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Vietnam vet suicide rate in comparison to deaths in battle
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This clinical vignette examines a sample case scenario which consist of myself as the pastoral of a Metropolitan church where I have over 5000 members. The majority of the parishioners are members of the Armed Forces and family members. In doing my daily duties a young sergeant comes and seek help about some issues he have been dealing with for year, however less than 5 years ago he was diagnosed with Post Traumatic Stress Disorder and Depression. As he introduce him as Sergeant Jonathan stating that he have heard of the many service members that have received Spiritual Counseling under my guidance and it would benefit to come for a visit. Sergeant Jonathan stated that due to my military service connection he feels comfortable discussing
his problems with someone who will understand his situation. Nevertheless as prior stating he is Sergeant Jonathan married to Brenda for about 20 years and together they have two children who have been married for 20 years he states that hearing I am an excellent pastoral community counselor; he needs help with some issues concerning himself and his family.
Casey Weston’s vignette describes symptoms such as anxiety, fear, social isolation, heavy feelings of loneliness, extreme restlessness/irritability, feelings of overwhelming dread, and perceptions of low self-worth and bouts of crying. He also experienced somatic symptoms such as muscle tension, heart palpations, trembling/shaking, chest pain, increased heart rate, and difficulty breathing.
The lower enlisted soldiers find it easier to talk with someone that is working beside them and can relate to them on their level. The soldiers are able to open up knowing that they can relate and that what is shared will stay confidential unless it is a danger to themselves or others. This allows room for the chaplain assistant to come in to encourage and give them any resources they may need (Army Training Support Center, 2016). Chaplain assistants are well informed on how to handle a distressed solider. In lesson 9 it discussed about how to have a positive response in two different ways pertaining to a solider that is distressed. The first response is called a verbal response. A verbal response is a person that validates and supports the other person’s statement. The second response is called a non-verbal response. A non-verbal response is the body language/expressions that are communicated to others without the use of words ("Lesson 9: Respond to a Distressed Individual", 2016).
All trained professionals associating with possible suicidal veterans need additional training, so they are capable of handling the situations and noticing the signs of suicide. Mazza, Giuliana, and Puskar emphasize the idea of evaluating the safety of every patient during each encounter is very important (4). Trained professionals should never miss an opportunity to prevent suicide from occurring. There is also a need for professionals to understand what the soldier went through during active duty, but they must also fight the stigma that a soldier asking for help is a sign of weakness. In an article John McCarthy et al. agrees that professionals have to be capable of reviewing patients risk for suicide, but it requires a high level of clinical skill, and the ability to give soldiers a reason to trust (1935). Bossarte, Claassen, and Knox add that both the psychological and physical trauma connected to combat increases the risk for suicide (460). When soldiers are injured in war they are often medicated on the battlefield with drugs so they can return to the war as quickly as possible (McCarl 409). This can led to veteran’s dependency on drugs, or the idea that they need to suppress feelings and emotions and it is easier than dealing with them. The veteran coming home needs access to trained assistance at all times, but those assisting have to truly care and want to prevent anything bad from happening to the new veteran. McCarl mentions the situations when Randen, a soldier, seeks help numerous times from the VA, but he is sent home repeatedly without any help. Continuously seeking assistance is a cry for help and signifies the severity of the situation for that soldier (Mazza, Guiliana, and
Today I received a referral from a family who is seeking help regarding their dysfunctional family structure. The Simpson’s are a nuclear family that is having difficulties living as a family. I have already spoken to Marge Simpson and agreed to find a way to get her husband and children to therapy. She has very high aspirations of attending therapy with her family because she has longed for a “normal” functioning family in which her husband and children interact in a much healthier manner than they do now. She described her husband of being careless, her son uncontrollable ate times, and her daughters disconnected from the family. We have set up the meeting for next week, Wednesday at six, when she believed her family would be more willing to attend and actually participate in the therapy session.
Confidentiality. Confidentiality is just as important in Christian counseling as it is in secular counseling. According to the American Association of Christian Counselors (2014), “confidentiality recognizes that every client has a fundamental, moral and legal right to privacy and to have a wide range of personal thoughts, opinions, beliefs, and behaviors that are protected from public knowledge” (p. 22). It is crucial for counselors to maintain client confidentiality unless what a client discloses brings harm to themselves or other people. Confidentiality should be kept at all
Counseling.org. (2017). Secondary Traumatic Stress, Compassion Fatigue and Counselor Spirituality: Implications for Counselors Working with Trauma. [online] Available at: https://www.counseling.org/resources/library/Selected%20Topics/Crisis/Simpson.htm [Accessed 8 Jun.
