Abstract:
INTRODUCTION:Military veterans diagnosed with dementia compose a large portion of our population. Often ignored are their caregivers and their plight as well as the availability, quality, and accessibility of health care for this demographic. The purpose of this systematic literature review is three fold: to identify opportunities available to increase public awareness on the subject; to identify areas of improvement in the level of care and quality of life for our nation's veterans; and to identify if adequate resources are available to veterans with dementia and their caregivers. MATERIALS AND METHODS:The authors conducted systematic searches of three databases: PubMed via The National Center for Biotechnology Information, the Cumulative Index of Nursing and Allied Health Literature (CINAHL) Complete via Ebson B. Stephens Company (EBSCO Host), and Google. Data were collected regarding providing care to veterans who are suffering from dementia or Alzheimer's disease and their caregivers between 2008 and June 2016. Search results were filtered by date range, full text, English language, Boolean operators, and academic journals (n = 14). RESULTS:The review confirmed there are many facilitators and barriers in the coordination of care offered to veterans with dementia. Facilitators of quality care include veteran's expectations, family support, program development, and the availability of services. These positive aspects are aided by several community-based support services, new technology, and preventative care. Barriers are caregiver expectations, coordination of care, providers, and informal and formal costs. These negative facets are due to lack of educational resources, an increased veteran population diagnosed with dementia, limited knowledge of resources, and limited medical service in rural areas. CONCLUSION:Overall, there are a number of community programs that want to, and can, help veterans with dementia. There are also a number of ways to help veterans with dementia cope with their issues, which include technology and preventative care. Veterans are hindered from receiving help with their dementia concerns due to most veteran's dependence on the Veterans Affairs (VA) for health services, a lack of education about possible treatments and programs, and a lack of services in rural areas. This review will prove useful to providers when evaluating the expansion of VA services and caregiver interventions.
journal_name
Mil Medjournal_title
Military medicineauthors
Mileski M,Scott Kruse C,Brooks M,Haynes C,Collingwood Y,Rodriguez Rdoi
10.7205/MILMED-D-16-00396subject
Has Abstractpub_date
2017-11-01 00:00:00pages
e1904-e1911issue
11eissn
0026-4075issn
1930-613Xjournal_volume
182pub_type
杂志文章,评审abstract::Administrative and clinical considerations for the establishment of an ophthalmic laser program at a VA Outpatient Clinic are discussed. Outcomes of the first 320 patients treated over a 3-year period of time are presented. The program is evaluated from the perspectives of patient care, safety, maintenance, education,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::This study surveyed 2,287 U.S. Navy health care providers (HCPs) regarding patient-care practices and attitudes related to tobacco use. Almost 80% of HCPs reported that they usually asked new patients about tobacco use. Of 11 recommended practices, two-thirds to three-quarters of HCPs engaged in only 4 behaviors with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract::A 23-year-old active duty United States Air Force air crew male presented to the flight medicine clinic in Germany after experiencing sudden onset penile pain while flying as part of a long-range operational mission. He was admitted to the German hospital and empirically treated for infection with antibiotics, which d...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00506
更新日期:2015-05-01 00:00:00
abstract::Previous research has found that individual characteristics play an important role in psychological wellbeing and perception of stress. Although the Five Factor Model of personality has been found to consistently predict psychological well-being in the general population and among military personnel, hardiness has als...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00359
更新日期:2011-04-01 00:00:00
abstract::The purpose of this study was to analyze the assumptions underlying the Army's Weight Control Program (AWCP) and to determine whether overweight and normal-weight soldiers differed with respect to health risk, health status, self-motivation, psychological symptomatic distress, and physical fitness. The sample consiste...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVES:To determine the outcomes scores of military patients who initially present with a variety of shoulder conditions, identify which scores demonstrate the highest correlation per diagnosis, and determine if a difference exists for patients who went onto surgery. METHODS:Two-hundred and seventy five consecutiv...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00234
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION:Carbon monoxide (CO) is produced from incomplete combustion of hydrocarbons and is a by-product of tobacco smoking. Chronic cigarette smokers often have carboxyhemoglobin (COHb) concentrations as high as 10%. We report a case of severely elevated COHb and polycythemia because of tobacco smoking and provide...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz280
更新日期:2020-02-12 00:00:00
abstract::Discharge diagnoses from October 1, 1987 to September 30, 1988 were analyzed to quantitate infection. Four hundred forty-nine (4.8%) of 9,290 discharges (excluding 1-day stays) were infections. Pneumonia, caused by all etiological agents, was responsible for 2.4% of the principal diagnoses. These data help define the ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-02-01 00:00:00
abstract::Camp Bullis, Texas, is an active training facility for the U.S. Army and Air Force with a storied history dating back to the late 19th century. In the early 1940s, an epidemic of a seasonal tick-borne rickettsial-like illness occurred at Camp Bullis; the last case was reported in 1947. To date, the etiology of this di...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.169.11.863
更新日期:2004-11-01 00:00:00
abstract::Prostate cancer remains the second most commonly diagnosed cancer among the male population worldwide. Vitamin D deficiency has been linked to prostate cancer and its aggressiveness. Herein, we initiated a retrospective study to evaluate vitamin D status and monitoring in veterans with prostate cancer, and to examine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00540
更新日期:2014-01-01 00:00:00
abstract:Introduction:To introduce a trabectome-initiated gonioscopy-assisted transluminal trabeculotomy (TIGATT) procedure and to report preliminary results. Materials and Methods:A preliminary case series of eight patients who have undergone the newly proposed TIGATT procedure is presented. TIGATT is a new concept that modif...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx174
更新日期:2018-03-01 00:00:00
