Families' Perceptions of Veterans' Distress Due to Post-Traumatic Stress Disorder-Related Symptoms at the End of Life

Alici, Yesne; Smith, Dawn; Lu, Hien L.; Bailey, Amos; Shreve, Scott; Rosenfeld, Kenneth; Ritchie, Christine; Casarett, David

doi:10.1016/j.jpainsymman.2009.07.011

Cited by 28 publications

(31 citation statements)

References 35 publications

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“…As an example, it is common for patients who experienced trauma to have increased agitation, pain, and dyspnea at end of life. 17 Thus, opportunities to investigate the impact of prior maltreatment on serious illness at end of life are needed, which might include a longitudinal examination of pediatric health data in foster care.…”

Section: Discussionmentioning

confidence: 99%

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Prior Trauma Exposure and Serious Illness at End of Life: A National Study of Children in the U.S. Foster Care System From 2005 to 2015

Lindley

Slayter

2018

Journal of Pain and Symptom Management

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Section: Discussionmentioning

confidence: 99%

“…Trauma has been shown to increase agitation, pain, and dyspnea at end of life. 17 It may also negatively influence quality of life and daily functioning. 18 Trauma may increase the intensity of burdensome symptoms, treatments, or caregiver stress.…”

Section: Introductionmentioning

confidence: 99%

Prior Trauma Exposure and Serious Illness at End of Life: A National Study of Children in the U.S. Foster Care System From 2005 to 2015

Lindley

Slayter

2018

Journal of Pain and Symptom Management

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“…Previous research suggests that up to 17% of veterans receiving HPC are diagnosed with post-traumatic stress disorder (PTSD) 36 , and generally, veterans present with higher rates of trauma-related disorders at end-of-life than civilians. 24 Further, scholars expect these figures to rise as Vietnam-era veterans experience higher rates of PTSD and other psychiatric disorders compared to previous cohorts.…”

Section: Mental Healthmentioning

confidence: 99%

“…In addition, previous research suggests that families of patients with PTSD report lower satisfaction with VA HPC. 36 Therefore, barriers to mental health treatment associated with masculinity and military culture may lead to particularly negative outcomes for older male veterans with PTSD.…”

Section: Mental Healthmentioning

confidence: 99%

Masculinity and Military Culture in VA Hospice and Palliative Care: A Narrative Review With Clinical Recommendations

Plys

Jacobs

2019

J Palliat Care

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This article examines the intersection between masculinity, military culture, and hospice and palliative care (HPC). The authors conducted a narrative literature review, supplemented with clinical annotations, to identify the impact of masculinity and military culture on the following topics salient to end-of-life care with older male veterans: pain management, mental health, coping, communication, autonomy and respect, and family roles. Findings suggest that traits associated with masculinity and military culture have an influence on the end-of-life process and HPC for older male veterans. Specifically, results suggest that older male veterans may deny or minimize physical pain, decline mental health treatment, utilize maladaptive coping strategies, avoid emotional conversations, struggle to manage perceived shifts in autonomy, and experience challenges negotiating changing family roles. The authors provide clinical recommendations for providers across various disciplines to address the aforementioned concerns with older male veterans in HPC. Overall, information presented in this article may be an important contribution to the literature for building cultural competencies with older male veterans and has the potential to improve the delivery of HPC for veterans and their families.

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“…9 Although a systematic review concluded that delayed-onset PTSD is unusual, especially in the absence of prior symptoms, 10 PTSD can first appear or worsen in old age. 11,12 In particular, symptoms may emerge or reemerge as individuals approach death, possibly due to challenges that arise during the aging process (e.g., increased health problems, cognitive decline, loss of loved ones). 13,14 In addition, thoughts about impending mortality may trigger reminders of traumatic experiences and memories.…”

mentioning

confidence: 99%

Assessment and Treatment Considerations for Post Traumatic Stress Disorder at End of Life

Glick

Cook

Moye

et al. 2018

Am J Hosp Palliat Care

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Post traumatic stress disorder (PTSD) may first emerge, reemerge, or worsen as individuals approach end of life and may complicate the dying process. Unfortunately, lack of awareness of the occurrence and/or manifestation of PTSD at end of life can lead to PTSD going unaddressed. Even if PTSD is properly diagnosed, traditional evidence-based trauma-focused treatments may not be feasible or advisable with this group as many patients at end of life often lack the physical and mental stamina to participate in traditional psychotherapy. This article reviews the clinical and empirical literature on PTSD at end of life, as well as discusses assessment and psychotherapy treatment issues with this neglected population. In addition, it expands on the current reviews of this literature by extrapolating results from nontraditional treatment approaches with other patient populations. Elements of these approaches with patients sharing similar characteristics and/or comorbidities with patients with PTSD at end of life may provide additional benefits for the latter population. Clinical implications and suggestions for interdisciplinary care providers are provided.

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Families' Perceptions of Veterans' Distress Due to Post-Traumatic Stress Disorder-Related Symptoms at the End of Life

Abstract: PTSD-related symptoms may be common and severe among veterans near the end of life and may have a negative effect on families' perceptions of the quality of care that the veteran received.

Cited by 28 publications

References 35 publications

Prior Trauma Exposure and Serious Illness at End of Life: A National Study of Children in the U.S. Foster Care System From 2005 to 2015

Prior Trauma Exposure and Serious Illness at End of Life: A National Study of Children in the U.S. Foster Care System From 2005 to 2015

Masculinity and Military Culture in VA Hospice and Palliative Care: A Narrative Review With Clinical Recommendations

Assessment and Treatment Considerations for Post Traumatic Stress Disorder at End of Life

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