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Program development and defining characteristics of returning military in a VA Polytrauma Network Site.
J Rehabil Res Dev. 2007; 44(7):1027-34.JR

Abstract

The conflicts in Iraq and Afghanistan have resulted in a new generation of combat survivors with complex physical injuries and emotional trauma. This article reports the initial implementation of the Polytrauma Network Site (PNS) clinic, which is a key component of the Department of Veterans Affairs (VA) Polytrauma System of Care and serves military personnel returning from combat. The PNS clinic in Palo Alto, California, is described to demonstrate the VA healthcare system's evolving effort to meet the clinical needs of this population. We summarize the following features of this interdisciplinary program: (1) sequential assessment, from initial traumatic brain injury screening throughout our catchment area to evaluation by the PNS clinic team, and (2) clinical evaluation results for the first 62 clinic patients. In summary, this population shows a high prevalence of postconcussion symptoms, posttraumatic stress, poor cognitive performance, head and back pain, auditory and visual symptoms, and problems with dizziness or balance. An anonymous patient feedback survey, which we used to fine-tune the clinic process, reflected high satisfaction with this new program. We hope that the lessons learned at one site will enhance the identification and treatment of veterans with polytrauma across the country.

Authors+Show Affiliations

Physical Medicine and Rehabilitation Service, Department of Veterans Affairs Palo Alto Health Care System, 3801 Miranda Ave, B117, Palo Alto, CA 94304, USA. henrylew@stanford.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18075959

Citation

Lew, Henry L., et al. "Program Development and Defining Characteristics of Returning Military in a VA Polytrauma Network Site." Journal of Rehabilitation Research and Development, vol. 44, no. 7, 2007, pp. 1027-34.
Lew HL, Poole JH, Vanderploeg RD, et al. Program development and defining characteristics of returning military in a VA Polytrauma Network Site. J Rehabil Res Dev. 2007;44(7):1027-34.
Lew, H. L., Poole, J. H., Vanderploeg, R. D., Goodrich, G. L., Dekelboum, S., Guillory, S. B., Sigford, B., & Cifu, D. X. (2007). Program development and defining characteristics of returning military in a VA Polytrauma Network Site. Journal of Rehabilitation Research and Development, 44(7), 1027-34.
Lew HL, et al. Program Development and Defining Characteristics of Returning Military in a VA Polytrauma Network Site. J Rehabil Res Dev. 2007;44(7):1027-34. PubMed PMID: 18075959.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Program development and defining characteristics of returning military in a VA Polytrauma Network Site. AU - Lew,Henry L, AU - Poole,John H, AU - Vanderploeg,Rodney D, AU - Goodrich,Gregory L, AU - Dekelboum,Sharon, AU - Guillory,Sylvia B, AU - Sigford,Barbara, AU - Cifu,David X, PY - 2007/12/14/pubmed PY - 2009/5/8/medline PY - 2007/12/14/entrez SP - 1027 EP - 34 JF - Journal of rehabilitation research and development JO - J Rehabil Res Dev VL - 44 IS - 7 N2 - The conflicts in Iraq and Afghanistan have resulted in a new generation of combat survivors with complex physical injuries and emotional trauma. This article reports the initial implementation of the Polytrauma Network Site (PNS) clinic, which is a key component of the Department of Veterans Affairs (VA) Polytrauma System of Care and serves military personnel returning from combat. The PNS clinic in Palo Alto, California, is described to demonstrate the VA healthcare system's evolving effort to meet the clinical needs of this population. We summarize the following features of this interdisciplinary program: (1) sequential assessment, from initial traumatic brain injury screening throughout our catchment area to evaluation by the PNS clinic team, and (2) clinical evaluation results for the first 62 clinic patients. In summary, this population shows a high prevalence of postconcussion symptoms, posttraumatic stress, poor cognitive performance, head and back pain, auditory and visual symptoms, and problems with dizziness or balance. An anonymous patient feedback survey, which we used to fine-tune the clinic process, reflected high satisfaction with this new program. We hope that the lessons learned at one site will enhance the identification and treatment of veterans with polytrauma across the country. SN - 1938-1352 UR - https://www.unboundmedicine.com/medline/citation/18075959/Program_development_and_defining_characteristics_of_returning_military_in_a_VA_Polytrauma_Network_Site_ L2 - https://www.rehab.research.va.gov/jour/07/44/7/pdf/page1027.pdf DB - PRIME DP - Unbound Medicine ER -