Tags

Type your tag names separated by a space and hit enter

Provider perspectives on soldiers with new spinal cord injuries returning from Iraq and Afghanistan.
Arch Phys Med Rehabil. 2009 Mar; 90(3):517-21.AP

Abstract

OBJECTIVE

The military conflicts in Iraq and Afghanistan have resulted in many soldiers returning with serious combat injuries, including spinal cord injuries (SCIs). The purpose of this study was to query providers regarding any unique problems or needs in a cohort of these soldiers treated in Veterans Health Administration (VHA) SCI Centers.

DESIGN

Semistructured questionnaire.

SETTING

Seventeen VHA SCI Centers.

PARTICIPANTS

Thirty-eight providers, including physicians, nurses, therapists, social workers, and psychologists who volunteered to return completed questionnaires.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Identification of medical and psychosocial issues, rehabilitation delays, therapy and vocational needs, social support, and discharge planning.

RESULTS

Providers identified several injuries and conditions beyond SCI that were experienced by these soldiers including fractures, pressure ulcers, traumatic brain injuries, posttraumatic stress disorder, and resistant infections. Rehabilitation was often delayed because these problems needed to be addressed first. Soldiers' family and friends provide considerable support. Vocational needs include use of technology, especially computers; education; and participation in sports. Although most return to the community after discharge, many soldiers are still active duty, and some return to military base housing.

CONCLUSIONS

Combat soldiers returning with SCI often have additional medical and psychosocial problems that require appropriate and timely intervention. They have strong support from family and friends and are motivated to integrate back into the community after discharge.

Authors+Show Affiliations

Center for Complex Chronic Care and the Spinal Cord Injury Quality Enhancement Research Initiative, Hines VA Hospital, Hines, IL 60141, USA. Frances.Weaver@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

19254621

Citation

Weaver, Frances M., et al. "Provider Perspectives On Soldiers With New Spinal Cord Injuries Returning From Iraq and Afghanistan." Archives of Physical Medicine and Rehabilitation, vol. 90, no. 3, 2009, pp. 517-21.
Weaver FM, Burns SP, Evans CT, et al. Provider perspectives on soldiers with new spinal cord injuries returning from Iraq and Afghanistan. Arch Phys Med Rehabil. 2009;90(3):517-21.
Weaver, F. M., Burns, S. P., Evans, C. T., Rapacki, L. M., Goldstein, B., & Hammond, M. C. (2009). Provider perspectives on soldiers with new spinal cord injuries returning from Iraq and Afghanistan. Archives of Physical Medicine and Rehabilitation, 90(3), 517-21. https://doi.org/10.1016/j.apmr.2008.09.560
Weaver FM, et al. Provider Perspectives On Soldiers With New Spinal Cord Injuries Returning From Iraq and Afghanistan. Arch Phys Med Rehabil. 2009;90(3):517-21. PubMed PMID: 19254621.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Provider perspectives on soldiers with new spinal cord injuries returning from Iraq and Afghanistan. AU - Weaver,Frances M, AU - Burns,Stephen P, AU - Evans,Charlesnika T, AU - Rapacki,Lauren M, AU - Goldstein,Barry, AU - Hammond,Margaret C, PY - 2008/06/11/received PY - 2008/08/21/revised PY - 2008/09/04/accepted PY - 2009/3/4/entrez PY - 2009/3/4/pubmed PY - 2009/3/17/medline SP - 517 EP - 21 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 90 IS - 3 N2 - OBJECTIVE: The military conflicts in Iraq and Afghanistan have resulted in many soldiers returning with serious combat injuries, including spinal cord injuries (SCIs). The purpose of this study was to query providers regarding any unique problems or needs in a cohort of these soldiers treated in Veterans Health Administration (VHA) SCI Centers. DESIGN: Semistructured questionnaire. SETTING: Seventeen VHA SCI Centers. PARTICIPANTS: Thirty-eight providers, including physicians, nurses, therapists, social workers, and psychologists who volunteered to return completed questionnaires. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Identification of medical and psychosocial issues, rehabilitation delays, therapy and vocational needs, social support, and discharge planning. RESULTS: Providers identified several injuries and conditions beyond SCI that were experienced by these soldiers including fractures, pressure ulcers, traumatic brain injuries, posttraumatic stress disorder, and resistant infections. Rehabilitation was often delayed because these problems needed to be addressed first. Soldiers' family and friends provide considerable support. Vocational needs include use of technology, especially computers; education; and participation in sports. Although most return to the community after discharge, many soldiers are still active duty, and some return to military base housing. CONCLUSIONS: Combat soldiers returning with SCI often have additional medical and psychosocial problems that require appropriate and timely intervention. They have strong support from family and friends and are motivated to integrate back into the community after discharge. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/19254621/Provider_perspectives_on_soldiers_with_new_spinal_cord_injuries_returning_from_Iraq_and_Afghanistan_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(08)01677-8 DB - PRIME DP - Unbound Medicine ER -