abstract::This study was undertaken to determine why U.S. Marine Hospital #17, Port Townsend, Washington, closed at the peak of its utilization. A social history approach was taken, examining the hospital's developmental changes in the context of its role in the larger society. Both firsthand and interpretive sources were revie...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.170.4.259
更新日期:2005-04-01 00:00:00
abstract:INTRODUCTION:Medical error is the third leading cause of death in the United States, contributing to suboptimal care, serious patient injury, and mortality among beneficiaries in the Military Health System. Recent media reports have scrutinized the safety and quality of military healthcare, including surgical complicat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz330
更新日期:2020-03-02 00:00:00
abstract::In the U.S. Army, motor vehicle crashes (MVCs), both privately owned and military, are a leading cause of injury and death. Few studies have described the distribution and trends of MVCs among Army personnel, which may have been impacted by current military missions. This descriptive study of risk factors and select o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00482
更新日期:2011-09-01 00:00:00
abstract::Summer exercises in the continental United States bring many military personnel in contact with our four types of indigenous venomous snakes. Personnel with a knowledge of these snakes, their habits, and habitat, and who exercise common sense are much less likely to fall victim to a venomous bite. When a bite does occ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract::Very little data are available to commanders regarding gynecological problems encountered by a large female population in a combat zone for extended periods of time. The 312th Evacuation Hospital supported Operation Desert Storm, treating over 12,000 patients. Of these, 577 were treated by the gynecological service. O...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::The Armed Forces Regional Medical Examiner in Europe is responsible for medico-legal death investigations for the U.S. military in 89 countries in Europe, Southwest Asia, and Africa. The Disaster Mortuary Affairs Response Team (DMART) is a rapidly deployable, experienced, multidisciplinary team patterned after the reg...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:INTRODUCTION:This study is the first to our knowledge to examine associations of survey-reported dietary supplement use with medical record diagnoses, rather than retrospective self-reported supplement use at the time of the medical encounter or case reports of adverse events. Dietary supplement (DS) use and adverse ev...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz053
更新日期:2019-10-01 00:00:00
abstract::While on the surface the future of military GME appears uncertain, closer inspection demonstrates opportunities to achieve excellence in education. In many cases, programs will emerge with larger and more diverse faculty and increased collaboration with local institutions. On an individual level, military faculty will...
journal_title:Military medicine
pub_type: 社论
doi:
更新日期:2006-03-01 00:00:00
abstract::The impact of a pharmacy officer on patient compliance and blood pressure control on a deployed nuclear-powered aircraft carrier for a 2-week at-sea period was evaluated. Before any counseling by a pharmacy officer, 43 crewmembers on chronic medications anonymously completed a compliance questionnaire. The pharmacy of...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract::The objective of the present study was to assess the physical fitness of patients after apical resection and partial apical pleurectomy for the treatment of primary spontaneous pneumothorax (PSP). Between 1982 and 1999, 58 patients received surgical treatment for PSP in our department. Twelve patients needed bilateral...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.9.760
更新日期:2005-09-01 00:00:00
abstract::The Department of Defense Serum Repository (DoDSR) of the Armed Forces Health Surveillance Center (AFHSC), Silver Spring, Maryland, has over 55 million specimens. Over 80% of these specimens are linked to individual health data. In response to Congressional and Department of Defense (DoD) concern about toxic exposures...
journal_title:Military medicine
pub_type:
doi:10.7205/MILMED-D-15-00065
更新日期:2015-10-01 00:00:00
abstract::Internal stenting (sutureless plication) for intestinal adhesions was performed operatively in 16 patients. Subsequent recurrent obstruction occurred in four patients. Other complications occurred in three patients and included retained tube, jejunostomy-site abscess, and intestinal fistulization. Four patients died f...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::U.S. military researchers have made major contributions to the discovery, diagnosis, treatment, and prevention of a number of parasitic diseases. We review the paramount U.S. military contributions to the understanding of leishmaniasis, filariasis, schistosomiasis, trypanosomiasis, gastrointestinal parasites, intestin...
journal_title:Military medicine
pub_type: 历史文章,杂志文章,评审
doi:10.7205/milmed.170.4s.17
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:This study examined the prevalence and sources of occupational stress for military personnel and the relationship between work stress and emotional health in the military population. METHODS:Four hundred seventy-two active duty military personnel stationed at F. E. Warren Air Force Base completed a 65-item s...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract::The development of more effective medical simulators requires a collaborative team effort where three kinds of expertise are carefully coordinated: (1) exceptional medical expertise focused on providing complete and accurate information about the medical challenges (i.e., critical skills and knowledge) to be simulated...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00265
更新日期:2013-10-01 00:00:00
abstract:INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/milmed/usz224
更新日期:2020-01-07 00:00:00
abstract::Heat stroke is a rare clinical phenomenon, characterized by systemic heat and cytokine-induced organ damage. Permanent neurological deficits rarely develop following heat strokes, and cerebellar dysfunction predominates among these rare cases. We report a case of severe heat stroke with recovery from severe multiorgan...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.6.603
更新日期:2007-06-01 00:00:00
abstract::This article describes the postinjury cognitive functioning of a sample of active duty, retired, and military beneficiaries who received traumatic brain injuries. Patients were seen in the neuropsychology clinic at Brooke Army Medical Center for a detailed cognitive and personality assessment. The scores on a major co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVES:To derive job condition scales for future studies of the effects of job conditions on soldier health and job functioning across Army Military Occupation Specialties (MOSs) and Areas of Concentration (AOCs) using Department of Labor (DoL) Occupational Information Network (O*NET) ratings. METHODS:A consolidat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00446
更新日期:2014-07-01 00:00:00