TY - JOUR
T1 - Answering the call to address chronic pain in military service members and veterans
T2 - Progress in improving pain care and restoring health
AU - Schoneboom, Bruce A.
AU - Perry, Susan M.
AU - Barnhill, William Keith
AU - Giordano, Nicholas A.
AU - Wiltse Nicely, Kelly L.
AU - Polomano, Rosemary C.
N1 - Funding Information:
To prepare nursing pain specialists, it will be important for the DoD to offer and fund pain fellowships to train military nurses in the management of chronic pain. For instance, congressional language in the National Defense Authorization Act could contain provisions for support of military APRNs to complete accredited fellowship programs in chronic pain. This would expand a more qualified nursing workforce, NPs and CRNAs, and build a pipeline of a broad base of practitioners who could assume responsibilities for the management of pain in both acute and primary care settings.
Publisher Copyright:
© 2016 Elsevier Inc.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Chronic noncancer pain (CNCP) in military and veteran populations mirrors the experience of chronic pain in America; however, these two populations have unique characteristics and comorbid conditions such as traumatic brain injuries, postconcussive syndrome, posttraumatic stress disorder, and behavioral health disorders that complicate the diagnosis and treatment of chronic pain. Military members and veterans may also be stigmatized about their conditions and experience problems with integration back into healthy lifestyles and society as a whole following deployments and after military service. The military and veteran health care systems have made chronic pain a priority and have made substantial strides in addressing this condition through advances in practice, education, research, and health policy. Despite this progress, significant challenges remain in responding to the wide-spread problem of chronic pain. The purpose of this article is to: (a) examine the state of CNCP in military and veteran populations; (b) discuss progress made in pain practice, education, research, and health policy; and (c) examine research, evidence-based practice guidelines, and expert consensus reports that are foundational to advancing pain care and improving health for military service members and veterans with CNCP. In addition, recommendations are proposed to address this widespread health problem through the expanded use of advanced practice registered nurses, the implementation of models of care, and use of national resources to educate health care providers, support practice, and promote effective pain care.
AB - Chronic noncancer pain (CNCP) in military and veteran populations mirrors the experience of chronic pain in America; however, these two populations have unique characteristics and comorbid conditions such as traumatic brain injuries, postconcussive syndrome, posttraumatic stress disorder, and behavioral health disorders that complicate the diagnosis and treatment of chronic pain. Military members and veterans may also be stigmatized about their conditions and experience problems with integration back into healthy lifestyles and society as a whole following deployments and after military service. The military and veteran health care systems have made chronic pain a priority and have made substantial strides in addressing this condition through advances in practice, education, research, and health policy. Despite this progress, significant challenges remain in responding to the wide-spread problem of chronic pain. The purpose of this article is to: (a) examine the state of CNCP in military and veteran populations; (b) discuss progress made in pain practice, education, research, and health policy; and (c) examine research, evidence-based practice guidelines, and expert consensus reports that are foundational to advancing pain care and improving health for military service members and veterans with CNCP. In addition, recommendations are proposed to address this widespread health problem through the expanded use of advanced practice registered nurses, the implementation of models of care, and use of national resources to educate health care providers, support practice, and promote effective pain care.
KW - Advanced practice registered nurses
KW - Chronic pain
KW - Military
KW - Pain management
KW - Veterans
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U2 - 10.1016/j.outlook.2016.05.010
DO - 10.1016/j.outlook.2016.05.010
M3 - Article
C2 - 27427406
AN - SCOPUS:84978857802
SN - 0029-6554
VL - 64
SP - 459
EP - 484
JO - Nursing outlook
JF - Nursing outlook
IS - 5
ER -