Psychosocial Issues in Veterans. Melissa Thompson RN, CHPN Palliative Care Program Manager VA New England Health Care System. Education in Palliative and End-of-life Care for Veterans is a collaborative effort between the Department of Veterans Affairs and the EPEC Project. Acknowledgement.
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Psychosocial Issues in Veterans
Melissa Thompson RN, CHPN
Palliative Care Program Manager
VA New England Health Care System
Education in Palliative and End-of-life Care for Veterans is a collaborative effort between the Department of Veterans Affairs and the EPEC Project
These slides were produced in cooperation with the Veterans Advisory Council and a committee of the National Hospice and Palliative Care Organization.
Psychiatric Comorbidity in PTSD
Major Depressive Episode
Social Anxiety Disorder
Kessler R et al. Arch Gen Psychiatry. 1995; 52:1048-1060.
Support system challenges
Goals of care to include reduction in PTSD symptoms (see Feldman and Periyakoil, 2006)
Maintaining connection to other vets
Ethnicity and trauma “cues”
Restraints in POW’s
“Unfinished business” may be war related
Stoicism and the soldier
“I’m sorry that this happened to you”
“I am here to listen to your story.”
Saxe and Frayne 2003
Saxe and Frayne 2003, Wallis 1984