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增强以退伍军人为中心的护理:非 VA 环境中护士指南。

Enhancing veteran-centered care: a guide for nurses in non-VA settings.

机构信息

Aleda E. Lutz VA Medical Center in Saginaw, MI, USA.

出版信息

Am J Nurs. 2013 Jul;113(7):24-39; quiz 54, 40. doi: 10.1097/01.NAJ.0000431913.50226.83.

Abstract

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.

摘要

目前有 2250 万美国在世退伍军人,随着伊拉克和阿富汗的军人回国,这个数字预计将大幅增加。虽然光荣退伍的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%的退伍军人利用这项福利;大多数人在非 VA 环境中寻求服务。所有平民护理环境中的护士都必须了解军事服务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、多发伤、危险暴露、慢性疼痛、创伤后应激障碍、军事性创伤后应激障碍、物质使用障碍、自杀和无家可归问题。讨论了这些健康问题的基于证据的评估工具和治疗指南。一个资源表提供了电话号码和网站,提供工具、教育材料和退伍军人服务。第二个表提供了详细的以退伍军人为中心的健康评估和筛查问题。

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