WAR ON PAIN: Improving Interdisciplinary Pain Care for Combat Injured Military Personnel and Veterans from the OEF and OIF Conflicts

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Release Date: Nov 30, 2011          Expiration Date: Nov 30, 2012

Program Overview

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
Philadelphia, PA
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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
Rockville, MD
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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
Yale University
West Haven, CT
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Kevin T. Galloway, BSN, MHA
Colonel, US Army Nurse Corps
Chief of Staff, Army Pain Management Task Force
Office of The Army Surgeon General
Alexandria, VA
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Bibliography and Resources

Download Bibliography and Resources.

Target Audience

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.

Educational Objectives

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
Expiration: 12/31/14
Post-test passing score is 75%

Disclosure Information

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.

FDA Disclosure

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.

System Requirements

In order to view this presentation, your computer must have audio capabilities (working speakers or headphones) and must have an Adobe Flash Player. The Adobe Flash Player can be downloaded here.

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.

In collaboration with     

Supported By

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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