Ines sees the ambulance coming again (INTEGRA-05-EN)
- This course is presently not described -
- EMOTIONS
- Anxiety or severe fear
- Feeling out of control
- BODY
- Sweating or shivering
- Muscle tremors or uncontrollable shaking
- Elevated heartbeat, respiration, and blood pressure
- Greater startle responses
- THOUGHTS
- Disorientation
- Intrusive memories or flashbacks
- BEHAVIOUR
- Startled reaction
- Aggressiveness

Situation
Ines is suffering from intellectual disability. She stayed at home and her parents took care for her. She is able to do simple house work, help to prepare a meal and work in the garden. After her father died, her mother took care of her until she had a stroke. Fortunately, the neighbouring old lady was present and she called the ambulance. When the Red Cross man came to carry her mother to the car, Ines started to cry and wanted to join her mother in the ambulance – which was not possible. Some days ago, there was an emergency in the same house, and the ambulance came again. When Ines saw that they were carrying the person to the car, she ran to the street and jumped into the ambulance. When the medical staff came with the patient, Ines was refusing to get out of the car. The neighbour told them that Ines has challenges in controlling or regulating her emotions. What should they do?
Trauma-Informed Response
The Red Cross driver should assess the situation and ensure that Ines is physically safe inside the ambulance. He should calmly communicate with her, letting her know that he is there to help and that she will be taken care of. If the time allows, he should acknowledge Ines's emotions and validate her feelings of distress and concern for her mother he should let her know that her feelings are understandable given the circumstances. It is important to use simple and clear communication to help her understand the situation.
The neighbouring lady is familiar with Ines's challenges in regulating her emotions. She should reassure Ines that her mother is receiving the necessary care and that she will be taken care of too. It would be helpful to develop a plan for future emergencies: Work with Ines's support network, including caregivers, family members, or professionals, to develop a plan for future emergencies. This plan should take into account Ines's specific needs and challenges, ensuring that her emotional well-being is prioritized while still maintaining safety. If possible, professional guidance and professionals who have experience in working with individuals with intellectual disabilities and emotional challenges can provide tailored strategies and interventions to support Ines's emotional regulation and overall well-being.
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