My First Clinical Experience at the VA
Thursday morning was one more day that I experienced nursing in a different setting as a LPN. I was extremely excited to get to the VA with everything in place this time. I knew I would get to do something new! I was picked to go work with DR. Frank Gyimesi and his nurse, Helen, who is a LPN. It has been 4 years since I have worked in women’s health. After going under Helen’s wing and getting educated on the VA, who is eligible, and getting an education on the use of their eligibility, is unbelievable. Women veterans health care is a growing program for today’s health care system due to the number of women that enter the military compared to many years ago. Military sexual trauma is something that
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However, this was the most grateful women that I have ever meet as well she had the most contagious smile that could light up a room! Most of all, she needed medical help due to her age, she was a smoker, her birth control needed changed, she had previously had two abortions, and she was homeless so she needed something that would have a longer outcome. DR. Gyimesi gave her scenario to me as a case study and asked what I would do and why. I explained IUD with these following reasons: the patch she did not like and had a positive pregnancy with, being a smoker increased the chance for blood clots, the pills I thought would not be a good choice because she is homeless and due to her brain injury, she was forgetful and not stable. She did not want a tubal due to the fact one day in her life she may be normal again, so I felt that was not an option. The VA doesn’t do implants under the skin so that was also not an option. I then mentioned the mirena, but the only downfall would be that she had previously been on depo and it could be a while before her menstrual cycle starts. He could have put the mirena in that day, but the procedure may be difficult. Therefore, he presented her with my options and she choose the Mirena. After she made her decision we prepared her along with educating her. DR. Gyimesi grabbed my hand and involved me 110% with her pap smear, pelvic exam, and insertion of the IUD. Finally, when we started on the final bits of education on her IUD, care of the
The use of the Veterans Affairs medical care system has significantly increased over the last decade due to two recent wars and an aging Vietnam Veteran population. As females have been accepted in all roles into the military, their population within the military has progressively multiplied over the last three decades. Since females in general typically use healthcare at a higher rate than their male counterparts, it is necessary to ascertain if the female veteran
Throughout the world, deviant acts and social controls are committed everyday. An incredibly significant one that is often unreported is sexual assault within the military. Sexual assault is already determined as an extremely deviant act throughout the world. All acts of rape and other abusive acts should never be dismissed or ignored, but rape within the military is often not reported or recognized. If it is brought to light, the victims are generally in fear of losing their positions, rankings, homes, relationships with their spouses and families, etc…. This is not to state that men are not also victims of sexual assault, but women are much more prone and vulnerable to being attacked and harassed. I will be focusing on the female victims of military assault in this paper.
Rates of trauma and mental illness are reported to be disproportionately higher among American veterans, especially those of the recent wars in Iraq and Afghanistan. The barriers to care after civilian reentry further disadvantage this already vulnerable population. The wars in Iraq and Afghanistan have been the longest sustained US military operations since the Vietnam era, sending more than 2.2 million troops into battle and resulting in more than 6,600 deaths and 48,000 injuries. Veterans are at risk mental health challenges, as well as family instability, elevated rates of homelessness, and joblessness. Veterans have disproportionate rates of mental illness, particularly posttraumatic stress disorder (PTSD), substance abuse disorders, depression, anxiety, and military sexual trauma.
Whether or whether not women speak up, doesn’t change the fact that it is happening in the military. Women in general deal with the effects of sexual trauma, but military women may have to re-live it on a day to day basis. As quoted in the article, perpetrators are typically other military personnel, and victims often must continue to live and work with their assailants daily (para. 5). Because of the seriousness of MST, each VA hospital now has a designated coordinator to oversee MST screening and treatment (para. 5). The authors purpose is ultimately to study the VHA’S MST program. It provides the opportunity to investigate the screenings for sexual violence (para. 2). It is very important that women with MST are able to get some type of help, and medication for the after effects of the traumatic experiences they endured while in the
In “The Invisible War,” it is noted that “women who have been raped in the military have a PTSD rate higher than men who have been in combat” (The Invisible War, 2012). The impact that military sexual assault has on victims is tremendous. Both physical and mental trauma are common, and they play a significant role in how victims of sexual assault are able to return to their daily lives.
As the veterans are coming back into the society, they must be helped to connect to the community. For example, these veterans were secluded from the functional family unit (International Council of Nurses, 2008).
Throughout many wars that the United States of America had endured within the 238 years, recently America have another war to handle which is Military Sexual Trauma. Only recently the social media decided to take part of acknowledging that many veterans have mental health issues. However, they are mainly focusing on one problem which is Post Traumatic Stress Disorder (PTSD). The society needs to learn that PTSD isn 't the main source of conflict for active service members and veterans. There is a secondary leading mental illness that these soldiers are experiencing and that is call Military Sexual Trauma (MST). Although the public has not mentioned or announced the existence of MST. As a member of the community, we need to teach the world as well as one another the meaning of Military Sexual Trauma, the effects of it that cause individual to have certain symptoms when dealing with MST and lastly the different kind of treatments that are offer by the Department of Veteran Affairs (VA) to assist many family members, friends and spouses who have MST because it is the secondary leading mental health problem for veterans right next to suicide.
