A Reflective Case Study: Complex Presentation of a Veteran Patient with Cardiomyopathy and a History of Facial Reconstruction

Authors

DOI:

https://doi.org/10.5195/ijms.2025.3498

Keywords:

veteran health, Trauma-informed care, cardiomyopathy, denial, facial trauma, non-adherence, Cardiomyopathies, Cardiomyopathy, Cardiovascular Diseases, War-Related Injuries

Abstract

Trauma-informed care (TIC) reframes complex patient encounters by recognizing the lasting impact of trauma on health behaviors. I describe the case of a male veteran in his sixties who presented with apparent gastrointestinal illness, yet further evaluation revealed untreated cardiomyopathy and a history of combat-related facial reconstruction. Despite clear evidence, the patient denied his cardiac condition, reflecting mistrust of healthcare and the psychological burden of trauma. This denial complicated diagnostic reasoning and care planning but underscored the critical role of TIC in uncovering hidden narratives behind clinical presentations. By shifting focus from symptoms to context, this case highlights how trauma, resilience, and denial intersect in medical practice. It calls for reflective approaches that integrate psychosocial insight into clinical decision-making, particularly when caring for veterans and patients with complex life histories.

References

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This flowchart presents a Conceptual Framework from 2025 that links a patient's Trauma History to clinical outcomes and necessary medical interventions. The cycle begins with a history of trauma—such as combat exposure or facial injuries—which triggers Psychological Defenses that can lead to a negative Clinical Impact, characterized by non-adherence or difficulty engaging in care. To address these challenges, the framework proposes Trauma-Informed Care (TIC) Interventions, utilizing empathy and trust-building to avoid re-traumatization and improve the patient's overall healthcare experience.

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Published

2025-12-14 — Updated on 2025-12-14

How to Cite

AL-Rubaiy, Z. (2025). A Reflective Case Study: Complex Presentation of a Veteran Patient with Cardiomyopathy and a History of Facial Reconstruction. International Journal of Medical Students, 13(4), 469–471. https://doi.org/10.5195/ijms.2025.3498

Issue

Vol. 13 No. 4 (2025)

Section

Experience

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Copyright (c) 2025 Zainab AL-Rubaiy

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