Trauma-informed care begins with understanding a person’s life story and the experiences that may still shape how they feel and respond today. Many older adults carry trauma from earlier life, including loss, violence, institutional care, discrimination, or major life disruptions. By shifting from “what’s wrong with them?” to “what might this behaviour be protecting them from?”, staff can better recognise triggers and respond with empathy rather than control.

Trauma lives in the body and often shows up as distress, withdrawal, agitation, or refusal of care in the moment. Busy environments, noise, rushed routines, and lack of privacy can unintentionally increase feelings of threat. By noticing patterns, slowing down, and adjusting the environment first, teams can reduce escalation and support regulation before behaviour reaches crisis point.

Loss of autonomy is one of the strongest drivers of distress in aged care. When people feel powerless, behaviours often emerge as a way to regain control or protect themselves. Trauma-informed care restores choice wherever possible, from daily routines to how care is delivered, using respectful, collaborative language that promotes dignity rather than compliance.

Trauma-informed care focuses on creating safety and avoiding actions that make people feel trapped, shamed, or coerced. Escalation is usually a signal of unmet needs, not defiance. Through calm responses, predictable routines, respect for privacy, and minimising restrictive practices, staff can prevent distress from intensifying and build a more secure care environment.

Healing and safety are built through consistent, trusting relationships. Trauma-informed care values collaboration with residents and their chosen supports, recognising strengths, culture, and personal meaning alongside care needs. When staff remain consistent, curious, and relational, people feel safer, more understood, and more willing to engage in care.