The purpose of this essay is to discuss the issue of rape and sexual assault in the military. The number of attacks for rape and sexual assault in the military are at an all-time high. Women have recently been allowed to fight on the front line. While this may be a huge achievement for women-kind, for this woman, it is a very scary thought. I am a junior at Texas Academy of Biomedical Sciences; a school geared towards students wishing to enter the medical field. I may be forced to join the military one day if a war breaks out and women are needed to protect the country. I would be happy to serve my country if I did not have to be scared of my fellow soldiers. Rape and sexual assault are major issues in the military and
Presently women are sacrificing their lives serving this country in all branches of the military in the United States. Women are more involved in combat situations since the war began in Afghanistan and Iraq. With the increase of women in the military came the increase of sexual violence. In the beginning, very few reports of sexual violence were reported; over time the number of reported cases became a huge issue that brought awareness to those that work with the President of the United States. At that moment, processes were being looked at; changes needed to be made to find ways to give confidence to victims, to feel safe enough to report the crime of sexual violence. The Department of Defense is currently working on measures to alleviate the problem. Sex crimes on women in the military can have intense effects on their mental, physical and emotional well-being. Sexual harassment and sexual assault also extends to include
Both articles identify the issue of providing mental health services for veterans with an extra emphasis on those that served in Afghanistan and Iraq (OEF/OIF veterans). It is no surprise that returning veterans suffer from both visible/invisible (physical and mental) wounds. Most veterans have this “high” expectation that they are going to receive quality care from both the DoD and VA. Unfortunately reality steps in where veterans are slapped in the face because they are receiving a lack of poor quality care all while jumping through Beuracractic hoops. The challenges faced to access these services include resistance, stigma, lack of professionalism, and geographic and/or regional disparities in the distribution of services resources and/or benefits, and the system simply refusing to change.
Dr. Van starts off by telling me she has been in nursing practice for 45 years. That seemed like a really long time to me, but maybe not. In her time as being a nurse she has worked in many fields such as administration, management, medical surgical unit, staff development and community health. Dr. Van was totally an all-around nurse. She is the perfect example that there’s more to ‘Just a Nurse’. Her first job after nursing school in 1969 was at St. John’s hospital as a staff nurse. At St. John’s she worked in the medical surgical unit. Working in the surgical unit back in those days you were able to meet a lot of people and saw all types of diseases because it wasn’t any specialties back in that time. As she explains her experience at St.
In the United States, soldiers are currently returning home from war broken and scarred. While some physical wounds are clearly visible others are often hidden/invisible to the naked eye, but men and women proudly wear these wounds as a badge of courage and honor for protecting our nation. These men and women come home rightfully expecting help, assistance and care and get hit with the reality of poor care from the Veteran Health Administration and Department of Defense.
In the past, military news typically evolved tragic training incidents or deaths during overseas combat. However, over the last several years many incidents involving military personnel and sexual assault have made headlines across the United States. Military women and men have brought to light the lack of justice for victims of sexual assault, and the prevalence of such attacks. Questions arise as to why victims do not report incidents or seek assistance when they are physically or sexually assaulted. Many reasons are due to how the system of reporting is established within the military, retaliation and further re-victimization within the chain of command. Modifications to the current system have begun within the Department of Defense and
Mirena is an intrauterine device (IUD), classified as a long-lasting reversible contraceptive. It is has become one of the most effective and popular forms of birth control. Mirena, “Keep Life Simple”, is manufactured by Bayer Pharmaceuticals and was approved for use by the FDA in 2000 as a long acting, reversible birth control device. In 2009, it was also approved for use in women who had heavy bleeding during their menstrual periods. It has a 99% effectiveness rate, lasts up to 5 years and is primarily used by women who have had at least one child. In 2011, almost 11% of U.S. women used an IUD. However, several lawsuits have been filed against Bayer Pharmaceuticals in the last several years, claiming the company failed to properly warn users of possible adverse effects, such as IUD migration and displacement, Pelvic Inflammatory Disease and heavy menstrual bleeding.
Nearly ten years ago I entered the Army service. Through these years my work in the medical service as a medical laboratory technician, biomedical research, and most recently as a registered nurse has challenged me to examine my own practice and technical skills. I have learned about compassion, respect, empathy, equity, understanding, benevolence, and other attributes that contribute to being a proficient nurse. Our service members, families, and military culture present unique challenges that demand diversification, flexibility, and adaptation to sometimes overwhelming circumstances. My love for our military men and women and the families that stand behind them causes me to seek best practices, and innovation. The military has done a tremendous job at advancing battlefield trauma care, and statistics indicate that we have standard setting rates of battlefield lifesaving.