Enhancing VETERAN-CENTERED CARE: A Guide for Nurses in Non-VA Settings
Enhancing VETERAN-CENTERED CARE: A Guide for Nurses in Non-VA Settings
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DOI：
10.1097/01.naj.0000431913.50226.83
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发表时间：
2013-07-01
影响因子：
2.7
通讯作者：
Carter, Jemica
中科院分区：
文献类型：
--
作者：
Johnson, Barbara S.;Boudiab, Lina D.;Carter, Jemica
目前有2250万美国退伍军人活着，随着军事人员从伊拉克和阿富汗返回，这一数字预计将急剧增加。虽然光荣退伍的退伍军人可能有资格通过美国退伍军人事务部（VA）获得医疗保健，但只有大约25%的退伍军人利用这一福利;大多数人在非VA环境中寻求服务。所有平民护理机构的护士都必须了解服兵役对退伍军人健康的影响。本文概述了退伍军人独特的医疗保健问题，特别关注创伤性脑损伤，多发性创伤，危险暴露，慢性疼痛，创伤后应激障碍，军事性创伤，物质使用障碍，自杀和无家可归。这些健康问题的循证评估工具和治疗指南进行了讨论。资源表提供电话号码和提供工具、教育材料和退伍军人服务的网站。第二个表格提供了详细的以退伍军人为中心的健康评估和筛查问题。
There are currently 22.5 million living U.S. military veterans, and this number is expected to increase dramatically as military personnel return from Iraq and Afghanistan. Although honorably discharged veterans may qualify for health care through the U.S. Department of Veterans Affairs (VA), only about 25% of all veterans take advantage of this benefit; a majority seek services in non-VA settings. It's imperative for nurses in all civilian care settings to understand the impact that military service has on veterans' health. This article provides an overview of veterans' unique health care issues, focusing particularly on traumatic brain injury, polytrauma, hazardous exposures, chronic pain, posttraumatic stress disorder, military sexual trauma, substance use disorders, suicide, and homelessness. Evidence-based assessment tools and treatment guidelines for these health issues are discussed. A resource table provides telephone numbers and Web sites offering tools, educational materials, and veteran services. A second table provides detailed veteran-centered health assessment and screening questions.