Commonalities & Differences Shed Light on Individuality Military Caregivers: Presented By Mary Brintnall-Peterson, Ph.D. Owner, MBP Consulting, LLC. Professor Emeritus, University of Wisconsin-Extension Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
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Commonalities & Differences Shed Light on Individuality · 58 + 40 + 18 + Cond : Frostbite/ Cold injuries, Infectious diseases (rheumatic fever, ... Characteristics of Military Caregivers
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Commonalities & Differences Shed Light on Individuality
Military Caregivers:
Presented By Mary Brintnall-Peterson, Ph.D. Owner, MBP Consulting, LLC.
Professor Emeritus, University of Wisconsin-Extension
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
Do you work mostly with… A. Service members in active duty, guard or reserve B. Veterans C. Military family caregivers D. One of the above Service member types and their
caregiver
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
o Navigation of multiple health care systems o Care provided in more than one location o Rural communities often have fewer supports o Two households creates logistic issues o Loss of support network(s)
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
o Lack of recognition o Not member of “official” care team o Translator at home o Ask lots of questions o Don’t understand medical condition(s) o Lack of support
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
o Most pervasive and most damaging to the family • Caregiver may quit or reduce working • Decline in Service member’s pay and/or benefits • Medical bills not covered by health insurance • Higher rate of financial hardship for caregivers of
Service members with mental illnesses and TBI
Tanielian, T., 2013 ; Wounded Warrior Family Care Report
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
o Decline in health (16-18% ) o In fair/poor health o Seek medical attention in crisis o Do not take care of themselves o Chronic health conditions 2 times rate of non-caregivers o Higher mortality rates than non-caregivers.
Tanielian, T., 2013
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
“Families are falling apart and crumbling. My husband and I separated; we dealt with our son’s injury in different ways”
Warrior’s Parent/Caregiver – Indiana
“Our children have some support but still do not receive adequate mental-health care. The system is overloaded and cannot handle the number of kids that need help where we are. The qualified physicians are outnumbered by the children.”
Warrior’s Spouse/Caregiver – San Antonio, TX
Wounded Warrior Family Care Report, 2009
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
o Follow your organization’s procedures o If no organizational procedures:
• Determine if caregiver needs immediate help • Discuss how depression is a medical condition • Encourage them to seek professional help • Provide information about helping professionals
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
o Medical information on Service member’s condition(s) o Being an effective caregiver o Organizational helps o Self-care assistance o Financial and legal support o Connecting with others
Tanielian, T., 2013
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
o Caregiver Journey o Not part of care team o Loss of income o Service member not willing to seek help o Care task(s) complex o Length of caregiver journey o Isolation o Health deterioration o Mental & emotional distress o Depression
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
Bearon, L.B. (2013). The burdens and blessings of family caregiving. North Carolina Cooperative Extension, North Carolina State University. Retrieved September 6, 2013 from: http://www.ces.ncsu.edu/depts/fcs/pdfs/fcs464.pdf Caregivers’ Guide to Battling Suicide on the Homefront. eXtension. Retrieved August 8, 2013 from: http://www.extension.org/pages/65439/caregivers-guide-to-battling-suicide-on-the-home-front#.UhZgpfUo7IU. Christensen, E.; Hill, H. C.; Netzer, P.; Farr, D.; Schaefer, E.; & McCahon, J. (2009). Economic Impact on Caregivers of the Seriously Wounded, Ill and Injured. Courage to Care: Suicide Facts from Primary Care Providers. Helping Services Members and Families Overcome Barriers to Care. Retrieved on April 15, 2013 from: http://www.cstsonline.org/courage-to-care-suicide-facts-for-primary-care-providers/ Department of Defense (DOD). Defense and Veterans Brain Injury Center. Worldwide Numbers for Brain Injury. Retrieved on August 19, 2013 from: http://www.dvbic.org/dod-worldwide-numbers-tbi Griffin, J. M.; Friedemann-Sanchez, G. ; Jensen, A. C.; Taylor, B. C.; Gravely,A .; Clothier, B.; Simon, A.B.; Bangerter, A.; Pickett, T.; Thors C.; Ceperich S.; Poole J.; & van Ryn, M. (2012). The invisible side of war: Families caring for US Service members with traumatic brain injuries and polytrauma. Journal of Head Trauma Rehabilitation 27(1):3-13. Hoiser, A. (2012). Family Caregiver Health Bulletin: Joys of Caregiving. Cooperative Extension Service: University of Kentucky. Retrieved on September 6, 2013 from: http://clay.ca.uky.edu/sites/clay.ca.uky.edu/files/November_2012_Family_Caregiver_Health_Bulletin.pdf
