My name is April Stringer. I am a nursing student at the University of Alabama at Birmingham and I am participating in the honors program. As part of the honors program, I have done some research and will participate in a service learning project in my community based upon that research. I also have to create and maintain a blog with weekly updates. I hope that you will follow me and feel free to interject your opinions, comments or ideas.

Saturday, September 29, 2012

What Not to Say to a Veteran


I had a pretty interesting week. I completed my orientation process with Comfort Care Hospice of Pelham and will soon get to meet some of my fellow Veterans. I have been doing a lot of reading and researching about Veterans and how I should interact with them. Not all Veterans are created equal and since I will be going out to visit with some Veterans, I wanted to get an idea of things I should or should not talk about. I know that most Veterans I will visit with hospice are suffering from terminal illnesses and are receiving end-of-life care. This is a time to be especially mindful of what I say as it may be one of my only opportunities to hear about their life experiences. I am excited to get out there and meet some Veterans that laid their lives on the line for me and every other American out there!
 
I hope that you all find this as interesting and helpful as I do! Remember that deployment experiences may be a very touchy or sensitive topic to a returning service member, so always be cognizant of what you are saying and how you ask the questions you ask. It is a privilege to hear what they have to say and they have chosen to tell their story to you. I hope you all will join me again next week to see where my project has taken me.


Since we all come in contact with Veterans from time to time and we are all curious as to their experiences, I have posted a few things that you should avoid talking about with returning military personnel. (http://www.operationwearehere.com/caringinsightsmilitarypersonnel.html)
 
Things you should avoid talking about with returning military personnel

These are general guidelines when interacting with a veteran and should not be considered absolutely true for every veteran. Every Soldier, Marine, Airman, or Sailor that has been deployed to Iraq, Afghanistan, Vietnam, Somalia or any other combat theater has had a different combat experience. How they deal with their experiences will vary depending upon age, culture, faith, gender, community support, and the presence of or lack of a family and/or social support system. A combat veteran is not the same person they were before being deployed, and how the civilian population interacts with them can either help or hinder their transition.

1. Did you kill any anyone?
It would seem that common sense would deem this an inappropriate question; however, this question is asked a lot. What purpose does this serve the individual asking to know this about the veteran?

2. What was the nastiest or most disgusting thing you saw over there?
If the veteran wants to share this kind of detail they might, but ONLY after trust has been established. However, the chance they will want to relive the details of those events, which might be very traumatic, could be slim to none.

3. Are you glad to be home?
Consider for a moment what these words could be asking: “Are you glad that you are no longer in a situation where you are getting shot at, missiles being fired at you on a regular basis, the threat of your vehicle being blown up every time you get in it, sand storms and 140 degree temperatures?” It is also important to be aware that the veteran’s homecoming was more traumatic than being at war. Some come home financially desolate because the person they trusted to take care of their finances spent ALL their money. Others come home thinking they will be welcomed by their spouse only to find they have been unfaithful, usually with someone close to them such as a brother and/or best friend, and they are being handed divorce papers.

4. How are you doing?
This question should really only be asked when you are willing to stay and listen to the answer. Most likely the veteran doesn’t know how they are doing and definitely may not know how to express it. It is okay not to know what to do with the answer because there isn’t anything you can say to fix it or make it better. Just being there so the veteran can debrief for just a moment can be enough.

5. Did you see the news…?
And then proceed to go on and share what gruesome thing that has just happened in Iraq/Afghanistan or how many Americans have been killed. The veteran has lived the news and doesn’t need to relive it through the present media and certainly does not need to hear about it. The war is personal to the veteran and most likely they know people still fighting and dying over there.

6. Do you feel guilty about what you had to do during the war?
Just about any combat veteran will have some measure of guilt. Those who make it home alive, although grateful, have survivor’s guilt. Those who participated in direct combat had to make decisions that ultimately resulted in taking human life, to include women and children. These individuals generally have tremendous guilt but may not know how to identify it let alone admit it.

7. Do you want to go get a drink?
This generally becomes a BIG problem later so do not be the one to help them start self-medicating and on the path to destruction with chemicals. Coffee is a much better addiction and easier to quit.

