The Six Essential Elements of Good Pain CareAs part of its Whole Health model, the VA has established the following six points for safe and effective pain care: Educate Veterans and FamiliesEducate Veterans/Families to promote self-efficacy and shared decision making; provide access to all relevant resources Educate and Train Team MembersEducate/train all team members to […]
The SPACE Randomized Clinical Trial, led by Erin Krebs, MD, MS, showed that opioids do not result in better pain-related function or reduced pain intensity when compared to non-opioids. (VA photo by April Eilers)
Participants in the SOTA conference identified nine non-pharmacological therapies with sufficient evidence to be implemented across the VHA system as part of pain care.
Chronic pain is more common in Veterans than in the non-veteran U.S. population, more often severe and in the context of comorbidities. The comprehensive OSI strategy includes education of providers and expanded access to non-pharmacological treatment options.
Treatments such as mindfulness meditation, biofeedback, and hypnosis, among others, have been determined to have at least promising evidence of effectiveness for pain management. (Photo: Joseph Eddins)
For some nonpharmacological approaches for chronic pain management there is emerging evidence of their effectiveness in relatively large scale trials. (photo: Sgt Justin Boling)
LinksRethinking Clinical Trials: A Living Textbook of Pragmatic Clinical Trials The Mission of the NIH Collaboratory of Pragmatic Clinical Trials is to “strengthen the national capacity to implement cost-effective large-scale research studies that engage healthcare delivery organizations as research partners.” For more information on this groundbreaking initiative click here: http://rethinkingclinicaltrials.org VA/DoD Clinical Practice Guidelines (CPG) […]
The US Dept. of Health & Human Services Agency for Healthcare Research and Quality (AHRQ) has issued a report on noninvasive nonpharmacological treatments for selected chronic pain conditions.
Pain Management and Opioid Safety Investigator Insights Podcast Series May 2018 A Talk with Dr. Heather Gilmartin and Dr. Joe Frank Summary: Dr. Heather Gilmartin, nurse scientist at the Denver/Seattle Center of Innovation in Denver, Colorado, talks with her colleague, Dr. Joe Frank, primary care physician at the Denver VA and health services researcher at […]
Robert Kerns, PhD, spoke with JAMA about the creation of the Pain Management Collaboratory and its goals for this multi-agency initiative.