Exposure to trauma affects an individual in more ways than anyone could ever expect. I think people often assume that trauma only affects one’s psychological and emotional wellbeing, when it can affect every single aspect of their life, leaving lasting imprints on one’s physical, social, environmental, and spiritual wellbeing as well. It is important to know, especially as healthcare providers, all the different ways that trauma exposure can present with someone, and the triggers that we have to be mindful of. Trauma can cause mental health issues, relationship issues, substance abuse issues, sleep disturbances, spiritual crises, cognitive impairments, impaired physical health, and so many other issues. Trauma does not affect everyone the same way. 

Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur in childhood, that can leave lasting long-term effects even during adulthood. ACEs are linked to various problems, such as brain development, chronic health issues, mental health issues, substance misuse, education and employment impairments, etc. Research has shown that ACEs are associated with higher risks of 7/10 leading causes of death in adults. These are heart disease, stroke, cancer, COPD, diabetes, Alzheimer’s and suicide. And these are just physical chronic health problems. There are also long-term effects on mental health with ACEs being associated with increased rates of depression, anxiety, personality disorders, psychotic disorders, PTSD, and even impaired brain development in the prefrontal cortex and hippocampus. Socioeconomics of individuals are affected as well, such as decreased education levels and higher unemployment levels. Similar to trauma, ACEs affect individuals in different ways from one another, and no one presents the same exact way, which is important to remember as a healthcare provider. 

Going off of knowing that everyone is affected differently, as a future nurse I will apply principles and skills of Trauma Informed Care in my daily practice with every single patient, because you do not know who has experienced trauma and who hasn’t. I will be mindful, considerate, trustworthy, and provide a safe space for all of my patients. Building meaningful and trustworthy relationships with patients are key – and it is not done by just one single visit, but over a period of time where trust and rapport are built.