IRAQ WAR CLINICIAN GUIDE

More documents

Recommendations

Info

Iraq War Clinician Guide 107 Appendix C ATTACHMENT E IiVFECTlOUS DISEASES ENDEMIC TO SOUTHWEST ASIA 1L 10-2004-001 February 6,2004 Finallv, this clinical reminder screens for infectious diseases endemic to Southwst Asia and forchron~csymptoms. This heallh problem is being targeted in this clinical reminder because infectious diseases, princioallv enleric iofections. lnalaria, and leisl~nidninsis can DICSFIIIafter a veteran returns to d;e ~niiedstates and even after separation from active duty. ,VOTE; *lore inlormarion obo,,, relevor1 i,a/ed;otru disensrs nm be obfoi,~eJ i,~rlrr. VA Vclemns Hcalrl! 1,;itialivo reocl~ing modtrlo, "~ndornic infectious Diseases of Soelltwm Asia. "found a1 /~rl~~://~v~uw~.vn.ro~!vI~i/. answer all 4 questions Do you have any problems with chronic diarrhea or other gastrointestinal complaints since serving in the area of conflict? -(No) -(Yes) I 1 I (If yes, the patient's srml should be eualu3led foroba and p3iasilcs because of h~gh rates ofgiardidsis and amebiasis in Southwest Asia). Do you have any unmplaincd fevers? -(No) -(Yes) (Ifves.. the oatient . should be evaluated for malaria and nossiblv visceral ieisimania infection becauss of high rates of these diseases inkouthu,eit Asia Amoebic infection should agaln be considered.) Do you have a persistent papular or nodular skin rnsh that hep,nn afler deployntent to Soutl~west Asia? -(No) -(Yes) (If yes and an unusual rash or lesion is verified. the patient sllould be evaluated for culaneous leishn?aniasis.) Have you had any physical symplolnl, such us fatigue. headacl~es. Muscle andlor joint pains, forgetfulness, for threc monlhs or longer thal hate intcrfcrcd uirh your normal dsily act!\ ties ar l~omoor work? I II DEPARTMENT OF VETERANS AFFAIRS - . -.. NATIONAL CENTER FOR PTSD
Iraq War Clinician Guide 108 A~~endix D Appendix D. Assessment of lraq War Veterans: Selecting Assessment Instruments and Interpreting Results Eve Carlson. Ph.D. The Assessment section of this Guide discussed general challenges to assessment of veterans returning from lraq and delineated suggested domains to assess and issues to consider in assessing those domains. This section will focus on suggested instruments to use as part of an assessment to decide what services to offer veterans and to plan psychological treatment. As indicated in the previous section, responses in the days and weeks following exposure to highly stressful events are highly variable across individuals and high levels of distress in the days and weeks following exposure do not reliably predict longer-term posttraumatic symptoms. Some, but not all, who meet criteria for Acute Stress Disorder two weeks after and event will later have PTSD, but some who do not meet criteria for ASD will also develop PTSD (Bryant & Harvey, 2002). Since no measures of early responses have been found to reliably predict longer-term responses and since most of those exposed to extreme stressors recover within a month, assessment with measures of specific domains is not recommended during this period. This section will make suggestions, therefore, about selecting measures to assess veterans who have been home one month or more. Many of the domains discussed in the previous section can be adequately assessed during an interview without a specific self-report measure. These include current work functioning, current interpersonal functioning, recreationlself-care, physical functioning, and past distress and coping. For other areas, specific measures or questionnaires may be a useful way to gather detailed information about the veteran's current psychological functioning and past experiences. Domains and potential measures are discussed below along with characteristics of veterans to consider when choosing measures. Sources of information about choosing, administering, and interpreting the results of measures of trauma exposure and responses include: Briere (19971, Carlson (1997), Solomon et al. (1996), and Wilson and Keane (1996). Psychological Symptoms PTSD symptoms. For many veterans, a diagnostic label