New "Tobacco Products" Policy at the VA

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Don't know if this is an appropriate place to post this, if not please move it. Just thought some vapers might find it interesting...

My husband is a disabled vet. The other day we got a letter from the VA in the mail, all official looking, which anyone who deals with the VA knows is usually a bad thing. Especially since the return address was from the main VA in our state and not either of the local ones he actually uses. I opened it right there in the lobby of the post office, read it…and then started laughing.

It was an official statement from the VA about "tobacco products" and their use in the VA nursing home facilities. Apparently, as of 1 January, the poor souls who are living permanently or temporarily in the nursing and rehab facilities on the VA property are no longer going to be allowed to leave the building without written permission from their doctor. Meaning, no more going out to the smoking area. Instead, the VA will be providing "smoking cessation" products such as pills, patch and gum, at patient request. No "tobacco products" are to be used inside the VA home…including smokeless tobacco, snus and "electronic cigarettes".

Freaking bummer town, man. I'm so used to seeing those old guys outside when the weather is nice, sitting in the smoking gazebo playing checkers and cards. I guess now they'll never see the light of day again. Seems pretty bad for someone's recovery to cut them off so abruptly from nicotine, since not everyone can use those other methods. Plus…most of the guys at our VA home are never going to leave there again, and after what they've most likely been through it seems pretty stupid to me for the Big Nanny to tell them "no more smoking". The VA is one of the few hospitals left in the world that has a smoking area outside on the grounds…ours even has a glass walled heated one for the old guys, so they can go out even in the winter. That smoking area prevented me from punching many a rude VA staffer while waiting hours and hours for my husband's appointments, more than once. I'm guessing that it is soon to go the way of the dinosaur, too.

The whole time I'm reading the letter, laughing in disgust and shaking my head, my husband is standing there freaking out. "What does it say? What does it say?" I finally told him that when he's in the VA home, he can't have his cigars anymore, so I guess I'll wait a few more years before I put him in there. :vapor:
 

sofarsogood

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I know of a rural hospital where patients are allowed to vape and the staff encourages giving up cigarettes in favor of vaping. If the harsh outdoor restrictions were applied to cigs but not vaping a lot more people would get vaping gear and the public health would be well served. This would be a golden opportunity at college campuses where campus wide bans are being enacted. What will happen on the campuses is vapers will widely ignore the bans and almost everybody else won't care.
 

xpl0it

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They can't even smoke in a designated smoking area. What a crock. These guys served for our country and this is what they get?

I can't speak for the entire system, however, I can say that their overall care of the service members at the VA is deplorable at best. Having to go with two close relatives on numerous occasions, ranging from minor visits to major surgeries, has really opened my eyes to just how sad things really are.

All you can do is feel for our service members and offer emotional support for the whole fluster cluck.
 

bwh79

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the VA will be providing "smoking cessation" products such as pills, patch and gum, at patient request. No "tobacco products" are to be used inside the VA home…including smokeless tobacco, snus and "electronic cigarettes".

It probably wouldn't help much to point out that those pills, patches, and gum they are offering contain nicotine extracted from the tobacco plant and are therefore, technically, still "tobacco products" when it comes right down to it.
 

LMS62

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They can't even smoke in a designated smoking area. What a crock. These guys served for our country and this is what they get?
According to the OP, they can still smoke in the designated smoking area....but they need a note from their physician to leave the building. As to why they may need the note, see my above post.
 
Perhaps they have had instances where residents with dementia, alzheimers, etc are going out to smoke, and then wandering off? That would explain why the residents who leave the building would require a note from the doctor? Just a thought. :confused:

The implication that I took away from the statement is that they won't be getting a note. As in, they will no longer be allowed outside to smoke. Otherwise, why would they be offering "smoking cessation" products? I haven't been to every VA in the country, but the two I've been to, the smoking area is accessed from inside the hospital, and you cannot exit them onto the outside grounds of the hospital. At least not without scaling a pretty tall fence. It seemed to me like a thinly veiled declaration of "none of you mofos are smoking anymore, get used to it." Typically, someone who is an alzheimers/dementia flight risk isn't allowed out of a locked ward, anyway, at least in a regular nursing home. Maybe I'm wrong. I hope so.
 
Hmm. It seems to me that to require "written notice from an authority" to leave the building is the same thing as imprisonment. Unless a court has ordered the imprisonment, it is false imprisonment. This looks to me like a whole lot of tasty tax dollars just waiting for a lawyer to come scoop them all up.

