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Veterans, community integration

Chih-Jen Wang, Cheng-Hao Hung, Ting-Ching Tang, Liang-Yu Chen, Li-Ning Peng, Fei-Yuan Hsiao, Liang-Kung Chen
AIMS: To evaluate the prevalence of urinary incontinence (UI) and its association with frailty among men aged 80 years and older in Taiwan METHODS: Residents living in four veterans retirement communities were invited for study and 440 men aged 80 years and older weer enrolled. Comprehensive geriatric assessment was performed for them, including using the following measurements: Clinical Frailty Scale, Northern Health and Social Care Trust (HSC)-Continence Assessment Form, Charlson's Comorbidity Index (CCI), Barthel Index (BI), Instrumental Activities of Daily Living (IADL), Mini-Mental State Examination (MMSE), Geriatric Depression Scale-5 (GDS-5), Mini-Nutritional Assessment-Short Form (MNA-SF)...
September 21, 2016: Rejuvenation Research
Beth Sundstrom, Stephanie J Meier, Michael Anderson, Kathleen E Booth, Lacey Cooper, Ellie Flock, Jackelyn B Payne, Priya Hirway
CONTEXT: Communal blogs facilitate online narratives by providing opportunities for individuals to co-construct meaning and to engage in discussion about lived health experiences. OBJECTIVE: To examine the role of health as a connective narrative among individuals organizing collectively in an online community. The "We are the 99 percent" Tumblr blog emerged as a spontaneous community platform of the Occupy Wall Street movement in the US. DESIGN: Researchers conducted a qualitative content analysis of a total of 2003 blog posts...
July 15, 2016: Permanente Journal
Chester C Buckenmaier, Kevin T Galloway, Rosemary C Polomano, Patricia A Deuster
The intense physical demands and dangerous operational environments common to Special Operations Forces (SOF) result in a variety of painful conditions, including musculoskeletal pain, headaches, and acute and chronic pain from combat injuries. Pain is a wellaccepted barrier to human performance. The Pain Management Task Force and the development of the Defense Veterans Pain Rating Scale (DVPRS) are discussed to provide a framework for changing the culture of pain management away from intensity of pain to interference with function and performance...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
Eleanor S McConnell, Michele J Karel
As the prevalence of Alzheimer disease and related dementias increases, dementia-related behavioral symptoms present growing threats to care quality and safety of older adults across care settings. Behavioral and psychological symptoms of dementia (BPSD) such as agitation, aggression, and resistance to care occur in nearly all individuals over the course of their illness. In inpatient care settings, if not appropriately treated, BPSD can result in care complications, increased length of stay, dissatisfaction with care, and caregiver stress and injury...
July 2016: Nursing Administration Quarterly
Maya Troyanskaya, Nicholas J Pastorek, Randall S Scheibel, Nancy J Petersen, Annette Walder, Helene K Henson, Harvey S Levin
INTRODUCTION: Research addressing deployment-related traumatic brain injury (TBI) is fairly complex due to a high prevalence of comorbid conditions, multiple exposures, and the lack of acute medical records. Therefore, there is a need for a well-defined, matching comparison group. This study compared deployment-related characteristics, everyday functioning, and cognitive performance in recently deployed veterans who had not sustained any injuries with those who had orthopedic injuries during deployment, but who were without a history of TBI...
September 2016: Journal of Clinical and Experimental Neuropsychology
Thomas P O'Toole, Erin E Johnson, Riccardo Aiello, Vincent Kane, Lisa Pape
INTRODUCTION: Although the clinical consequences of homelessness are well described, less is known about the role for health care systems in improving clinical and social outcomes for the homeless. We described the national implementation of a "homeless medical home" initiative in the Veterans Health Administration (VHA) and correlated patient health outcomes with characteristics of high-performing sites. METHODS: We conducted an observational study of 33 VHA facilities with homeless medical homes and patient- aligned care teams that served more than 14,000 patients...
2016: Preventing Chronic Disease
Laraine Winter, Helene J Moriarty, Keith Robinson, Catherine V Piersol, Tracey Vause-Earland, Brian Newhart, Delores Blazer Iacovone, Nancy Hodgson, Laura N Gitlin
OBJECTIVE: Traumatic brain injury (TBI) often undermines community re-integration, impairs functioning and produces other symptoms. This study tested an innovative programme for veterans with TBI, the Veterans' In-home Programme (VIP), delivered in veterans' homes, involving a family member and targeting the environment (social and physical) to promote community re-integration, mitigate difficulty with the most troubling TBI symptoms and facilitate daily functioning. SETTING: Interviews and intervention sessions were conducted in homes or by telephone...
