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Veterans, community integration

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https://www.readbyqxmd.com/read/28263359/implementing-a-veteran-centered-community-health-clinical-experience-in-a-baccalaureate-nursing-program
#1
Barbara E Champlin, Dorcas Elisabeth Kunkel
BACKGROUND: In a baccalaureate nursing curriculum, students focused on the unique health care needs of veterans and their families. The learning experiences aimed to equip them with the knowledge, skills, and attitudes (KSAs) to provide holistic relation-centered care to veterans and their families. METHOD: The clinical course integrated the findings of several veteran-centered publications and the American Association of Colleges of Nursing veteran-centered resources...
March 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28206805/facilitating-successful-reintegration-attending-to-the-needs-of-military-families
#2
Virginia Gil-Rivas, Ryan P Kilmer, Jacqueline C Larson, Laura Marie Armstrong
Subsequent to the wars in Afghanistan and Iraq, the experiences of military service members (MSVMs) and veterans have garnered increasing attention. A growing body of work has begun to shed light on their reintegration, a process that can bring with it transitions and challenges for service members and their families. Although many families adapt effectively, some have difficulty navigating this process, which can lead to a host of short- and long-term negative consequences for families. The literature to date is not well-developed regarding strategies for supporting successful reintegration of MSVMs and veterans in the context of military families...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28206800/perspectives-of-veterans-with-mild-traumatic-brain-injury-on-community-reintegration-making-sense-of-unplanned-separation-from-service
#3
Alexander V Libin, Manon Maitland Schladen, Ellen Danford, Samantha Cichon, Dwan Bruner, Joel Scholten, Maria Llorente, Slavomir Zapata, Alexander W Dromerick, Marc R Blackman, Kathryn M Magruder
For veterans separated from the military as a result of acquired mild traumatic brain injury (mTBI), the transition from a military identity to a civilian one is complicated by health, cognitive, and psychosocial factors. We conducted in-depth interviews with 8 veterans with mTBI to understand how they perceived the experience of departure from the military, rehabilitation services provided at a Department of Veterans Affairs (VA) Polytrauma Network Site, and reentry into civilian life. Two distinct patterns of thinking about community reintegration emerged...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28206799/military-service-member-and-veteran-reintegration-a-critical-review-and-adapted-ecological-model
#4
Christine A Elnitsky, Cara L Blevins, Michael P Fisher, Kathryn Magruder
Returning military service members and veterans (MSMVs) experience a wide range of stress-related disorders in addition to social and occupational difficulties when reintegrating to the community. Facilitating reintegration of MSMVs following deployment is a societal priority. With an objective of identifying challenges and facilitators for reintegration of MSMVs of the current war era, we critically review and identify gaps in the literature. We searched 8 electronic databases and identified 1,764 articles...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28134552/measurement-based-management-of-mental-health-quality-and-access-in-vha-sail-mental-health-domain
#5
Sonne Lemke, Matthew Tyler Boden, Lisa K Kearney, Dean D Krahn, Matthew J Neuman, Eric M Schmidt, Jodie A Trafton
We outline the development of a Mental Health Domain to track accessibility and quality of mental health care in the United States Veterans Health Administration (VHA) as part of a broad-based performance measurement system. This domain adds an important element to national performance improvement efforts by targeting regional and facility leadership and providing them a concise yet comprehensive measure to identify facilities facing challenges in their mental health programs. We present the conceptual framework and rationale behind measure selection and development...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/27903138/partnerships-between-health-care-and-legal-providers-in-the-veterans-health-administration
#6
Jack Tsai, Margaret Middleton, Randye Retkin, Cindy Johnson, Kevin Kenneally, Scott Sherman, Robert A Rosenheck
Medical-legal partnerships (MLPs) represent an innovative service model in which lawyers are integrated into health care teams to address diverse legal problems that affect vulnerable populations. The Veterans Health Administration (VHA) operates the largest safety-net health care system in the country and serves many low-income and disabled veterans who could benefit from MLP services. In this column, the authors describe the development and operations of MLPs at four VHA medical centers that serve veterans who are homeless or who have serious mental illness...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27815763/the-association-between-neighborhood-environment-and-mortality-results-from-a-national-study-of-veterans
#7
Karin Nelson, Greg Schwartz, Susan Hernandez, Joseph Simonetti, Idamay Curtis, Stephan D Fihn
BACKGROUND: As the largest integrated US health system, the Veterans Health Administration (VHA) provides unique national data to expand knowledge about the association between neighborhood socioeconomic status (NSES) and health. Although living in areas of lower NSES has been associated with higher mortality, previous studies have been limited to higher-income, less diverse populations than those who receive VHA care. OBJECTIVE: To describe the association between NSES and all-cause mortality in a national sample of veterans enrolled in VHA primary care...
