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Pain management strategies and lessons from the military: A narrative review

BACKGROUND: Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, an...

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Autores principales: Vallerand, April Hazard, Cosler, Patricia, Henningfield, Jack E, Galassini, Pam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pulsus Group Inc 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596634/
https://www.ncbi.nlm.nih.gov/pubmed/26448972
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author Vallerand, April Hazard
Cosler, Patricia
Henningfield, Jack E
Galassini, Pam
author_facet Vallerand, April Hazard
Cosler, Patricia
Henningfield, Jack E
Galassini, Pam
author_sort Vallerand, April Hazard
collection PubMed
description BACKGROUND: Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, and developing interdisciplinary multimodal pain management strategies based on outcomes observed both in combat and hospital settings. OBJECTIVE: To provide a narrative review regarding US military pain management guidelines and initiatives, which may guide improvements in pain management, particularly chronic pain management and prevention, for the general population. METHODS: A literature review of US military pain management guidelines and initiatives was conducted, with a particular focus on the potential of these guidelines to address shortcomings in chronic pain management in the general population. DISCUSSION: The application of US military pain management guidelines has been shown to improve pain monitoring, education and relief. In addition, the US military has instituted the development of programs and guidelines to ensure proper use and discourage aberrant behaviours with regard to opioid use, because opioids are regarded as a critical part of acute and chronic pain management schemes. Inadequate pain management, particularly inadequate chronic pain management, remains a major problem for the general population in the US. Application of military strategies for pain management to the general US population may lead to more effective pain management and improved long-term patient outcomes.
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spelling pubmed-45966342015-10-14 Pain management strategies and lessons from the military: A narrative review Vallerand, April Hazard Cosler, Patricia Henningfield, Jack E Galassini, Pam Pain Res Manag Review BACKGROUND: Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, and developing interdisciplinary multimodal pain management strategies based on outcomes observed both in combat and hospital settings. OBJECTIVE: To provide a narrative review regarding US military pain management guidelines and initiatives, which may guide improvements in pain management, particularly chronic pain management and prevention, for the general population. METHODS: A literature review of US military pain management guidelines and initiatives was conducted, with a particular focus on the potential of these guidelines to address shortcomings in chronic pain management in the general population. DISCUSSION: The application of US military pain management guidelines has been shown to improve pain monitoring, education and relief. In addition, the US military has instituted the development of programs and guidelines to ensure proper use and discourage aberrant behaviours with regard to opioid use, because opioids are regarded as a critical part of acute and chronic pain management schemes. Inadequate pain management, particularly inadequate chronic pain management, remains a major problem for the general population in the US. Application of military strategies for pain management to the general US population may lead to more effective pain management and improved long-term patient outcomes. Pulsus Group Inc 2015 /pmc/articles/PMC4596634/ /pubmed/26448972 Text en ©2015 Pulsus Group Inc. All rights reserved This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact support@pulsus.com
spellingShingle Review
Vallerand, April Hazard
Cosler, Patricia
Henningfield, Jack E
Galassini, Pam
Pain management strategies and lessons from the military: A narrative review
title Pain management strategies and lessons from the military: A narrative review
title_full Pain management strategies and lessons from the military: A narrative review
title_fullStr Pain management strategies and lessons from the military: A narrative review
title_full_unstemmed Pain management strategies and lessons from the military: A narrative review
title_short Pain management strategies and lessons from the military: A narrative review
title_sort pain management strategies and lessons from the military: a narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596634/
https://www.ncbi.nlm.nih.gov/pubmed/26448972
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