评论的目的是描述衰老和临终经历如何导致与以前的创伤经历重新接触，使用基于案例的例子，为跨专业的临终关怀或姑息治疗团队的所有成员提供有关如何引起和应对创伤史的建议，以最大程度地减少创伤在临终时的潜在负面影响。