It seems that way to me, too. Maybe I'm wrong completely, and the other poster who suggested that it was meant to control dementia patients from running off is dead on. I do know that "Patients Rights" legislation…which varies by state…is a pretty difficult thing in elderly care sometimes. For instance, when my husband's mother was suffering from dementia caused by Alzheimers, we had her placed in an assisted living home that was similar to having her own little apartment that opened out onto a central common area and nursing station. We thought this would be a better option for her, as she was no longer able to live in her home alone and was unhappy having a nurse staying with her 24/7, so maybe it would give her some sense of independence. However, she didn't respond well to leaving her home, and became a flight risk. Due to patients rights and how they apply to "assisted living" homes vs "nursing" homes, the assisted living was unable to take steps that would have kept her from escaping and possibly coming to harm…such as locking her door from the outside or preventing her from having access to the door that led from the facility to the outside. They literally could not, because of the patients rights laws in Mass, prevent her from leaving the facility, even though they knew she was not medically capable of making sound decisions on her own. So, they had to kick her out, and we had to find her a room in a place that was classified as a medical nursing home, and as such was allowed to have locked wards to prevent patients from leaving the building.

I interpreted it to mean "you have to have a doctor give you permission to smoke, and no doctor is going to do that, so suck on this gum and get healthy before you die, suckers".
 

bulldog63h

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I was in the psych ward at my local VA twice. The first time, we were allowed to go to a semi indoor smoking area a couple times a day to smoke, supervised by staff. The second time, that was no longer an option. We could not leave the ward for any reason. I thought "that's smart. Lets take a bunch of psych patients, lock them in a closed ward and take away their nicotine. Nothing bad can happen there." I hate going to the VA but it's free for me(100% service connected disability). I've never gone to the ER and it taken less than 6 hours. Some trips took over 12. It's pathetic, but like I said, free.
 

Treywingo

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Totally sounds like a VA tactic. I hate going to my local VA medical center. The last time I went one of the VA police followed me all the way through the building, when I stopped to ask him what was up he questioned me about my service dog. I told him about his training for my PTSD, TBI, and my mobility issues. He told me the VA doesn't recognize PTSD dogs as medical service dogs. I informed him that in accordance with Americans with Disabilities Act I was well within my rights. This guy proceeded to tell me the VA doesn't have to go by state and federal regs, they make their own rules. He told me I had to take my dog and leave! When I told him I had more of a right to be there than he did he made a huge scene. I walked right to the patients advocate and filed a complaint. Never heard anything back about it.
They do what they want, when they want, and how they want to do it. If you make a fuss about it or make ripples in the pond they will jack you up one way or another. Trust me, I know. I can totally see them enforcing this memo and there will be nothing that can reverse it. I'm so sorry, keep your husband out of there as long as you can.
 
I was messing with him Treywingo. I would NEVER put him in the VA nursing home, for any reason, even if we were 90. We go there for his medical treatment (he's 100% service connected) because it's free, and because he has to report every 6 months for his tests/bloodwork for his disability. But yeah, the one in our town is abysmal. The bigger one we go to for blood tests is better, but the local…I've had to walk out of there more than one time because if I hadn't I would have punched someone. I went with him once for a ganglion cyst on his wrist, and the RN actually told him to go home and smack it with a bible instead of taking up an appointment to get it treated. The medical care is marginal to say the least. But better than none at all, I guess they figure. We live in a military town, and our VA serves a lot of people…it's nothing to wait all day for a walk-in appointment, or to show up for your scheduled appointment and sit there for three or four hours.

Also, I see vets at the VA all the time with service dogs, not sure what that guy's problem was, though I could speculate in non ECF friendly language.
 
I was in the psych ward at my local VA twice. The first time, we were allowed to go to a semi indoor smoking area a couple times a day to smoke, supervised by staff. The second time, that was no longer an option. We could not leave the ward for any reason. I thought "that's smart. Lets take a bunch of psych patients, lock them in a closed ward and take away their nicotine. Nothing bad can happen there." I hate going to the VA but it's free for me(100% service connected disability). I've never gone to the ER and it taken less than 6 hours. Some trips took over 12. It's pathetic, but like I said, free.

Yeah…that seems like a terrible idea. And not very conducive to recovering from any kind of psychological stress, since nicotine withdrawal does some pretty messed up things to brain chemistry. But they care about your health, don't you know? :rolleyes:
 
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