mothra wrote on Aug 26
th, 2025 at 9:44am:
Quadrant. Lol.
Lol at this, halfwit:
Trauma Behind the Clinic Door
What I offer is testimony, a lived account of what it means to bear witness to unbearable things while working at the edge of the healthcare system.
Each day of my work in remote Aboriginal communities brought the possibility of motor vehicle accidents, suicides, severe injuries, of stabbings and killings — events that, over time, left a lasting imprint. While it is impossible to recount them all, the two cases below offer a glimpse into the kinds of trauma I regularly faced as a remote area nurse.
In one case that still haunts me, I treated a woman whose jealous husband had forced a burning stick into her vagina and broken all her fingers. I will never forget the smell of burnt flesh or the way she flinched when I reached out to help her. There was no women’s shelter, no local psychologist, no police presence until hours later. I dressed her wounds and tried to offer comfort, but the damage was far beyond anything a bandage could fix.
That night, I didn’t sleep. I sat up, shaking — devastated not only by what had been done to her, but by the cruel reality that this kind of violence was not unusual.
Another evening at the remote clinic I was called to treat a baby boy by his mother. She had left him in the care of her sister to go drinking, and the sister decided to join the drinkers, leaving the baby alone in the backyard. A dog had torn off the baby’s nappy and ripped the skin from his scrotum. Alone in the clinic, I treated him as best I could. There was no doctor, no paediatric support, and no one to call for debriefing afterwards.
I remember wrapping him gently, speaking to him quietly, as if I could somehow undo the pain. When he heard what happened, the father of the baby picked up the animal and killed it with his bare hands.
Nurses working in remote Aboriginal communities in Australia face unique and compounding psychological burdens. They frequently witness community-wide trauma and must often navigate moral distress while working in under-resourced settings. These conditions result in significant mental health consequences. Remote Aboriginal communities present one of the most complex environments for health- service delivery. Nurses stationed in these areas not only function as primary health care providers, but often take on roles as advocates, crisis responders and community members.
While these roles are vital, they expose nurses to repeated trauma resulting in emotional and psychological fatigue. Despite growing awareness of burnout, the concepts of vicarious trauma and collateral damage remain largely unrecognised in remote health policy and practice.
Remote Aboriginal communities face some of the most confronting health and social challenges imagineable. There are disproportionately high rates of preventable chronic illnesses such as diabetes, cardiovascular and rheumatic heart diseases. Mental health conditions are often undiagnosed or untreated, compounded by overcrowded housing with up to 80% of homes in very remote Indigenous communities considered overcrowded. Rates of youth suicide in Aboriginal populations are more than twice that of non-indigenous youth, and domestic and family violence are both widespread and under-reported.
Nurses may be the only health professional for hundreds of kilometres, coping not only physical illness but acute emotional distress and community crises. Over time, this exposure becomes corrosive. Even if you don’t name it as trauma, the damage accumulates. For many, it doesn’t fully resonate until after they leave.
Vicarious trauma refers to the cumulative impact on professionals who are indirectly exposed by empathetic engagements with victims. Unlike burnout, vicarious trauma is specifically trauma-related and often mirroring post-traumatic stress disorder.
This is a serious occupational hazard for nurses who work in these challenging and isolated environments. They often care for patients who have experienced sexual abuse, violence, incarceration, substance misuse and neglect. This continuous exposure to suffering accumulates. One of the cruelest aspects of vicarious trauma is that nurses don’t recognise it while it is happening. The exhaustion, insomnia, and emotional numbing feel like normal reactions to an abnormal workload. It is only once they leave the communities and stop running day-to-day on adrenaline that the realisation of the pschological toll hits home. While working, they may appear composed and resilient, but once removed from the environment, suppressed trauma often surfaces.
https://quadrant.org.au/news-opinions/aborigines/the-trauma-behind-the-clinic-do...