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
Hoiser, A. (2013). Family Caregiver Health Bulletin: Military Family Caregiving. Cooperative Extension Service: University of Kentucky. Retrieved on September 6, 2013 from: http://clay.ca.uky.edu/sites/clay.ca.uky.edu/files/June%202013%20Caregiver%20Health%20Bulletin.pdf IOM (Institute of Medicine). (2013). Returning home from Iraq and Afghanistan: Assessment of readjustment needs of veterans, Service members, and their families. Washington. DC: The National Academies Press. Manguno-Mire, G.; Sautter, F.; Lyons, J.; Myers, L.; Perry,D.; Glynn, S.; & Sullivan, G. (2007). “Psychological Distress and Burden among Female Partners of Combat Veterans with PTSD, (2007). Journal of Nervous Mental Disorders, Vol. 195, No.2, pp.144-151. Montgomery, R.J. V. & Kosloski. K. (2009). Caregiving as a Process of Changing Identity: Implications for Caregiver Support. Generations, 33, 47-52. Montgomery, R. J. V. & Kwak. J. (2008). Tailored Caregiver Assessment and Referral (TCARE) process: An evidence-based model for effectively supporting caregivers. American Journal of Nursing, 108. 54-57. National Alliance for Caregiving (NAC). (2010). Caregivers of Veterans—Serving on the Homefront. Bethesda, MD: National Alliance for Caregiving. Retrieved on January 1, 2011 from: https://www.unitedhealthfoundation.org/uhfassets/docs/2010/caregivers-of-veterans-study.pdf
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
National Alliance for Caregiving & AARP (2009). Caregiving in the United States. Bethesda, MD: National Alliance for Caregiving. Retrieved January 10, 2010 from: http://www.caregiving.org/data/Caregiving_in_the_US_2009_full_report.pdf National Survey of Veterans, Active Duty Service Members, Demobilized National Guard and Reserve Members, Family Members, and Surviving Spouses (2010). Retrieved on September 19, 2013 from: http://www.va.gov/SURVIVORS/docs/NVSSurveyFinalWeightedReport.pdf PBS. (2008). Caregiving for your parents: The joys of caregiving. Retrieved September 6, 2013 from: http://www-tc.pbs.org/wgbh/caringforyourparents/handbook/pdf/cfyp_joys_caregiving.pdf Pinkus, E. (2011) Survey of Nebraska Members on Long-Term Care and Caregiving Issues. Washington, DC: AARP. Using the Internet. (2013). Retrieved on September 19, 2013 from: http://www.extension.org/pages/32551/using-the-internet#.Ujr-iNwo7IU Rewards of Caregiving. eXtension. Retrieved on August 14, 2013 from: http://www.extension.org/pages/9324/rewards-of-caregiving#.Ui4ZC_Uo7IU Savundranayagam, M.Y., & Montgomery, R.J.V. (2010). Impact of role discrepancies on caregiver burden among spouses. Research on Aging, 32, 175-199.
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.
Schmall, V. (2004). Depression in Late Life: Recognition and Treatment. Pacific Northwest Extension Publication, No. PNW 347 Retrieved on August 8, 2013 from: http://extension.oregonstate.edu/catalog/pdf/pnw/pnw347.pdf Tanielian, T.; Ramchand, R.; Fisher, M.P.; Sims, C.S.; Harris, R.; & Harrell M.C., (2013). Military Caregivers: Cornerstones of support for our nation’s wounded, ill, and injured Veterans. Rand Corporation. Library of Congress. Retrieved April, 10, 2013 from: http://www.rand.org/pubs/research_reports/RR244.html Vulcan Productions. Everyone Serves: A Handbook for Family & Friends of Service Members During Pre-Deployment, Deployment, and Reintegration. (2013). Retrieved on September 25, 2013 from: http://www.everyoneservesbook.com/ We Honor Veterans Hospice Professionals on a Mission to Serve. Afghanistan and Iraq (OEF & OIF) Health Risks. Retrieved on August 10, 2013 from: http://www.wehonorveterans.org/i4a/pages/index.cfm?pageid=3321 We Honor Veterans Hospice Professionals on a Mission to Serve. Gulf War Health Risks. Retrieved on August 10, 2013 from: http://www.wehonorveterans.org/i4a/pages/index.cfm?pageid=3318 We Honor Veterans Hospice Professionals on a Mission to Serve. Korean War Health Risks. Retrieved on August 10, 2013 from: http://www.wehonorveterans.org/i4a/pages/index.cfm?pageid=3309
We Honor Veterans Hospice Professionals on a Mission to Serve. Vietnam Health Risks. Retrieved on August 10, 2013 from: http://www.wehonorveterans.org/i4a/pages/index.cfm?pageid=3315 We Honor Veterans Hospice Professionals on a Mission to Serve. World War II Health Risks. Retrieved on August 10, 2013 from: http://www.wehonorveterans.org/i4a/pages/index.cfm?pageid=3304.
Professional development webinars brought to you by the eXtension Military Families Learning Network – Military Caregiving educational initiative.