Providing trauma-informed neurological care across clinical settings

Background: Trauma is a far-reaching experience, with consequences that can extend long after the inciting event. The link between adverse childhood events and neuropsychiatric conditions are relevant to providers performing a neurologic exam, as a person’s trauma can influence their medical diagnoses (as in functional neurologic disorder) and their receptivity to medical care.Objective: To provide a framework for clinicians to approach neurologic exams and procedures in a trauma-informed manner.Method/Results: Both prior to and during the visit, every effort should be made to create a welcoming environment with signage, correct language, and thorough intake. Prior to neurologic exams and procedures, a thorough explanation is required to ensure patient comfort and every effort should be made to empower the patient. Various aspects of the neurologic exam and procedures such as lumbar punctures, electromyography, electroencephalography are discussed further in the paper.Conclusion: Providers should take a trauma-informed approach to medical care and treatment to ensure an environment that meets all of patients’ needs.