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The Unseen Wound

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The Unseen Wound
Salvador Siegel
COMM/112
May 17, 2012
Rick De La Pena

The Unseen Wound
Many soldiers returning home from war have many obstacles to overcome both physical and mental. Most soldiers are not aware of a certain condition that they might have developed while deployed in a war zone. This condition is called Traumatic Brain Injury, also known as TBI. It is an injury that is not found on the outside of the body but rather internal, therefore it is called the Unseen Wound. Even though it’s unseen, TBI is real and affects a large percentage of veterans returning from war and test results show that an average of 46 percent of soldiers have TBI.
Traumatic brain injury, the signature wound of the Iraq and Afghanistan wars, is doubly cruel: it leaves many victims emotionally shattered and cognitively crippled. But because mild and moderate brain injuries do not show up on CT or other imaging devices, doctors and even family members are often skeptical that any real damage exists. TBI is real and affects a large percentage of veterans returning from war. “Consistent with the designation of TBI as one of the signature injuries of the war theaters in Iraq and Afghanistan, 46% of the returning veterans recruited for this project screened positive for a deployment-related TBI” (Morissette, Woodward, & Kimbrel, Meyer, Kruse, 2011, p. 346). I have deployed multiple times to Iraq and Afghanistan and have sustained injuries in result of Improvised Explosive Devices (IED’s) and mortar attacks. Shortly after returning home, my family and close friends noticed that I was no longer the same person. Even though my family and friends asked me to go see a doctor, I refused to go, I felt like there was nothing wrong with me. A few years after being discharged from the military, I started to notice the changes that my family and friends have been talking about. One day after work I was driving home and didn’t realize how I was driving. A Highway patrol officer had been following me for quite some time, I noticed the police lights where on and pulled over. The police officer was extremely mad and was yelling at me, asking me if I knew what the hell I was doing. Apparently I was driving 120 mph, in and out of traffic. I told the officer that I did not realize that I was driving like that and that I was wrong and sorry for it and would except any punishment for it. The officer had a look of confusion and told me to stay here and he would be right back. When the officer returned he asked me if I was deployed in Iraq I told him yes and he then said that he sees this often and that I should go get help. This is when I decided it was time for me to seek help with the Veteran Affairs (VA). Test results show that TBI has a drastic affect with mental health.
“Injuries to the frontal lobe, which are highly vulnerable to trauma, affect higher cognitive functions such as the ability to focus, organize, and plan as well as exercise sound judgment, formulate good decisions, and appropriately problem solve. Furthermore, frontal lobe trauma can result in personality changes that are evident in the affected individual becoming more impulsive, talkative, argumentative, suspicious, and aggressive” (Speziale, Kulbago, Menter, 2010, p. 3).
Some of the symptoms that I have are the ability to focus, organize, and plan, as well as exercise sound judgment to include argumentative, suspicious, and aggressive behavior (Speziale, Kulbago, Menter, 2010, p. 3). All of these symptoms have made my life so difficult. Because of these symptoms and my pride, I have lost some friends and family members. If I knew what TBI was and the symptoms, maybe I would still have my friends and family today. The Veteran Affairs and our Country was not ready for such a large percentage of injury’s to include TBI. Research shows that posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) independently increase suicide risk, and frequently co-occur; however, scant research has investigated whether suicide risk is increased for veterans with PTSD and a history of an mTBI relative to veterans with PTSD alone (Barnes, S. M., Walter, K. H., & Chard, K. M. 2012). When I returned from Iraq, I didn’t physically feel any different, even though everyone around me said that I was no longer the same person. How can someone ask for help if he or she does not know what to ask help for? This is only one reason why veterans didn’t know there was something wrong with them. I personally have had to struggle with suicidal thoughts and fortunately for me, I have my fiancé to lean on when things get really bad. When you are deployed you only think of one thing and that is getting the mission done, but when you return home you have a lot more to think about and it gets overwhelming. Unfortunately not every veteran has the support they need to get through theses hard and trying times. Since Iraqi veterans have been diagnosed with TBI the Veteran Affairs has a better understanding of this condition and has realized that not only Iraqi veterans have this condition, but so do the Vietnam era veterans who have the same symptoms. The Veteran Affairs has now reopened Vietnam era claims to try any help these veterans with TBI. In conclusion, although it’s unseen, it does not mean it’s not real, TBI is real and affects a large percentage of veterans returning from war for two main reasons. First, test results show that an average of 48 percent of soldiers have TBI. Most importantly, a large percentage of soldiers have been exposed to an incident or was attacked while deployed in a war zone that has caused them to suffer from a Traumatic Brain Injury. Now more than ever our veterans need our help. “All gave some and some gave all” is the best way to describe our military veterans. Veterans heard our great country calling and they answered; now our veterans are suffering and it is time for our country to stand up and help veterans with all of the physical, mental and financial issues that they have had to endure for defending our great nation.

