Thursday, April 30, 2009

Introduction

iraq soldiers Pictures, Images and Photos

Soldiers returning from war are not receiving proper care prior to their deployment. These soldiers suffer many effects after being deployed from the war. There are several major issues that soldiers have to deal with after serving in the war, such as mental illness, effects that being in combat can cause, and problems that they face in their every day lives.

Section I



Post Traumatic Stress Disorder is an anxiety disorder. A mental illness that people experience after terrifying or life threatening events. There are three main symptoms of PTSD: re-experiencing the trauma, continuous avoidance, and increased arousal. Other symptoms are flashbacks, feeling emotionally numb or detached from others, anger, and irritability. These horrifying experiences can stick with them for the rest of their lives. Because the bad memory can never be erased, it is like watching a horror movie that keeps on frightening you literally to death (Cruz). Since there is no certain explanation for why PTSD affects soldiers so much, it is hard to help people suffering from this disorder. Military researchers estimate that twelve to twenty percent of Iraq war veterans show signs of post traumatic stress.

One in six veterans from the war in Iraq is suffering from a mental disorder. It is not unusual for people with PTSD to become deeply depressed and turn to alcohol and substance abuse. Some of the variables that can lead to PTSD are unexpected, uncontrollable, and inescapable event, perceived extent of threat or danger, suffering, upset, terror, fear, and negative social environment and concurrent stressful life events (Paolillo). One must go through these circumstances for three or more months to be diagnosed with this disorder. There are continuous studies to try and find the cause of this disorder and ways to help treat it, meanwhile soldiers continue to be affected by this in their every day lives while they wait and hope for someone to come up with a cure. PTSD will be the most controversial and most expensive injury to treat (Bilmes).

Traumatic Brain Injury also known as TBI is a commonly known injury of the military action in Iraq. This is caused by sudden jolts, blows, or penetrating head trauma that disrupts the function of the brain. Car crashes is the number one cause of TBI, followed by falls. TBI shares many symptoms with PTSD leading to confusion in diagnosis and other problems (Nagel). There are two kinds of symptoms of TBI, external and internal symptoms. Some external symptoms include periods of unconsciousness, impaired physical and emotional functioning, slowed ability to process information, memory loss, amnesia, depression, anxiety, and seizures. Some internal symptoms are concussive and bruised damages, changes in cellular activity, and internal swelling (Nagel).

An estimated eleven to twenty percent of returning combat troops suffers from traumatic brain injury (Carro). Suffering from both PTSD and TBI creates an even more difficult problem to solve. Estimating conservatively the cost of caring for veterans with TBI from these wars could be 14 billion dollars over twenty years and 35 billion dollars over their lifetimes (Elliott). Being diagnosed with this injury can cause blindness, deafness, speaking issues, difficulty with physical functions such as walking. The rate of TBI among Iraqi veterans from 2003-2005: fifty nine percent were diagnosed with TBI, fifty six percent moderate or severe and forty four percent mild. Mild TBI means a slight change in mental status or consciousness. Severe TBI means an extended period of unconsciousness, problems with independent function, and amnesia (O’Conor). Reducing the extent of brain injuries is complicated by several factors 1) the patients often arrive under sedation, making it hard to asses their neurological status. 2) Patients are distracted by their other injuries. 3) TBI is not always discovered on x-rays, MRI’s, or CT scans.

Another major problem for returning soldiers is disability payments. This problem causes soldiers to end up with financial problems and health problems that prevent them form working and lead to a high cost of medical bills. Because soldiers have families to support they often end up facing evictions from their homes. From 2005 to 2007 the number of claims field has gone up twenty seven percent (Patterson). According to the Department of Veteran Affairs the waiting period for their disability payments has gone up. The problem is not that the veterans never receive their money or that they do not receive enough of it, it is the backlog of the claims or working inventory as the VA calls it, which means that veterans are waiting up to eight months to receive their first disability payment from the government (Ballestros).

The rising number of troops needing disability payments has caused a major problem. 1.4 servicemen deployed in current war are eligible to claim some level of disability compensation from VBA. Disability compensation is suffering from an illness, disease or injury incurred or aggravated while soldier was on military service. Soldiers get a rating based on their disability on a percent scale zero to one hundred; the ratings determine whether members get medical retirement and what payments for disability they will receive after being discharged from medical care. In some cases soldiers receive low disability ratings; any soldier with a rating below thirty percent does not receive coverage through military which results in them having to pay taxes on their severance payment opposed to receiving a monthly retirement check (Daily). Because of the process soldiers have to go through to receive the payment some do not even bother or wait until it is too late to file for the payment. A common complaint is the disability claims process is not done in a timely manner and causes results in economic problems, homelessness, addiction, and suicide for hundreds of thousands of military personnel (Daily).