March 16, 2016: Brain Injury: [BI]
Constance Visovsky, Dianne Morrison- Beedy
Joining Forces is a comprehensive national initiative within the United States to mobilize all sectors of society to give service members and their families the opportunities and support they have earned. This national initiative begun in April 2012 was led by First Lady Michelle Obama and Dr. Jill Biden. The Joining Forces initiative is charged with enhancing the well-being and psychological health of the military family by providing mental health care services, integrating community-based services to reduce homelessness, substance abuse for veterans and military families...
February 18, 2016: Nurse Education Today
Melissa R Weiner, Joan K Monin, Natalie Mota, Robert H Pietrzak
OBJECTIVE: To examine the associations between multiple aspects of social support-perceived support, structural support, and community integration-and mental health difficulties in younger and older male veterans. Drawing from Socioemotional Selectivity Theory (SST), we hypothesized that greater support would be more strongly negatively related to mental health difficulties in older than younger veterans. DESIGN: Cross-sectional Web survey of younger and older male veterans recruited from a contemporary, nationally representative sample of veterans residing in the United States...
April 2016: American Journal of Geriatric Psychiatry
R Jay Schulz-Heik, John H Poole, Marie N Dahdah, Campbell Sullivan, Elaine S Date, Rose M Salerno, Karen Schwab, Odette Harris
OBJECTIVE: To assess long-term outcomes after traumatic brain injury (TBI) among veterans and service members. SETTING: Regional Veterans Affairs medical centre. PARTICIPANTS: One hundred and eighteen veterans and military personnel, aged 23-70 years (median = 35 years), 90% male, had moderate-to-severe TBI (82% in coma > 1 day, 85% amnesic > 7 days), followed by acute interdisciplinary rehabilitation 5-16 years ago (median = 8 years)...
2016: Brain Injury: [BI]
Amy J H Kind, Maria Brenny-Fitzpatrick, Kris Leahy-Gross, Jacquelyn Mirr, Elizabeth Chapman, Brooke Frey, Beth Houlahan
The Department of Veterans Affairs (VA) Coordinated-Transitional Care (C-TraC) program is a low-cost transitional care program that uses hospital-based nurse case managers, inpatient team integration, and in-depth posthospital telephone contacts to support high-risk patients and their caregivers as they transition from hospital to community. The low-cost, primarily telephone-based C-TraC program reduced 30-day rehospitalizations by one-third, leading to significant cost savings at one VA hospital. Non-VA hospitals have expressed interest in launching C-TraC, but non-VA hospitals differ in important ways from VA hospitals, particularly in terms of context, culture, and resources...
February 2016: Journal of the American Geriatrics Society
Pradeep Arora, Mojgan Golzy, Nilang Patel, Richard Quigg, Randolph L Carter, James W Lohr
OBJECTIVES: To compare the effect of renin-angiotensin-aldosterone system (RAAS) blockers with that of other antihypertensive agents on outcomes in a cohort of elderly veterans with incident chronic kidney disease (CKD) without diabetes mellitus or proteinuria. DESIGN: Retrospective cohort study. SETTING: Veterans Affairs (VA) Upstate New York Healthcare System. PARTICIPANTS: All participants were seen in primary care clinic in Veterans Integrated Service Network 2, which comprises five VA medical centers and 29 community-based outpatient clinics, from April 2001 to April 2008...
December 2015: Journal of the American Geriatrics Society
Alexander V Libin, Joel Scholten, Manon Maitland Schladen, Ellen Danford, Nawar Shara, Walter Penk, Jordan Grafman, Linda Resnik, Dwan Bruner, Samantha Cichon, Miriam Philmon, Brenda Tsai, Marc Blackman, Alexander Dromerick
BACKGROUND: Traumatic brain injury is a major health problem that frequently leads to deficits in executive function. Self-regulation processes, such as goal-setting, may become disordered after traumatic brain injury, particularly when the frontal regions of the brain and their connections are involved. Such impairments reduce injured veterans' ability to return to work or school and to regain satisfactory personal lives. Understanding the neurologically disabling effects of brain injury on executive function is necessary for both the accurate diagnosis of impairment and the individual tailoring of rehabilitation processes to help returning service members recover independent function...
