Outcome Evaluation of the Veterans Affairs Salt Lake City Integrative Health Clinic for Chronic Nonmalignant Pain

Smeeding, Sandra J.W.; Bradshaw, David H.; Kumpfer, Karol L.; Trevithick, Susan; Stoddard, Gregory J.

doi:10.1097/ajp.0b013e3181f158e8

Cited by 17 publications

(29 citation statements)

References 26 publications

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“…This finding is noteworthy considering that empathy is a core element of patient-centered care and recognized as essential when managing patients with chronic pain [35, 36]. Indeed, recent empirical inquiry supports the salutary effects an empathic nursing staff can have on outcomes among patients receiving care within PCC for chronic pain [23, 24, 37]. …”

Section: Discussionmentioning

confidence: 99%

Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics

Pellico¹,

Gilliam²,

Lee³

et al. 2014

TONURSJ

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Recent national estimates from the U.S. reveal that as many as one-third of all Americans experience chronic pain resulting in high prevalence rates of visits to primary care clinics (PCC). Indeed, chronic pain appears to be an emerging global health problem. Research has largely ignored the perspective of PCC staff other than physicians in providing care for patients with chronic pain. We wanted to gain insights from the experiences of Registered Nurses (RNs) and Health Technicians (HTs) who care for this patient population. Krippendorff’s method for content analysis was used to analyze comments written in an open-ended survey from fifty-seven primary care clinic staff (RNs-N=27 and HTs-N=30) respondents. This represented an overall response rate of 75%. Five themes emerged related to the experience of RNs and HTs caring for patients with chronic pain: 1) Primacy of Medications and Accompanying Clinical Quandaries; 2) System Barriers; 3) Dealing with Failure; 4) Primacy of Patient Centered Care; and 5) Importance of Team Based Care. This study demonstrates that nursing staff provide patient-centered care, recognize the importance of their role within an interdisciplinary team and can offer valuable insight about the care of patients with chronic pain. This study provides insight into strategies that can mitigate barriers to chronic pain management while sustaining those aspects that RNs and HTs view as essential for improving patient care for this vulnerable population in PCCs.

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Section: Discussionmentioning

confidence: 99%

Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics

Pellico¹,

Gilliam²,

Lee³

et al. 2014

TONURSJ

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“…Some Veteran Affair (VA) clinics across the Contemp Fam Ther (2012) 34:259-276 267 country have already embraced the BPS approach by using assessments and treatments that capture the environmental, emotional, and psychological military experiences in relation to physical health (Gallagher 2009). VA clinics in Salt Lake City have adopted the BPS approach and assess for medical and pain symptomology, along with social, emotional, and mental health concerns (Smeeding et al 2011). VA clinics in Palo Alto have also embraced the BPS model to address the needs of Veterans with traumatic brain injury (Halbauer et al 2009).…”

Section: Biopyschosocial Healthcare In a Military Settingmentioning

confidence: 99%

Health Dynamics of Military and Veteran Couples: A Biopsychorelational Overview

Lewis

Lamson

Leseuer³

2012

Contemp Fam Ther

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The purpose of this review article is to present the current state of military and veteran couple's health by addressing biological, psychological, and relational risks and resiliencies. Articles were selected using key words such as ''military couple, dyad, or relationship'' and were searched in the following databases: PsychInfo, Military and Government Collection, and Medline. Literature trends reveal that the role of the military spouse is no longer secondary, but is crucial to the health of the military and veteran couple. The spouse is recommended to be a part of the biopsychosocial assessment that service members receive and also be assessed themselves for stress derived symptoms such as hypertension, post traumatic stress, and depression. Assessments for health should occur sooner after deployment and at more frequent intervals given the dynamic nature of stress on health over time. The health of service members and veterans is couched within their personal and familial relationships, thus medical family therapists are the most well prepared to attend to the dynamics between health, stress, and relational well-being across the lifespan of military and veteran couples. Keywords Medical family therapy Á Integrated care Á Military couples Á Biopsychosocial Within the United States today, there are 1.4 million active members of the military and more than half of these personnel are married (55.8 %) (Department of Defense 2010). Unfortunately, military personnel who have returned home from recent wars have

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“…We routinely screen for catastrophizing and intervene early with treatments as described above. A recent study looking at outcomes of an integrated health clinic from a Veteran's Administration Hospital utilizing nonpharmacologic biopsychosocial interventions, including mind-body skills and complementary and alternative medicine therapies, revealed improvement in chronic nonmalignant pain, depression, anxiety, and health-related quality of life [33].…”

Section: The Walter Reed Army Medical Center Experiencementioning

confidence: 99%

Catastrophizing and Pain in Military Personnel

Spevak

Buckenmaier²

2011

Curr Pain Headache Rep

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Combat-related injuries have been well documented for centuries. More recently, injuries suffered by US service members in Iraq and Afghanistan have resulted in a high number of survivable conditions. Polytrauma care in this setting must take into account both the physical and psychological injuries suffered by returning wounded warriors. Catastrophizing may occur when previously healthy individuals are faced with impairment and disfigurement. This is compounded with repeated operative procedures. Early detection and treatment of catastrophizing contributes to improved care of the wounded warrior. This article describes our experiences at Walter Reed Army Medical Center with catastrophizing in US service members returning from the current military operations in Iraq and Afghanistan.

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Outcome Evaluation of the Veterans Affairs Salt Lake City Integrative Health Clinic for Chronic Nonmalignant Pain

Abstract: significant study findings revealed that the greatest improvement after participation in Integrative Health Clinic and Program were seen in the CNSP group with benefits persisting to 24 months in mood and in some health-related quality of life subcategories.

Cited by 17 publications

References 26 publications

Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics

Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics

Health Dynamics of Military and Veteran Couples: A Biopsychorelational Overview

Catastrophizing and Pain in Military Personnel

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