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Showing posts with label PTSD. Show all posts
Showing posts with label PTSD. Show all posts

Monday, May 21, 2012

Hospice and Palliative Care Veteran Services (Research, Video 4:46)


Nat was my most memorable patient with military service. Keeping a small American flag taped to his bed was his way of honoring those who returned from service in body bags or with physical and mental injuries. Although he had fought in Viet Nam years before we met as hospice volunteer and patient, his stories about his war experiences were as raw and real as any I have heard. He shared these reflections with me one day:

“I’ve seen and done things you couldn’t imagine. Some of them were horrible, I mean really horrible. Don’t ask me to tell you what they were, because I can’t talk about it. They say time heals all wounds, but it’s a lie. I left Viet Nam, but Viet Nam never left me. I carry it with me everywhere I go. All these years later, I still have nightmares like you wouldn’t believe. The doctor says it’s post-traumatic stress disorder or PTSD. I wake up shaking, gasping for breath with tears in my eyes. In my dreams, I’m always running hard, trying to escape. Sometimes my enemies are close enough for me to touch. I almost stop breathing to keep them from hearing me. I’m constantly thinking I’m not going to make it. Some nights they kill me before I wake up.” (Excerpt from Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes)

The number of veterans receiving hospice care continues to become a major area of expansion for the Veterans Health Administration. Research by the Department of Aging and Mental Health Disparities at the University of South Florida indicates that, of the millions of dollars being spent on veterans in hospice care, most of the funds are spent on younger veterans. Future trends indicate a growing need to allocate more funds for end-of-life care. Support and appreciation for the horrific sacrifices veterans have made are especially important during their death journeys.

This video titled Reaching Out to Those Who Served was produced by the Tennessee Hospice Association as part of a grant through the Veterans Administration and the National Hospice and Palliative Care Organization. It presents a detailed overview of hospice and palliative care services for veterans.


                  



Frances Shani Parker, Author
Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers and in e-book form at Amazon and Barnes and Noble booksellers.

Saturday, February 12, 2011

Holocaust Survivors and Offspring: How Are They Coping? (Research, Video 2:17)


Erika is my Jewish friend who was a child during the Holocaust. The Holocaust refers to the Nazis' systematic murder of more than six million European Jews, as well as members of other persecuted groups such as gypsies, homosexuals, and the disabled.

Her firsthand stories give history a name and face that validate the plight of those murdered during that horrific period. She attributes her current existence to a sympathetic family that hid her in their home from Nazi soldiers. Like many survivors who are older adults now, Erika continues to cope with the trauma of her childhood experiences. 

Because of their backgrounds, Holocaust survivors may find aging more stressful. Their children may find maintaining their parents’ daily satisfaction with life more challenging at times as a direct result of parents’ posttraumatic stress disorder (PTSD). PTSD is an anxiety disorder that occurs after witnessing or experiencing a traumatic event.

How are the two generations faring in general? The University of Haifa in Israel researched Holocaust survivors and their offspring for information on their lives. They studied them using a case study design with 174 participants of two generations with four groups: 32 elderly female Holocaust survivors and 47 daughters, and 33 elderly women in the comparison group, and 32 daughters. Mental health, physical health, and cognitive functioning were examined

Results revealed that “Holocaust survivors still display posttraumatic stress symptoms almost 70 years after the trauma.” On a positive note, adult offspring of Holocaust survivors showed no differences in their physical, psychological, and cognitive functioning as compared to matched controls. I noticed they used the word “functioning,” which is quite different from saying they carry no negative impact regarding that part of their history.

This video titled “Holocaust Survivor Testimony: Menachem Frenkel” showcases another Jewish child who survived the Holocaust due to the extraordinary goodwill of others who risked their own lives. Rescue attempts were made by three organizations -- the OSE (Children's Aid Society), Amitie Chretienne, and the Jewish Underground in Lyons -- to remove some 100 Jewish children from a concentration camp. Menachem and his sister were among those rescued one night. They escaped being among the 1.5 million Holocaust victims under the age of twelve. 


Frances Shani Parker, Author