November 4, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27776400/effects-of-an-integrated-geriatric-group-balance-class-within-an-entry-level-doctorate-of-physical-therapy-program-on-students-perceptions-of-geriatrics-and-geriatric-education-in-the-united-states
#8
Jennifer C Reneker, Kyra Weems, Vincent Scaia
This study was aimed at determining the effect of an integrated group balance class for community-dwelling older adults within entry-level physical therapist coursework on student perceptions of geriatric physical therapy and geriatric physical therapy education. Twenty-nine Doctor of Physical Therapy (DPT) students, 21-33 years old, in their second year of coursework in 2012, participated in an integrated clinical experience with exposure to geriatric patients at an outpatient facility at the Louis Stokes Cleveland Department of Veterans Affairs Medical Center in Akron, Ohio, USA...
2016: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/27764722/integration-of-military-and-veteran-health-in-a-psychiatric-mental-health-bsn-curriculum-a-mindful-analysis
#9
Edna Ruiz Magpantay-Monroe
The military and veteran populations in the U. S. state of Hawaii have a strong presence in the local communities. It was this substantial presence that provided the impetus to integrate military and veteran health into a Bachelor's of Science in Nursing (BSN) curriculum. This exploratory study investigated the relationship between the integration of military and veteran health into a psychiatric mental health BSN curriculum and nursing students' understanding of the many facets of military veterans' health...
January 2017: Nurse Education Today
https://www.readbyqxmd.com/read/27651115/urinary-incontinence-and-its-association-with-frailty-among-men-aged-80-years-and-older-in-taiwan-a-cross-sectional-study
#10
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
https://www.readbyqxmd.com/read/27455070/voices-of-the-99-percent-the-role-of-online-narrative-to-improve-health-care
#11
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...
2016: Permanente Journal
https://www.readbyqxmd.com/read/27450608/pain-as-a-barrier-to-human-performance-a-focus-on-function-for-self-reporting-pain-with-the-defense-veterans-pain-rating-scale
#12
REVIEW
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...
December 0: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27259128/improving-management-of-behavioral-and-psychological-symptoms-of-dementia-in-acute-care-evidence-and-lessons-learned-from-across-the-care-spectrum
#13
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
https://www.readbyqxmd.com/read/27171190/choosing-appropriate-comparison-group-participants-in-studies-of-veterans-characteristics-of-orthopedically-injured-and-uninjured-operation-enduring-freedom-operation-iraqi-freedom-operation-new-dawn-veterans
#14
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
https://www.readbyqxmd.com/read/27032987/tailoring-care-to-vulnerable-populations-by-incorporating-social-determinants-of-health-the-veterans-health-administration-s-homeless-patient-aligned-care-team-program
#15
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...
March 31, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/26983578/efficacy-and-acceptability-of-a-home-based-family-inclusive-intervention-for-veterans-with-tbi-a-randomized-controlled-trial
#16
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]
https://www.readbyqxmd.com/read/26926427/a-template-for-building-global-partnerships-the-joining-forces-conference-goes-across-the-atlantic-from-the-us-to-the-uk
#17
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...
December 2016: Nurse Education Today
https://www.readbyqxmd.com/read/26880612/age-differences-in-the-association-of-social-support-and-mental-health-in-male-u-s-veterans-results-from-the-national-health-and-resilience-in-veterans-study
#18
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
https://www.readbyqxmd.com/read/26853377/long-term-outcomes-after-moderate-to-severe-traumatic-brain-injury-among-military-veterans-successes-and-challenges
#19
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]
https://www.readbyqxmd.com/read/26804896/harnessing-protocolized-adaptation-in-dissemination-successful-implementation-and-sustainment-of-the-veterans-affairs-coordinated-transitional-care-program-in-a-non-veterans-affairs-hospital
#20
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
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