Project Focusing On Traumatic Brain Injury Among Veterans (Essay Sample)

TRAUMATIC BRAIN INJURY “GOLD COST BRAIN CENTER”
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Healthcare Target
For several years now, traumatic brain injury has been the focus of both the medical community and the general public due to its identification in the community and the silent injury it causes to the affected population. Fortunately enough, there has been a significant amount of study in the sector which has primarily helped in the diagnosis process of the silent killer. The study has as well led to the intervention strategies which as well proved to be significant to the entire community and the medical practitioner. Generally, TBI is known to be producing very complex medical impacts such as emotional, cognitive deficit, physical and behavioral CITATION Ros14 \l 1033 (Rosenberg, McDonald, Dethier, Kessels, & Westbrook, 2014). The impact is, however, diverse based on the various types of injury that happen to the brain. These injuries are closed, blast and penetrating and depending on the impact, the type of injury is decided by the healthcare practitioner.
In the year 2011, Brain Injury Association of America came up with a definition of TBI to mean an alteration in the brain normal functioning which is primarily caused by an external force. In the normal conditions, TBI comes from the motor vehicle accidents, objects that fall and assault from other people. According to the statistics of the Brain Injury Association of America, each and every year close to 1.7 million individuals in the United States is diagnosed with TBICITATION Hyd07 \l 1033 (Roozenbeek, Maas, & Menon, 2013). Out of these people, close to 1.365 million receive treatment and get discharged while 275 thousand are hospitalized while 52,000 and more die as a result of the injuries. The causes are however different in the military service where TBI comes from the explosive devices, grenades, the motors and the bulletsCITATION Hyd07 \l 1033 (Roozenbeek, Maas, & Menon, 2013). The effects are however far reaching for the veterans who were estimated to be close to 33, 000 individuals as at 2011. Today, the number has however grown to 2.7 million veterans of the Iraqi and Afghanistan war making the figures to create worries among the concern healthcare practitioners. With the growing military missions the US government is taking across the globe, there are fears that the numbers might grow further calling for the need to have it be contained.
In that respect, therefore, Gold Coast Brain Center will work to ensure that the American Veterans within and outside of California have been well taken care of in terms of treatment to ensure they are smoothly re-admitted into the society. Compared to the public, American veterans suffer the severe impact of brain injury which makes them to totally cut the link from the public. However, with the related intervention, only the specific veterans who shall have a score of 7 or 8 on the Rancho Los Amigos Scale will get a free admission into the facility to get treatment in a bid to reduce the growing prevalence of TBI among the veterans.
Healthcare Problem Addressed
Background Information on the Problem
Traumatic brain injury among the US military is a critical health concern for the veterans who participates in the peacekeeping missions around the globe CITATION Hog14 \l 1033 (Hoge, et al., 2014). Such operations include in countries found at the horn of Africa, Trans-Saharan Africa, Philippines and all the other US military operations. As at 2011, the data received from the defense and Veterans Brain Injury Center, only 33,149 individuals suffered from the military operations to get a TBI CITATION Nye13 \l 1033 (Nyein, 2013). This number also comprises of the service members from the army, some from Navy, the Marne corps, from Airforce as well as some from the duty and reserve components of the National Guard.
Model/Frame of Reference guiding your inquiry and intervention
Annually, a good number of the above population suffer brain injuries that if not treated, they are rendered useless since they cannot assume other roles in the society. At the Gold Coast Brain Center, the main aim will be to offer a Multi-context Treatment Approach to the Veterans in order to help them resume their normal duties after a struggle for the country. The dream of most veterans is always to serve in various capacities in the country after their retirement from the service, but with the TBI, the effects at times might be far-reaching that contributing to other parts of the economy might not be realized. With the use of MTA, the motor skills and the cognitive performance of the veteran shall be maintained using all the possible test to ensure these people are restored and achieve their after service dream of contributing to the community CITATION Uom16 \l 1033 (Uomoto, Williams, & Randa, 2016).