Col. Mary Carlisle” shows how Lt. Col. Mary Carlisle used to suffer from PTSD and then, as Sgt. Hopper, got her life back on track. When Lt. Col. Carlisle went to Iraq she felt helpless due to the fact that she had to deal with all these people dying without being able to help them. This sense of helplessness is a psychological dimension, which can be a factor leading to PTSD. Lt. Col. Carlisle would feel arousal and changes in reactivity when she would isolate herself and felt angry without knowing why. The isolation is also a symptom of negative alterations in moor or cognition, since she estranged form others. When she came back, she saw a movie where there was a clip from Balad, Iraq where she was posted, which brought back the feelings she felt while being there. When Lt. Col. Carlisle got treated, the Air Force family supported her, helping her with the social dimension of PTSD and recovery. PTSD is more common for women than in men, however, women who join the army, police, etc. have the same rates as men. So even though Lt. Col. Carlisle is a woman, leading the sociocultural dimension to a dimension of PTSD, this might not have applied to Lt. Col.
Nursing is a career that requires a lot but is also extremely rewarding. Not only do you nurse patients back to health, but also you also form bonds with these patients and maybe even their families. You are there for them physically, mentally and emotionally throughout their journey of recovery. In the video, A Nurse I Am, it follows the lives of three compassionate nurses: Mona Counts, Bob Wilkinson, and Ardis Bush. These nurses were chosen by their peers to receive the 2005 Cherokee Inspired Comfort Award due to their phenomenal work as nurses.
Dr. Kleeper’s description of her counseling style and the relationship that a counselor is able to develop with clients has really assisted me with solidifying my intention of becoming a mental health counselor. Learning about humanistic counseling and transpersonal therapy was really interesting. Although I believe I am willing and open to work with clients from various backgrounds, it is of great interest to further understand how I can bring a client’s spiritual belief into the intervention
“The spirit of the Lord God is upon me, because the Lord has anointed me: he has sent me to bring good news to the oppressed, to bind up the broken hearted, to proclaim liberty to the captives, and release to the prisoners; to proclaim the year of the Lord’s favor.” Isaiah 61:1-2 NRSV. This is the call to all Christians and particularly those ordained or authorized for ministry by the church. Traditionally chaplains have been viewed as religious experts, the ones with the knowledge of the Bible, the ability to perform specific religious functions, the “hotline” in prayer, the ones to call in the face of ethical issues, a confidential ear in all circumstances. As religious experts chaplains are expected to have a more intimate awareness of the Bible and of God’s saving plan for humanity, of God’s love, healing and promises, of answers fo...
When I graduate I will be a nurse in the military. I expect to be taken care of soldiers coming back from war quite often. It is important for me to be able to assess a military member and be able to recognize the signs and symptoms of PTSD. Not only do I as a nurse need to be able to recognize the symptoms, but I also need to know how to care for someone with the disorder in order to improve their quality of life. Understanding how to care for military members suffering from PTSD is important and not well understood. In April 2010, statistics show that eighteen United States soldiers were committing suicide every day due to the depression related to PTSD (“Understanding Combat PTSD from the Inside, Out”, 2007). It seems as though it is not being recognized that military members coming back from war are suffering from PTSD. As health care providers, it should be mandatory to screen for PTSD in soldiers coming back from war to prevent it from going unrecognized. Then, it is the nurses’ responsibility to know how to care for these suffering military vet...
I had been assigned to a 96 year old patient with a diagnosis of failure to cope. Prior to entering the patient’s room I had made a mental assessment through my personal research and verbal report that he was known to be a non-compliant agitated patient. Although the patient was already labeled as a difficult patient I did not allow this to cloud my own personal judgment when meeting with the patient. While providing morning care I began to engage with the patient through conversation and shortly learned that the patient was still grieving the loss of his wife from 9 years ago, they had been married for 65 years. By showing empathy and listening to the patient explain his story I was able to develop a therapeutic relationship with the patient where trust was built and nursing care was provided efficiently. I wanted to further explore the impact empathy has on nursing care in such setting as acute care, and how vital this is to the human
... spirituality when they are at risk for developing spiritual distress, I may potentially save my clients life, decrease their emotional instability and help them develop their own abilities to cope.
My clinical rotation in the acute care hospital has definitely been a great learning experience, it was a big transition for me having been working in a long-term care facilities for six years. There were three positive aspects about my performance that I will take away from this learning experience.
The shepherd and sheep relationship is the best illustration for the relationship between pastor and parishioners. When Jesus asked Simon Peter does he love him three times and said to him “Feed my sheep”, the shepherd and flock relationship has been set. Since Jesus is our good shepherd (Jn. 10:11a), he laid out a good example for us to follow - to lay down his life for the sheep. (Jn. 10:11b) Thus, the wellness of both in and out of the parishioners should always be the concern in the pastors’ hearts. Soul care for the people is essential. Christian friendship is the foundation of Christian soul care. Pastoral ministry including preaching, teaching, and worship forms the broad context of pastoral counseling. Pastoral care is within pastoral ministry but broader than pastoral counseling. God’s love is the source and motivation. Within the pastoral care, there are spiritual direction and pastoral