Pain is a leading cause of disability among veterans, and acute and chronic pain afflicts both military personnel and veterans in proportions far exceeding the general population. Characteristics of modern warfare produce serious, but survivable, injuries to the central and peripheral nervous systems, inflicting terrible acute pain and leading to chronic pain in many cases. Adequate pain management is a crucial component to improving military and veteran health care. A growing number of wounded veterans are experiencing chronic pain, which, if inadequately treated, can have life-long consequences. Advances in battlefield medicine are helping to save the lives of service men and women who might otherwise have died after traumatic injuries. However, once veterans are out of immediate danger, they often face prolonged periods of recovery and rehabilitation marked by frustration and pain. There are nearly 700,000 veterans fighting in Iraq and Afghanistan; among those veterans, 200,000 are already receiving care at Department of Veterans Affairs facilities.
The goal of this educational webcourse is to support the improvement of pain care services for military and veteran populations by providing physicians and nurses with the latest research and best practices in pain management.
Rosemary C. Polomano, PhD, RN, FAAN (Chair)
Associate Professor of Pain Practice
University of Pennsylvania School of Nursing
Associate Professor of Anesthesiology and Critical Care (Secondary)
University of Pennsylvania School of Medicine
Rosemary C. Polomano, PhD, RN, FAAN received her BSN and MSN degrees from the University of Pennsylvania in Philadelphia, PA. After receiving her PhD from the University of Maryland in Baltimore, MD, she completed her postdoctoral fellowship training in basic science pain research at the MCP-Hahnemann University in Philadelphia. Dr. Polomano is currently an Associate Professor of Pain Practice at the University of Pennsylvania School of Nursing, and is also Associate Professor of Anesthesiology and Critical Care (Secondary) at the University of Pennsylvania. Dr. Polomano has conducted research on topics including chemotherapy-induced peripheral neuropathy, acute postoperative pain, and pain associated with combat injuries. She has developed and tested several instruments to measure patient-reported outcomes associated with pain and its treatments.
Dr. Polomano has lectured extensively throughout the country on topics related to pain assessment and management. As an author, she has published more than 60 peer-reviewed journal articles and is author or co-author for more than 35 book chapters. She has participated on numerous advisory boards and expert guidelines panels to address national agendas for pain management. Dr. Polomano was a member of the interdisciplinary American Pain Society (APS) Task Force to develop and test the APS Patient Outcome Questionnaire – Revised (APS-POQ-R) for quality improvement in pain management for hospitalized adult patients. She is also a member of the American Society for Pain Management Nursing (ASPMN) Expert Consensus Panel for Monitoring of Opioid-induced Sedation and Respiratory Depression. She served as chair for the ASPMN INROADS for Pain Management Educational Initiative for 3 consecutive years. She is currently a co-investigator for the Regional Anesthesia for Military Battlefield Pain Outcomes Study (RAMBPOS) funded by the Department of Defense (PI: RM Gallagher), and continues to support research conducted by the Defense and Veterans Center for Integrative Pain Management. Dr. Polomano has also received many awards for her research and mentorship of researchers.
Chester C. Buckenmaier III, MD
Director, Defense and Veterans Center for Integrative Pain Management
Associate Professor at the Uniformed Services
University of the Health Sciences
Colonel Chester ‘Trip’ Buckenmaier III, MD is chief of the tri-service Defense and Veterans Center for Integrative Pain Management (DVCIPM). The organization is devoted to revolutionizing pain management throughout the continuum of care on the battlefield and at home. Under his leadership, this organization has established the acute pain medicine and regional anesthesia fellowship program at Walter Reed National Military Medical Center, the first military pain infusion system currently employed in Role 3 facilities, and published the first military textbook on battlefield pain management (Military Advanced Regional Anesthesia and Analgesia – Borden Institute). The DVCIPM has played a leadership role in the development of the Pain Task Force document and USAMEDCOM Comprehensive Pain Management Campaign Plan. Colonel Buckenmaier is an internationally recognized leader in acute pain medicine and the author of numerous peer-reviewed articles on regional anesthesia and acute pain medicine. Recently, Colonel Buckenmaier completed a deployment tour to Camp Bastion, Afghanistan with the British military, establishing the first acute pain service at a Role 3 medical facility.
Military awards include the military medicine ‘A’ designator, Legion of Merit, and Meritorious Service Medal (second award). Colonel Buckenmaier has also earned the Flight Surgeon Badge and Expert Field Medical Badge.
Robert D. Kerns, PhD
National Program Director for Pain Management
Veterans Health Administration
Director, Pain Research, Informatics, Medical comorbidities, and Education (PRIME) Center
Veterans Administration, Connecticut Healthcare System
Professor of Psychiatry, Neurology, and Psychology
West Haven, CT
Robert D. Kerns, PhD is VHA National Program Director for Pain Management, Director of the Pain Research, Informatics, Medical comorbidities, and Education (PRIME) Center at the VA Connecticut Healthcare System, and Professor of Psychiatry, Neurology, and Psychology at Yale University. He received his bachelor’s degree in psychology from West Virginia University in 1974 and his doctorate in bioclinical psychology from Southern Illinois University in 1980. He is a Fellow of the American Psychological Association and of the Society of Behavioral Medicine, and he has held leadership positions in these and other professional and scientific societies. In his role as National Program Director for Pain Management he has programmatic responsibility for policy development, coordination, and oversight of the VHA National Pain Management Strategy.