Yearly Goals for the Program
The goal of Gold Coast Brain Center is to provide the American Veterans with the bet occupation which would enhance their capacity once re-admitted into the community from service for the country. Through strategies that would enable them to recover some of their lost abilities due to TBI, the veterans will be inculcated with necessary and relevant skills that relate to work conditioning, mastery of the IADL and the ADLs as well as body mechanics. After all these practices at the Gold Coast Brain Center, the veterans shall be left to lead an independent life like any other person in the community.
Program Description and Implementation
The Gold Coast Brain Center was formed to solve the contemporary problem faced by Veterans who were admitted into the community without being helped to deal with the traumatic brain injuries they suffered through war. Close to 60,000 veterans from 1990 to late 2001, were admitted into the community before the introduction of the compulsory screening by the VA CITATION Wic11 \l 1033 (Wickizer & Lessler, 2011). For most of the veterans, research shows that they usually leave military service while undergoing Post-war trauma as a result of the injury sustained during the war. Some also get traumatized as a result of the experiences that they get during the war CITATION Mat12 \l 1033 (Mattocks, et al., 2012). Specifically, women are at risk of attaining sexual trauma due to the increased number of rape by their colleagues while offering service for the country. Interestingly, a good number of such women have been released into the community to serve without a proper therapy, thus causing them more harm than good they hoped for. Some of them also have brain-related injury making them not to be in the best position to cope with the environment outside them CITATION Mat12 \l 1033 (Mattocks, et al., 2012).
Compared to the existing treatment for the veterans, this project will be unique in a manner that only the veterans who shall have scored either 7 or 8 on the Los Ranchos Los Amigos Scale will be admitted into the facility for rehabilitation CITATION Lew13 \l 1033 (Lewis, Ghassemi, & Hibbeln, 2013). Today, the veterans are subjected to a mandatory treatment but here is no program for the early day's veterans who served and were not treated. Primarily, the project looks for veterans with a score of 7 or 8 since their behavior is familiar and can do the daily routines at a much lower rate. However, the score also will offer us with people who respond to issues automatically though they have impaired judgment. This is a condition that has made this group of veterans not to cope with the environment outside them and lead a life of total disconnect CITATION Tsa15 \l 1033 (Tsai, El-Gabalawy, Sledge, Southwick, & Pietrzak, 2015).
Gold Coast Brain Center will, therefore, embrace the use the multi-context treatment approach to rehabilitating the selected veterans with TBI and any cognitive related deficit so as to enable them to perform fundamental IADL activities of interest CITATION Kra15 \l 1033 (Krause, Byom, Meulenbroek, Richards, & O'Brien, 2015). The project will, therefore, create a focus on the issues that cause the veterans sleepless nights, fatigue including headaches. Compensatory strategies shall be implemented to restore the memory of the veterans, their learning and attention CITATION Kra15 \l 1033 (Krause, Byom, Meulenbroek, Richards, & O'Brien, 2015).
Program Team Members and Roles
The program will consist of ten members out of which, four members will be the officials while the rest of the four members shall remain to be members. The officials of the program will be tasked with the duty of management while the members shall remain the experts to provide technical help for the veterans. All the patients at the organization will be, however, to undergo a five-week program in which they will be rehabilitated to get back to their normal lives and pick from where they left.
Program Assessment
To evaluate the progress of the program, the Instrumental Activities ties of Daily Living Scale (IADLS) shall be used to measure the ability of each and every patient at the facility to know how much they can perform fundamental activities like basic use of telephone, preparing their food, shopping, transportation, doing their laundry and personal finance management CITATION Mon12 \l 1033 (Monaci & Morris, 2012). To achieve this, the therapist will be forced to use an eight-item scale from which all the patients shall be rated based on their ability to complete certain tasks. However, this shall be done only for the patients who shall have received an admission to the Gold Coast Brain Center. Based on the rating, the therapist will be able to know if there is progress in a patient or not.
However, revision of effectiveness of this program shall be done based on pra...