Trauma-Informed Caregiving with Older Adults: Applying a Conceptual Framework Using an Existential Lens for Practice
Year: 2026
Type: article
Abstract: In the wake of trauma, individuals often experience not only psychological distress but also a profound disruption in their sense of self, meaning, and existence. This paper explores trauma-informed caregiving through an existential lens, emphasizing the need to address both the emotional and philosophical dimensions of trauma. While traditional trauma-informed approaches prioritize safety, trust, and empowerment, an existential perspective expands this foundation by acknowledging humans' struggle with freedom, isolation, meaninglessness, and mortality. Utilizing an existential conceptual framework that incorporates trauma-informed care to improve person-centered practices is particularly applicable to caregiving with older adults. Encouraging caregivers to cultivate authentic presence, foster autonomy, and support the individual's capacity to reframe their current life experience. By incorporating psychological insight with existential depth, this approach promotes the reawakening of purpose, agency, and connection while understanding the impact that trauma has in the caregiving process for both the caregiver and the person needing care. Case studies, practical strategies, and emerging research are discussed to support the implementation of this compassionate and holistic caregiving paradigm.
Source: Healthcare
Authors: Rebecca L. Koltz, Daniel J. Koltz
Institution: Montana State University
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,258
OpenAlex ID: W7137031996