may not be needed and may not facilitate treatment. In some circumstances, applying such a label may be counterproductive and undesirable to the veteran. A brief measure of PTSD symptoms can, however, be useful to get an idea of current PTSD symptoms a veteran might be having and to monitor treatment progress. A wide variety of brief measures of PTSD symptoms are available, and information about these (including contact information to obtain measures) can be found at: Additional information about measures of PTSD can be found in Briere (1 9971, Carlson (19971, Solomon et al. (19961, and Wilson and Keane (1 996). For convenience, two brief measures are included in this appendix here: the Posttraumatic Checklist - Civilian (PCL-C) and the Screen for Posttraumatic Stress Symptoms (SPTSS). Both are measures that do not key symptoms to a particular event since exposure to multiple events is P. DEPARTMENT OF VETERANS AFFAIRS - NATIONAL CENTER FOR PTSD
Page 1 and 2:
IRAQ WAR CLINICIAN GUIDE 2 nd EDITI
Page 3 and 4:
Iraq War Clinician Guide PP 1 - --
Page 5 and 6:
Iraq War Clinician Guide 3 Executiv
Page 7 and 8:
Iraq War Clinician Guide 5 Military
Page 9 and 10:
Iraq War Clinician Guide 7 Military
Page 11 and 12:
-Iraq War Clinician Guide 9 Militar
Page 13 and 14:
Iraq War Clinician Guide 11 Militar
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Iraq War Clinician Guide P P 19 Mil
Page 23 and 24:
Iraq War Clinician Guide 21 Backgro
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Iraq War Clinician Guide 33 Treatme
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Iraq War Clinician Guide 47 Medical
Page 51 and 52:
Iraq War Clinician Guide 49 Medical
Page 53 and 54:
Iraq War Clinician Guide 51 Traumat
Page 55 and 56:
-Iraq War Clinician Guide 53 Trauma
Page 57 and 58:
Iraq War Clinician Guide 55 Traumat
Page 59 and 60: Iraq War Clinician Guide 57 Traumat
Page 61 and 62: Iraq War Clinician Guide 59 Im~lica
Page 63 and 64: Iraq War Clinician Guide 61 Implica
Page 65 and 66: Iraq War Clinician Guide 63 Caringf
Page 67 and 68: Iraq War Clinician Guide 65 Caring
Page 69 and 70: Iraq War Clinician Guide 67 Militar
Page 71 and 72: Iraq War Clinician Guide 69 Militar
Page 73 and 74: Iraq War Clinician Guide 71 Assessm
Page 75 and 76: -Iraq War Clinician Guide - - 73 As
Page 81 and 82: Iraq War Clinician Guide 79 Substan
Page 83 and 84: Iraq War Clinician Guide 81 Substan
Page 85 and 86: Iraq War Clinician Guide 83 Impact
Page 87 and 88: Iraq War Clinician Guide 85 Impact
Page 89 and 90: Iraq War Clinician Guide 87 Appendi
Page 99 and 100: -Iraq War Clinician Guide 97 Append
Page 103 and 104: Iraq War Clinician Guide P 101 Appe
Page 105 and 106: -Iraq War Clinician Guide 102 Appen
Page 107 and 108: Iraq War Clinician Guide 104 Append
Page 109: Iraq War Clinician Guide - 106 Appe
Page 117 and 118: -- Iraq War Clinician Guide 114 App
Page 128 and 129: - - Iraq War Clinician Guide 125 Ap
Page 145 and 146: aq War Clinician Guide 142 Appendix
Page 161 and 162:
Iraq War Clinician Guide 158 Append
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Iraq War Clinician Guide 164 A~pend
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
-Iraq War Clinician Guide P 174 App
Page 179 and 180:
lraa War Clinician Guide 176 Append
Page 181 and 182:
Page 183 and 184:
~ ~~~ Iraq War Clinician Guide 180
Page 185 and 186:
Iraq War Clinician Guide 182 A~aend
Page 187 and 188:
, ~ -Iraq War Clinician Guide 184 A
Page 189 and 190:
~ Iraq War Clinician Guide 186 Appe
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
lraa War Clinician Guide 176 Append
Page 197 and 198:
Page 199 and 200:
~ ~~~ Iraq War Clinician Guide 180
Page 201 and 202:
Iraq War Clinician Guide 182 A~aend
Page 203 and 204:
, ~ -Iraq War Clinician Guide 184 A
Page 205 and 206:
~ Iraq War Clinician Guide 186 Appe
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
- p- Iraq War Clinician Guide 194 A
Page 215 and 216:
Page 217 and 218:
-Iraq War Clinician Guide 198 Appen
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
show all

IRAQ WAR CLINICIAN GUIDE

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?