Annotated Bibliography Morissette, S. B., Woodward, M., Kimbrel, N. A., Meyer, E. C., Kruse, M. I., Dolan, S., & Gulliver, S. (2011). Deployment-related TBI, Persistent Postconcussive Symptoms, PTSD, and Depression in OEF/OIF Veterans. Retrieved from: https://ehis.ebscohost.com/eds/detail?vid=2&hid=115&sid=8dc86cbb-b51a-44ec-9835-3d3a95d7f379%40sessionmgr114&bdata=JnNpdGU9ZWRzLWxpdmU%3d#db=pdh&AN=rep-56-4-340 In Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) over 2 million soldiers have been exposed to Traumatic Brain Injury. The journal tries to help us understand the long-term effects of TBI. They try to explain the similarities of TBI, PTSD, and Depression. .

SPEZIALE, B., KULBAGO, S., & MENTER, A. (2010). Diagnosing and Treating Traumatic Brain Injury Among Veterans of the Afghanistan and Iraq Wars: Implications for Social Work. Journal Of Social Work In Disability & Rehabilitation. Retrieved from: https://ehis.ebscohost.com/eds/detail?vid=2&hid=5&sid=8dc86cbb-b51a-44ec-9835-3d3a95d7f379%40sessionmgr114&bdata=JnNpdGU9ZWRzLWxpdmU%3d#db=sih&AN=55310685 Many American Veterans have to face an unseen wound called Traumatic Brain Injury otherwise known as TBI. This journal will discuss the challenges and treatment for this neurological disability. They will explain the changes that the Veterans Affairs and the community had to play in the process for soldiers returning home from deployment. Barnes, S. M., Walter, K. H., & Chard, K. M. (2012). Does a history of mild traumatic brain injury increase suicide risk in veterans with PTSD? Retrieved from: https://ehis.ebscohost.com/eds/detail?vid=2&hid=115&sid=8dc86cbb-b51a-44ec-9835-3d3a95d7f379%40sessionmgr114&bdata=JnNpdGU9ZWRzLWxpdmU%3d#db=pdh&AN=rep-57-1-18 Research has showed that PTSD and TBI have increased in suicide risks. They are trying to show which of the 2 has a higher suicide rate. Their results show the importance of testing soldiers for PTSD and TBI.