Section II

Iraq War Pictures, Images and Photos

One of the biggest issues that the war has brought soldiers and family members is suicide. The graph above shows soldiers committing suicide rose for the fourth straight year in 2008, reaching the highest level in nearly three decades. At least one hundred and twenty eight soldiers killed themselves last year causing the army suicide rate to surpass the civilian according to army statistics. There has not been a certain reason for the rise in numbers, but officials think that fifteen month deployments to war zones had a big part to do with it. Receiving very short time away from the combat field has lead to things such as post traumatic stress disorder, depression, alcohol abuse and family problems (Alvarez). According to officials the most common factors in suicide are financial, personal, job related difficulties, and legal problems. In the last four years thirty percent of the suicides occurred during a deployment.

Thirty five percent occurred after a deployment. The last thirty five percent were never deployed (Alvarez). There are many ways to try and reduce the suicides from occurring, but this problem to this day continues to rise, leaving family members and friend’s heart broken.

One major problem that soldiers face returning from the war is becoming homeless. Some things that can contribute to the cause of becoming homeless are high rates of post traumatic stress disorder, traumatic brain injury, which could lead to unstable actions and substance abuse, and the long repeated tours (Eckholm). This is becoming a huge issue for the military with the number of homeless soldiers continuing to rise. Among the one million veterans who have served following September 11, seventy two thousand are paying over half of their income causing them to be that much more vulnerable to causing homelessness. According to the V.A. in 2006 on any given night one hundred and ninety six thousand veterans of all ages were homeless. Soldiers are having no where to stay after risking their lives to fight in the war and this is one of the many problems and issues that the war has caused on our brave and courageous troops.

An issue that affects the whole family as well as the soldier serving is the cycle of deployment. Characteristics that soldiers asses prior to this are denial and anticipation of loss which can lead to more stress. It is very difficult for the spouse and children to prepare themselves for when its time for the soldier to deploy. The soldier’s departure creates a hole which can lead to feelings of numbness, sadness, being alone or abandonment, for many this stage is a very discomforting and disorganizing experience (Pincus).Deployment brings mixed emotions/relief, overwhelmed, sleep difficulty, security issues and much more.

Health care is a major issue for soldiers in this war and has been for several years. According to Major Capes the ROTC teacher facilities have improved, standard care has improved, and more emphasis on identify and treating mental issues that occurred during the war has improved. He believes there are still some areas that need improvement such as long term care facilities, and better tracking and follow up on injuries. Major Capes thinks that the government’s commitment to those who risk their lives for our country should be medical care for life as promised. Ways to resolve some issues could be better tracking of mental injuries and more emphasis on identifying the injuries that soldiers receive.

Section III

Soldiers in Iraq Pictures, Images and Photos

For soldiers war can have a huge toll on there health physically and mentally, soldiers are affected in many ways by what they see and what goes on during the war. Being at constant risk for death or injury can cause troops to become immensely distressed. An uncommon cause of stress for soldiers is MST also known as military sexual trauma which is any sexual harassment or sexual assault that occurs in the military. Twenty three percent of women report being sexually assaulted in the military, fifty five percent of women and thirty eight percent of men have experienced sexual harassment when in the military (Overview of mental health effects). Some combat stressors that soldiers face are seeing dead bodies, being shot at, being attacked or ambushed, receiving rocket or mortar fire, know someone killed or seriously injured. Around ninety percent of army troops and marines are affected by these factors (Hoge).

Mental health care is a serious problem that soldiers have to face; the biggest part to this problem is the amount of service members that are receiving the proper care that they need. Once the troops return from Iraq or Afghanistan they are given a survey that contains mental health questions. Based on the survey the service has found that close to nineteen percent of troops stationed in Iraq have a mental health problem and eleven percent of troops stationed in Afghanistan have a mental health problem (Overview of mental health effects). There are still service members that do not apply for mental health treatment, some reasons for this are they feel they may be seen as weak, they fear they may be treated differently, or that others may lose confidence in them. This problem still continues and has continuously affected our beloved service members.
Another problem that veterans face is the mistakes that occur in the digital medical record system, used to track wounded soldiers. Because not all hospitals use this system it has caused thousands of wounded soldiers to endure long waits for treatment. Since they can not track the status of wounded soldiers from various locations they are less likely to learn from the mistakes they’ve made (Nixon). The Joint Patient Tracking Application cost around three hundred and twenty thousand dollars to develop and about two million dollars a year to operate. Because not all soldiers have digital medical records it has complicated an already frustrating situation. The wounded soldiers who still rely on paper records have to wait long periods for appointments because their records can not be found or were never transferred. Veterans also face delays in receiving rehabilitation defense officials do not use the system to assign specialists to centers that have the biggest backlogs (Urbina). “The D.O.D’s failure to share data and track patient records is truly a matter of life and death,” Senator Patty Murray states. “This isn’t an isolated case, but a system-wide failure”.