8. Do you want me to pray with you?
This should be automatic. You may not know what to pray for but the Holy Spirit knows what the veteran needs and will direct. And, the veteran may be very angry at God and prayer or the mention of God is the last thing they will find helpful or needed.

9. What do you think about the U.S. being over there and don’t you think we should get out?
It is not a good idea to bring up politics concerning the hell they were sent into and have just come out of. Their perspective, because of experience, is going to be very different than the average civilian getting information from CNN.

10. Do you think God could ever forgive you?
There are people out there who are extremely opposed to the war and blame the military for the destruction and loss of life they see on television. These individuals seem unable to distinguish between their politics and the individual soldier. The veteran will have some measure of guilt no matter what their job was, so do not make it worse by helping them along with the notion they can never be forgiven for the things they had to do to protect themselves and their battle buddies.

11. Did you see any dead bodies?
Again, if the veteran should want to share this very intimate detail of their deployment they might. However, this may occur after time but be prepared that they just will not share.

12. Do not tell a veteran that you understand what they are going through and then share a personal/unrelated story.
There really is no way to completely understand going to war unless you have been there. No experience you have had can come close to the stress, terror, guilt, and hell of war. However, God can use your experiences/trauma to extend compassion and empathy, which does not always require words. You don’t have to understand what they’ve been through, but to recognize this was something incredibly painful for them will show the veteran that you do care.

13. DO NOT, even in a joking manner, tell a veteran that they should be grateful they made it home alive, didn’t die, need to get over it, and be happy.
There is already a good chance that they wished they had been killed in action. Coming home is much more difficult than combat. The veteran knows what is expected during the heat of battle. They rely on training and the instinct to survive. There is no training manual for coming home and there is no debriefing that can fully prepare the veteran for how difficult it will be. As a result, many desire to go back to Iraq or Afghanistan because they know who they are and how to survive in that world. Back in the civilian world, feelings of helplessness are often overwhelming, and suicide seems to be the only option.

14. Do not, even if the intention is sincere, tell a veteran, “If you need anything just let me know”.
The veteran generally has no idea what they need let alone has the energy or strength to call someone for help. Many suffer through the frustration of having just come from commanding, fighting, and running on an unnatural level of adrenaline. If you see any need and you have the ability to meet that need don’t wait until they ask, do it!

Saturday, September 22, 2012

Veterans Day Parade

This week, my project has really gotten started and I am so excited to see where all it leads me.  One thing that I will be doing is participating in the 2012 Veterans Day Parade in Birmingham, Alabama on November 12. Comfort Care Hospice, myself included, will be pinning Veterans. This way, we get to raise community awareness about Veterans and hospice while thanking them for their service. Which in a lot of cases, may have never been done before. I could not imagine going off to war and returning home and never hearing "thank you for your service". A lot of the older Veterans did not have a choice because they were drafted or they felt as if it was their duty to serve our country, something they had to do. In my case, it was a choice for me to join the Navy and I never had to set foot in enemy territory. So when I hear "thank you for your service", I think it was no big deal to me. But it was a big deal, I was away from my family and friends and often times on a ship in the middle of nowhere for weeks and months at a time. Any service no matter how big or how small is a sacrifice, and one that in most cases did not have to be made.
I will also be working on a project to raise community awareness about hospice and the End-of-Life needs of Veterans. During that process, I will be hanging up posters at local VFW (Veterans of Foreign War) facilities and military reserve bases to help recruit Veterans as volunteers. It is beneficial to these dying Veterans to have someone to talk to that has had some similar life experience, someone that they can relate to. If you can build that trust with them, they may often times talk to you about things that they may not have ever talked about with anyone else. In one's last days, that may be something extremely important, a way feel like they are understood.
Here are a few facts about Veterans that you may not have known; the numbers were shocking to me also as I read them (wehonorveterans.org).
·         26 million Veterans are alive today
·         1,800 Veterans die daily, so 1 out of 4 dying Americans are Veterans
·         96% of Veterans die in the community, many are alone
I hope that you are as excited as I am and hanging on the edge of your seat to see what I have to post next week! Until then, feel free to leave me any comments on any ideas you may have to better my project.