Originality Report * Processed on: 23-May-2012 9:03 PM CDT * ID: 251307410 * Word Count: 1301 * Submitted: 1
112By Salvador Siegel
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Bette Speziale. "Diagnosing and Treating Traumatic Brain Injury Among Veterans of the Afghanistan and Iraq Wars: Implications for Social Work", Journal of Social Work in Disability & Rehabilitation, 10/2010
Running head: THE UNSEEN WOUND 1 The Unseen Wound Salvador Siegel COMM/112 May 17, 2012 Rick De La Pena The Unseen Wound Many soldiers returning home from war have many obstacles to overcome both physical and mental. Most soldiers are not aware of a certain condition that they might have developed while deployed in a war zone. This condition is called Traumatic Brain Injury, also known as TBI. It is an injury that is not found on the outside of the body but rather internal, therefore it is called the Unseen Wound. Even though it’s unseen, TBI is real and affects a large percentage of veterans returning from war and test results show that an average of 46 percent of soldiers have TBI. Traumatic brain injury, the signature wound of the Iraq and Afghanistan wars, is doubly cruel: it leaves many victims emotionally shattered and cognitively crippled. But because mild and moderate brain injuries do not show up on CT or other imaging devices, doctors and even family members are often skeptical that any real damage exists. TBI is real and affects a large percentage of veterans returning from war. “Consistent with the designation of TBI as one of the signature injuries of the war theaters in Iraq and Afghanistan, 46% of the returning veterans recruited for this project screened positive for a deployment-related TBI” (Morissette, Woodward, & Kimbrel, Meyer, Kruse, 2011, p. 346). I have deployed multiple times to Iraq and Afghanistan and have sustained injuries in result of Improvised Explosive Devices (IED’s) and mortar attacks. Shortly after returning home, my family and close friends noticed that I was no longer the same person. Even though my family and friends asked me to go see a doctor, I refused to go, I felt like there was nothing wrong with me. A few years after being discharged from the military, I started to notice the changes that my family and friends have been talking about. One day after work I was driving home and didn’t realize how I was driving. A Highway patrol officer had been following me for quite some time, I noticed the police lights where on and pulled over. The police officer was extremely mad and was yelling at me, asking me if I knew what the hell I was doing. Apparently I was driving 120 mph, in and out of traffic. I told the officer that I did not realize that I was driving like that and that I was wrong and sorry for it and would except any punishment for it. The officer had a look of confusion and told me to stay here and he would be right back. When the officer returned he asked me if I was deployed in Iraq I told him yes and he then said that he sees this often and that I should go get help. This is when I decided it was time for me to seek help with the Veteran Affairs (VA). Test results show that TBI has a drastic affect with mental health. “Injuries to the frontal lobe, which are highly vulnerable to trauma, affect higher cognitive functions such as the ability to focus, organize, and plan as well as exercise sound judgment, formulate good decisions, and appropriately problem solve. Furthermore, frontal lobe trauma can result in personality changes that are evident in the affected individual becoming more impulsive, talkative, argumentative, suspicious, and aggressive” (Speziale, Kulbago, Menter, 2010, p. 3). Some of the symptoms that I have are the ability to focus, organize, and plan, as well as exercise sound judgment to include argumentative, suspicious, and aggressive behavior (Speziale, Kulbago, Menter, 2010, p. 3). All of these symptoms have made my life so difficult. Because of these symptoms and my pride, I have lost some friends and family members. If I knew what TBI was and the symptoms, maybe I would still have my friends and family today. The Veteran Affairs and our Country was not ready for such a large percentage of injury’s to include TBI. Research shows that posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) independently increase suicide risk, and frequently co-occur; however, scant research has investigated whether suicide risk is increased for veterans with PTSD and a history of an mTBI relative to veterans with PTSD alone (Barnes, S. M., Walter, K. H., & Chard, K. M. 2012). When I returned from Iraq, I didn’t physically feel any different, even though everyone around me said that I was no longer the same person. How can someone ask for help if he or she does not know what to ask help for? This is only one reason why veterans didn’t know there was something wrong with them. I personally have had to struggle with suicidal thoughts and fortunately for me, I have my fiancé to lean on when