PTSD Symptoms and Dementia in Older Veterans Who are Living in Long-Term Care
Co-occurring posttraumatic stress disorder symptoms and dementia can result in increased symptoms, such as suspicion, aggression, and nightmares in Veterans that can be difficult to manage in long-term care environments. The objective of the study was to explore how the co-occurrence of posttraumatic stress disorder symptoms and dementia are understood in Canadian Veterans who are living in long-term care. A descriptive multiple case study was conducted in two Veteran long-term care facilities in Canada. Data collection consisted of semi-structured interviews with Veterans, their family caregivers, and health care providers, non-participant observation, and a chart audit. Three major themes emerged relating to symptom expression and care approach: a) symptoms are the same but different; b) differences in the complexity of care; and c) added dimensions involved in care. The results of this study contribute foundational information about co-occurring posttraumatic and dementia symptoms that can inform policy, care approaches, and potential interventions.
Abstract: This research set out to investigate the experiences of ‘grown up’ children from armed forces families, to gather their reflections on childhood and education, and to seek their advice to inform the current armed forces community, policy-makers and practitioners. The Service Children’s Progression Alliance (SCiP) defines a child from an armed forces family as “a person whose parent or carer serves in the Regular Armed Forces, or as a Reservist, or has done at any point during the first 25 years of that person’s life” (SCiP, 2017: para 2) and the Office for Students refers to this definition in their documentation relating to student characteristics (OfS n.d. para 8, see also OfS, 2020: para 11). In this research we use the term ‘grown up’ to indicate individuals over the age of 18 recognised to have reached the legal age of adulthood in the UK. This group of individuals are currently overlooked in research, policy and practice as the focus continues to be on serving members of the armed forces, veterans, and families, including school-aged children.