This system was created to make seamless the transition of soldiers who have been wounded in Iraq and Afghanistan as they relocated to hospitals statewide. But only thirteen out of seventy military treatment centers in the US use it, even though it was mandated by the Pentagon more than two years ago (agency documents).

Conclusion

Over the past years these issues have been overlooked, the government now realizes that these issues need to be resolved. There are more funds being put into programs to help and treat our injured troops. The least we can give to our soldiers who risk their lives to fight in the war is the medical care that they need and deserve.

Works Cited

Alvarez, Lizette. "Suicides of Soldiers Reach High of Nearly 3 Decades ." 30 Jan. 2009. The New York Times . 1 http://www.nytimes.com/2009/01/30/us/30suicide.html?tntemail 1=y&_r.

Bilmes, Linda. "Soldiers Returning from Iraq and Afghanistan." 1 Jan. 2007. 1 http://ksgnotes1.harvard.edu/Research/wpaper.nsf/RWP/RWP07-001.

Carro, Melissa N. "When War Comes Home." Vanderbilt Magazine. 1 Vanderbilt University. 1 http://www.vanderbilt.edu/magazines/vanderbilt-magazine/2008/07/when_war_comes_home/.

Daily, Kaiser. "Veterans with Disabilities News and Notes." LRS. 11 Nov. 2008. Ohio Legal Rights Service. 1 http://olrs.ohio.gov/asp/vetnews.asp.

Eckholm, Erik. "Surge see in number of homeless veterans." 8 Nov. 2007. The New York Times . 1

“Effects of Combat Stress on Today’s Soldiers." Online posting. 1 Jan. . . North Georgia College and State University . 1 Jan. http://hawkeye.ngcsu.edu/~SEDAVI0518/new%20stress%20power%20point.ppt#276,21,http://www.global/security.org/military/library/policy/army/fm/22-51/22-51_toc.htm.

Hoge , . "An Overview of the Mental Health Effects of Serving in Afghanistan and." United States Department of Veterans Affairs. 1 Jan. http://www.westga.edu/~gadmh/ResourcesPublications/Military/An_Overview_of_the_Mental_Health_Effects_of_Serving_in_Afghanistan_and_Iraq%20from%20VA.pdf.

Urbina, Ian , and Ron Nixon. "Disuse of System Is Cited in Gaps in Soldiers Care." New York Times 30 Mar. 2007: 1 Jan. http://www.ischool.drexel.edu/faculty/ssilverstein/failurecases/?loc=cases&sloc=soldier_care.

O'Conor, Helen D. "Iraq War TBI Veterans Funding Remains unmet." 1 1
Paolillo, Jason D. "The Effect of Post Traumatic Stress Disorder on Veteran Soldiers’ Mental and Everyday Life." 1 19 Feb. 2009 http://www.framingham.edu/JOCT/pdf/spring08/Paolillo.pdf.

Pincus, Simon H., Robert House, and Christenson Joseph . "The Emotional Cycle Of Deployment." ( ): 1 http://www.mann-es.eu.dodea.edu/Deployment%20&%20Reintegration/The%20Emotional%20Cycle%20of%20Deployment.doc.

"Study finds that one-third of soldiers returning from Iraq use MH services.(Mental health services )." Mental Health Weekly. 16. 10 (March 6, 2006): 1(3). Opposing Viewpoints Resource Center. Gale. Asheville High School Media Center. 10 Feb. 2009 http://find.galegroup.com/ovrc/infomark.do?&contentSet=IAC-Documents&type=retrieve&tabID=T004&prodId=OVRC&docId=A146742077&source=gale&srcprod=OVRC&userGroupName=ashevillehsmc&version=1.0.
















Welcome Post

This blog will contain information about Veterans Healthcare in America.

It will be a continual resource for people attempting to find information on the internet.