Care of veterans: A patient with post traumatic stress disorder and depression in a peri-operative scenario
Stacey Knight, DNP, RN, CNE; Kelli White, MSN, RN-BC; Cynthia Stinson PhD, APRN-CNS, RN-BC; Mary Ford, MSN, RN; Lisa Donnelly, MSN, MA, RN; Gloria Morris Green, DNP, RN
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- International Nursing Association for Clinical Simulation and Learning (INACSL)
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Care of veterans concepts in nursing curriculum is vital for students in all settings to understand the impact that military service has on health (Johnson et al., 2013). Significant physical health issues, behavioral problems, substance abuse, and harmful effects on families have been associated with and exacerbated by multiple deployments (Seal et al., 2009). Although these behaviors are not typical for most service members after deployment, some are clearly at risk for a variety of psychological, behavioral, and neurological health issues resulting from their experiences during direct combat situations (Bush et al., 2011). With only 25% of all veterans taking advantage of Veteran’s Administration Services, students need to be introduced to concepts related to veterans and the special issues surrounding their care (Johnson et al., 2013). A holistic approach to healthcare is important to ensure students understand the symbiotic relationship between acute medical surgical nursing and mental health concepts related to the care of veterans. Using current INASCL standards as a guide, and Modeling Role Modeling as a theoretical framework, a high fidelity simulation was prepared for second semester Care of Adults students to incorporate concepts in both peri-operative and mental health care settings. In the scenario, students were expected to prepare a patient for an amputation utilizing a pre-op checklist and physician orders, and to screen the veteran using a Primary Care Post Traumatic Stress Disorder Screening Tool. The patient does not have a clear understanding of the procedure scheduled and exhibits signs of severe anxiety and possible PTSD.
INACSL Conference 2017: Nursing Simulation, Marriott Wardman Hotel, Washington DC
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Post Traumatic Stress Disorder;
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