He is the recipient of numerous awards, including the 2006 Leadership Award from the Association of VA Psychologist Leaders, the 2006 David M. Worthen Award for Academic Excellence and the 2006 Mark Wolcott Award for Clinical Leadership from the Veterans Health Administration, and the 2010 John and Emma Bonic Public Service Award from the American Pain Society. He serves on the editorial board of several scientific journals, including the Annals of Behavioral Medicine, Clinical Journal of Pain, Health Psychology, Pain Medicine, Psychological Services, and Cancer Pain and Palliative Care.
Dr. Kerns’ primary area of scholarly and academic interest is in the fields of behavioral medicine and health psychology, with a more specific interest and expertise in the area of pain and pain management. He has published nearly 200 peer-reviewed articles, chapters, and books, and he frequently delivers invited addresses at professional and scientific meetings. His research has been funded through the VA and through other federal and private sources for more than 25 years. He was recently awarded a VA Health Services Research and Development grant to establish the PRIME Center that will build capacity for pain-relevant health services research at VA Connecticut and Yale University.
Kevin T. Galloway, BSN, MHA
Colonel, US Army Nurse Corps
Chief of Staff, Army Pain Management Task Force
Office of The Army Surgeon General
Colonel Kevin Galloway, BSN, MHA is a career Army officer with more than 22 years of service. He is currently serving as the Chief of Staff of the Army’s Pain Management Task Force and Action Officer for the Army’s Comprehensive Pain Management Campaign Plan. He is also the Chief of the Support Branch in the Rehabilitation and Reintegration Division (R2D) at the United States Army Office of the Surgeon General (OTSG). The Pain Management Task Force was an effort chartered by the Army Surgeon General to develop a comprehensive pain management strategy for the US Army Medical Command. It had representatives from the Army, Navy, Air Force, and Veterans Administration. The Task Force report was completed in May 2010 and is the basis for the Army’s current Pain Management Campaign Plan. R2D is the Army Medical Department’s lead agency in providing guidance on soldier rehabilitation and reintegration issues.
Colonel Galloway graduated from the Catholic University of America with a Bachelor’s of Science in Nursing in 1987. In 2003, he graduated from the United States Army-Baylor University Graduate Program in Health Care Administration.
Colonel Galloway was commissioned as an Army Nurse Corps officer in 1988. His career has included a variety of clinical and administrative assignments in both fixed facility hospitals and military field hospitals. He has served in staff and leadership roles in several military emergency departments, ambulatory care clinics, and troop medical clinics.
His military deployments include Operation Desert Storm with the 85th Evacuation Hospital, Operation Provide Promise in Zagreb, Croatia with the 502nd Mobile Army Surgical Hospital (MASH), and most recently Operation Iraqi Freedom with the 86th Combat Support Hospital (CSH). Other assignments have included Korea and Honduras. Prior to his current assignment at OTSG, Colonel Galloway served as the Strength Management, Education, and Training Officer at Army Nurse Corps Branch, US Army Human Resources Command, the Army’s personnel headquarters.
Colonel Galloway’s military awards include the Bronze Star Medal, Meritorious Service Medal (X4), Army Commendation Medal (X6), Joint Service Achievement Medal, and the Army Achievement Medal (X6). He is a recipient of the Order of Military Merit and the Army Surgeon General’s “A” Proficiency designator, an award used to recognize the accomplishments of senior medical leaders who have made significant contributions to the Army Medical Department.
Bibliography and Resources
Download Bibliography and Resources.
This activity is intended for nurses involved in the management of patients with pain both within the Department of Veterans Affairs, the Department of Defense, and the US Public Health Service.
On completion of the activities in this initiative, the participants should be able to:
- Define pain as a progressive disease process, not simply a response to injury
- Identify the clinical implications of the neurologic mechanisms of pain
- State the consequences of unrelieved pain
- Summarize the importance of assessing pain in light of the associated comorbidities commonly seen in the military and veteran populations
- Integrate a patient-centered approach through the use of case examples
- Describe the benefits of a stepped-care, multimodal treatment approach in military patients with pain
The American Nurses Association Center for Continuing Education and Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
ANA is approved by the California Board of Registered Nursing,
Provider Number 6178
Contact hours: 1.75
Pharmacology hours: 1.0
Post-test passing score is 75%
ANA Center for Continuing Education and Professional Development’s accredited provider status refers only to CNE activities and does not imply that there is real or implied endorsement of any product, service, or company referred to in this activity nor of any company subsidizing costs related to the activity.
The planners of this CNE activity have disclosed no relevant financial relationships with any commercial companies pertaining to this CNE.
Rosemary C. Polomano, PhD, RN, FAAN, has been a speaker for Ortho-McNeil Pharmaceuticals, King Pharmaceuticals, Pfizer & Co., and Cadence Pharmaceuticals.
Chester C. Buckenmaier III, MD: Nothing to Disclose
Kevin T. Galloway, BSN, MHA: Nothing to Disclose
Robert D. Kerns, PhD: Nothing to Disclose
The content of this CNE activity was peer-reviewed for bias, and none was found.
The contents of some CME/CE activities may contain discussions of non-approved or off-label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.
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Instructions for Participants and Obtaining CNE Credit
There is no fee for this activity. To receive credit, participants must take the pre-test, view this CNE activity in its entirety, and then complete the post-test and evaluation. To complete the evaluation and post-test online, choose the best answer to each question. The estimated time for completion of this activity is 1.75 hours. To receive and print their certificates, participants must demonstrate mastery of the presented material via the post-test.
Jointly Sponsored By
This activity is co-provided by the American Nurses Association and Rockpointe.
Support for this activity is provided by an unrestricted educational grant from PriCara, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc., administered by Ortho-McNeil Janssen Scientific Affairs, LLC.
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