IDENTIFICATION OF POTENTIAL STRESSORS FOR AMS PERSONNEL IN WAR Psychological Problems of Civilian Doctors
نویسنده
چکیده
In hospitals with low morale among nurses, Revans8 found that patients had slower recovery rates, suggesting that the quality of care given to patients was adversely affected by the nurses' attempts to deal with their own anxiety. In the event of war, members of the AMS would experience the psychological problems of civilian doctors and nurses. They would also be exposed to many of the stressors affecting all combat soldiers. In some senses the Sitresses in a medical unit are worse than for the front-line soldier. All the trauma of the battle is funnelled through the AMS, who have to support other troops, both physically and emotionally. They deal with the failures of battle, never the successes. Undoubtedly, AMS personnel have to work against the most horrific and disturbing aspects of war, that is, injury, mutilation and death on an unimaginable scale. Ethical Dilemmas For the civilian doctor or nurse, ,there must be total dedication to the welfare of the individual patient, even at the expense of institutional demands. In war operational requirements may override those of the individual. It was reported9 that during the Second World War many hospital staff commissioned into the AMS found great difficulty in adjusting to this reversal of priorities. During peacetime it is customary to give the highest treatment priority to the most severely injured or ill. During combat, when there are massive casualties, patients whose chances of recovery are poor, will be given low priority. If conscripted troops were ever used in a future war, some would experience severe inner conflict about their military role. Men who cannot adjust to Army life may develop physical and psychological breakdowns as an unconscious means of escape 4 from the unendurable.
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