things get really bad. When you are deployed you only think of one thing and that is getting the mission done, but when you return home you have a lot more to think about and it gets overwhelming. Unfortunately not every veteran has the support they need to get through theses hard and trying times. Since Iraqi veterans have been diagnosed with TBI the Veteran Affairs has a better understanding of this condition and has realized that not only Iraqi veterans have this condition, but so do the Vietnam era veterans who have the same symptoms. The Veteran Affairs has now reopened Vietnam era claims to try any help these veterans with TBI. In conclusion, although it’s unseen, it does not mean it’s not real, TBI is real and affects a large percentage of veterans returning from war for two main reasons. First, test results show that an average of 48 percent of soldiers have TBI. Most importantly, a large percentage of soldiers have been exposed to an incident or was attacked while deployed in a war zone that has caused them to suffer from a Traumatic Brain Injury. Now more than ever our veterans need our help. “All gave some and some gave all” is the best way to describe our military veterans. Veterans heard our great country calling and they answered; now our veterans are suffering and it is time for our country to stand up and help veterans with all of the physical, mental and financial issues that they have had to endure for defending our great nation. Annotated Bibliography Morissette, S. B., Woodward, M., Kimbrel, N. A., Meyer, E. C., Kruse, M. I., Dolan, S., & Gulliver, S. (2011). Deployment-related TBI, Persistent Postconcussive Symptoms, PTSD, and Depression in OEF/OIF Veterans. Retrieved from: https://ehis.ebscohost.com/eds/detail?vid=2&hid= 115 &sid= 8dc86cbb-b51a-44ec-9835- 3d3a95d7f379@sessionmgr114&bdata=JnNpdGU9ZWRzLWxpdmU=#db=pdh&AN=rep- 56-4-340 In Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) over 2 million soldiers have been exposed to Traumatic Brain Injury. The journal tries to help us understand the long-term effects of TBI. They try to explain the similarities of TBI, PTSD, and Depression. . SPEZIALE, B., KULBAGO, S., & MENTER, A. (2010). Diagnosing and Treating Traumatic Brain Injury Among Veterans of the Afghanistan and Iraq Wars: Implications for Social Work. Journal Of Social Work In Disability & Rehabilitation.Retrieved from: https://ehis.ebscohost.com/eds/detail?vid=2&hid= 5 &sid= 8dc86cbb-b51a-44ec-9835- 3d3a95d7f379@sessionmgr114&bdata=JnNpdGU9ZWRzLWxpdmU=#db=sih&AN=5531 0685 Many American Veterans have to face an unseen wound called Traumatic Brain Injury otherwise known as TBI. This journal will discuss the challenges and treatment for this neurological disability. They will explain the changes that the Veterans Affairs and the community had to play in the process for soldiers returning home from deployment. Barnes, S. M., Walter, K. H., & Chard, K. M. (2012). Does a history of mild traumatic brain injury increase suicide risk in veterans with PTSD?Retrieved from: https://ehis.ebscohost.com/eds/detail?vid=2&hid= 115 &sid= 8dc86cbb-b51a-44ec-9835- 3d3a95d7f379@sessionmgr114&bdata=JnNpdGU9ZWRzLWxpdmU=#db=pdh&AN=rep- 57-1-18 Research has showed that PTSD and TBI have increased in suicide risks. They are trying to show which of the 2 has a higher suicide rate. Their results show the importance of testing soldiers for PTSD and TBI. THE UNSEEN WOUND 2 THE UNSEEN WOUND 3 THE UNSEEN WOUND 4 THE UNSEEN WOUND 5 THE UNSEEN WOUND 6

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University of Phoenix Material
Feedback Evaluation Worksheet
Using the scale below, rate the feedback you received from your Learning Team regarding your Research Paper Rough Draft. | Strongly Disagree | Disagree | Agree | Strongly Agree | Team members contributed to their best academic ability. | | | | X | Peer review was completed and returned in a timely manner. | | | | X | Peer review was presented in an appropriate, positive, and constructive manner. | | | | X | Questions for Reflection 1. What are the most important concepts you have learned from the peer review experience? I learned how to accept criticism. It helped me realize where I needed to improve on my paper. It helped me see my weak points and strong points.

2. How can this experience help you improve both personally and professionally? Explain. Personally this has inspired me to continue writing my fiction novel. I always get writers block and it will last for months at a time. This class has given me a positive push to finish my novel. Professionally it has shown me how to properly research material and give credit to the author. I now know that I can write proper research papers for work which will be helpful in getting a promotion. When I finish my novel and when it becomes a number one best seller I can honestly say that this class has helped me professionally because this would now be my profession.

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