2015: Military Medical Research
S L Hall, D J Ryan, J Beatty, L Grubbs
Peer-to-peer support provided by 'veteran' neonatal intensive care unit (NICU) parents to those with current NICU babies is a legitimate and unique form of support that can complement or supplement, but not replace, services provided by professional NICU staff. Peer support can be delivered through hospital- or community-based programs that offer one-to-one in-person or telephone matches, or support groups that meet in-person or via the Internet. Issues in program development, volunteer training and program operation are discussed...
December 2015: Journal of Perinatology: Official Journal of the California Perinatal Association
Rachel Kornhaber, Rick Wiechula, Loyola McLean
BACKGROUND: Trauma is the most frequent cause of significant functional impairment that leads to the deterioration in health and often delayed functional and psychosocial recovery. Fundamentally, rehabilitation of those with traumatic injuries surpasses the acute management extending into the reintegration of patients to home life and the wider community. Consequently, rehabilitation from a traumatic injury is a multidisciplinary process that incorporates the continuum of care across different settings and organizations...
2015: JBI Database of Systematic Reviews and Implementation Reports
Hans Oh, Yuliana E Gallegos Rodríguez, Fiza Singh
TOPIC: A Spanish course was heuristically designed to serve as a context to bring together components of various therapies and was offered to veterans with psychiatric disabilities enrolled in a psychosocial rehabilitation and recovery center. PURPOSE: Bilingualism has been associated with enhanced cognitive function and deserves more attention in psychiatric rehabilitation research. Developing opportunities for language instruction to potentially improve cognitive and community integration is explored...
September 2015: Psychiatric Rehabilitation Journal
Ashish Malhotra, Mary Vaughan-Sarrazin, Gary E Rosenthal
OBJECTIVES: To examine the receipt of colonoscopy through the Veterans Health Administration (VA) or through Medicare by older veterans who are dually enrolled. STUDY DESIGN: Retrospective cohort study. METHODS: The VA Outpatient Care Files and Medicare Enrollment Files were used to identify 1,060,523 patients 65 years and older in 15 of the 22 Veterans Integrated Service Networks nationally, who had 2 or more VA primary care visits in 2009 and who were simultaneously enrolled in Medicare...
April 2015: American Journal of Managed Care
Emily Wu, David P Graham
OBJECTIVE: To evaluate the association between community integration and pain in veterans with and without mild blast-related traumatic brain injury (TBI). DESIGN AND PARTICIPANTS: A cross-sectional study of 198 Operation Enduring Freedom/Operation Iraqi Freedom veterans, 135 with mild TBI and 63 without TBI exposure. MAIN MEASURES: Community Integration Questionnaire (CIQ), Community Reintegration of Injured Service Members Instrument, Brief Pain Inventory...
January 2016: Journal of Head Trauma Rehabilitation
Laura Johnson, Jillian Shipherd, Heather M Walton
Psychologists are integral to the care of transgender individuals. This article details the many roles for psychologists in transgender-specific care, including diagnosing and treating gender dysphoria; providing treatment for comorbid conditions; referring to medical services such as gender confirmation surgeries, voice modification, and cross-sex hormone therapies; serving as consultants within health care systems; and advocating for addressing barriers in systems in which transgender individuals live and work...
February 2016: Psychological Services
Jennifer J Duchnick, Susan Ropacki, Maya Yutsis, Kelly Petska, Carey Pawlowski
When the U.S. Congress passed the Veterans Health Programs Improvement Act of 2004 and the Consolidated Appropriations Act in 2005, Veterans Affairs (VA) traumatic brain injury centers responded by establishing and developing the polytrauma rehabilitation centers and polytrauma transitional rehabilitation programs (PTRPs) across 4 sites in Minneapolis, Minnesota, Palo Alto, California, Richmond, Virginia, and Tampa, Florida, in 2007. The 5th PTRP was opened in 2011 in San Antonio, Texas. This article presents the context of establishing these programs within a VA system, describes aspects of programmatic design, and shares characteristics and outcomes of individuals served by the first 4 national centers...
August 2015: Psychological Services
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