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Analysis

Palliative and end-of-life care for military veterans: the forgotten few?

Mila Petrova, Nick Caddick and Michael Kevin Almond
British Journal of General Practice 2021; 71 (703): 86-89. DOI: https://doi.org/10.3399/bjgp21X714869
Mila Petrova
Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge.
Roles: Visiting Research Fellow
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Nick Caddick
Veterans and Families Institute, Anglia Ruskin University, Chelmsford Campus, Chelmsford.
Roles: Senior Research Fellow and Deputy Director
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Michael Kevin Almond
FiMT Research Centre, Anglia Ruskin University, Chelmsford Campus, Chelmsford.
Roles: Forces in Mind Trust (FiMT) Professor of Veterans and Families Studies
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BACKGROUND

Military veterans are likely to have encountered death, pain, and suffering, and to have prepared for them like few other groups in society. This is also a group trained to follow highly ceremonial rituals around death, burials, and commemoration. Yet veterans are not seen as ‘different’ in palliative and end-of-life care (EoLC), including that provided by GP practices. Throughout military service, encounters with death and dying are frequently intense, highly personal, and potentially traumatic, in ways seldom seen or understood in civilian life. Furthermore, the nature of military occupation — resembling more a lifestyle than a job — entails cultural separation from civilian life, with perceptions, norms, and ideals around death and dying forming part of this culture. Embodied experiences in military life as well as psychological, social, and ethical constructs (for example, guiding beliefs, value systems, norms, rules, and expectations) are often markedly different from those of civilian society. We do not know enough about how this legacy impacts the dying process in veterans and what the health services implications are, including in the context of general practice.

VETERANS’ HEALTH AND END-OF-LIFE CARE IN GP PRACTICES — WORLDS APART?

There is a growing number of resources aiming to support GP practices in looking after their military veteran patients. Examples include the Royal College of General Practitioners’ (RCGP) ‘veteran-friendly GP practices’ initiative,1 the Veterans’ Healthcare Toolkit, the Military Veterans e-learning course, and the Veterans Health Days of Health Education England. The provision of EoLC, in turn, apart from being a traditional role for GPs, has had its profile raised significantly via the Quality Improvement domain introduced in the 2019 GP contract. In Year 1 of the contract (2019/2020), practices could achieve 37 points by engaging in continuous quality improvement of their EoLC services.2 Yet the intersection between the two types of population — veterans at the end of life …

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British Journal of General Practice: 71 (703)
British Journal of General Practice
Vol. 71, Issue 703
February 2021
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Palliative and end-of-life care for military veterans: the forgotten few?
Mila Petrova, Nick Caddick, Michael Kevin Almond
British Journal of General Practice 2021; 71 (703): 86-89. DOI: 10.3399/bjgp21X714869

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Palliative and end-of-life care for military veterans: the forgotten few?
Mila Petrova, Nick Caddick, Michael Kevin Almond
British Journal of General Practice 2021; 71 (703): 86-89. DOI: 10.3399/bjgp21X714869
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  • Top
  • Article
    • BACKGROUND
    • VETERANS’ HEALTH AND END-OF-LIFE CARE IN GP PRACTICES — WORLDS APART?
    • VETERANS AS PRACTICE PATIENTS
    • IN ILLNESS AND IN DEATH — ARE VETERANS DIFFERENT?
    • PALLIATIVE, END-OF-LIFE, AND BEREAVEMENT CARE RESEARCH ON (NON-UK) VETERANS
    • INTERSECTION WITH TRAUMA AND MENTAL HEALTH RESEARCH
    • PROPOSALS FOR THE WAY FORWARD
    • CONCLUSIONS
    • Acknowledgments
    • Notes
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More in this TOC Section

  • The role of antibody tests for COVID-19 in primary care
  • What role is there for ‘nudging’ clinicians?
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Print ISSN: 0960-1643
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