Saturday, September 15, 2012

The Twilight Brigade and much more..


Well, this week has been an interesting one to say the least. I continued trying to get my project going with New Beacon Hospice but was unsuccessful in my attempts. Once I realized that they were probably not the right partner for me, I began to look into other possible opportunities. During this time, I came across a wonderful website for an organization called The Twilight Brigade. I will tell you a little about The Twilight Brigade although my journey did not end there.

The Twilight Brigade was founded in 1997 to help raise consciousness about the needs of the dying, especially Veterans. They accomplish this through providing education to the community, and advocating for patients to ensure that no person has to die alone. They have chapters all across the United States, including Birmingham. Turns out, this was right up the alley of what I was hoping to achieve in working with a local hospice facility so I contacted the Birmingham area volunteer representative. The Twilight Brigade did not have anything specifically here in the Birmingham area right now because there are some changes being made due to the recent death of the founder of the Birmingham chapter. I was a little disappointed at that until she said that she had another person that she would put in touch with me that would probably be a perfect fit.

This leads me into the next step in my quite productive week. Not even a day later, I receive a phone call from Libby Jones, Volunteer Coordinator, with Comfort Care Hospice of Pelham. Since this communication had been made so quickly, I decided to go interview with Libby after I got off work Friday morning. Libby and I hit things off great, so a perfect fit might be a slight understatement. Her ideas lined up with the ideas I had for my project. We tossed around several ideas and I am in the process of researching these ideas to see what direction I want my project to take.
I hope that you will stay tuned next week to see what direction my project has taken!

Saturday, September 8, 2012


I wish I had more to update you all on this week, but I have not made any forward progress on my project this week. I have tried to reach my contact at New Beacon Hospice several times this week with no success. I hope to make that contact and get started this upcoming week. If that is not possible, then I plan to look at other local area hospice providers to see if they would be interested in allowing me to complete my service learning project with their facility.

In some of the research that I completed last semester, I found out that most people do not know about hospice. Before nursing school started and my grandpa got sick, I would say that I was in that same group of people. I had never heard of hospice and definitely did not know what kind of services they provide. I also learned that most people who used hospice services only did so because they had a family member or close friend use hospice.

I plan to work with a local hospice provider to raise community awareness since many people are just like I was in that they are not aware of hospice or the services that they provide. Stay tuned, I hope to have more exciting news for you all next week.

Saturday, September 1, 2012

My Inspiration


I will be doing my service learning project with the Hospice for Heroes Veterans Program at New Beacon Hospice in Birmingham, Alabama.  You may wonder why I choose veterans and hospice so I will tell you a little about what inspired my project, my grandpa.  My grandpa is a veteran of the United States Coast Guard; my dad and I are veterans of the United States Navy, so veterans will always be close to my heart.  In November 2011, my grandpa was diagnosed with stage four lung cancer.  In January, the doctors told him that he had about six months left to live.  The doctor educated my grandpa and his wife about hospice care and told them to let her know when/if they needed hospice to come in and she would have everything set up for them. 

Having to watch my grandpa’s health decline so rapidly was not easy to do.  My grandpa was my best friend and confidant.  In the last several years, we would have weekly lunch dates where we would swap sea stories from our time in the military or talk about how I was doing in school, he was always so proud of me.  There came a time where we could no longer do our weekly lunch dates.  In mid to late April 2012, my grandpa was barely able to get out of the house.  The doctor then arranged for my grandpa to receive services from New Beacon Hospice.  A few days later my grandpa started receiving visits from a wonderful hospice nurse who kept him comfortable and as pain free as possible. 

How doctors can determine how long someone has to live will always be a mystery to me.  In my grandpa’s case, they were right though; my grandpa lost his battle to lung cancer on June 8, 2012 at 80 years old.  I thought by doing my service learning project with New Beacon Hospice that I could give back to them to express my gratitude for all they did for my family during that difficult time.

My grandpa was and will continue to be a source of daily inspiration in my life.