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Letter to the Editor of Journal of Nursing Paper

Letter to the Editor of Journal of Nursing Paper

ORDER CUSTOM, PLAGIARISM-FREE PAPERS ON  Letter to the Editor of Journal of Nursing Paper

rewrite the entire document to ensure originality and no plagiarism i will be checking plagiarism in various different programs including both turnitin and safeassign so if there is plagiarism detected a withdraw will occur watch english as well this is critical

Running head: LETTER TO THE EDITOR Letter to the Editor of Journal of Nursing 1 LETTER TO THE EDITOR 2 Magdalena Kresta magdalena.kresta@advocatehealth.com 106 Brighton Place Mount Prospect, IL 60056 Letter to the Editor: War related injuries account for chronic pain cause in the United States (US) Military Veterans, where nearly half of the Veteran population suffers from pain chronicity. Many of those Veterans have other comorbidities such as post-traumatic stress disorder (PTSD), depression, or history of substance or alcohol abuse. Current treatment for chronic pain of the Veteran population mostly consists of opioids, which are known to have addictive properties (Stratton, Bender, Cameron, & Pickett, 2015). With the increase in opioid use in last two decades there have been reported increased opioid dependency and abuse, especially in Veteran population (Baser et al, 2014).Letter to the Editor of Journal of Nursing Paper

Due to PTSD or depression, Veterans are at higher risk than general population to develop a substance addiction. This population needs support and easily available access to care; however, Veterans residing in rural areas are encountering geographic barriers to care. Rural areas lack access to pain clinic and pain specialists. With approximately 30 % of Veterans living in rural areas there is a need for development and enactment of policies to address the chronic pain and opioid abuse among this population (Carey, Frank, Kerns, Ho, & Kirsh, 2016). To bridge the access gap for the Veterans residing in rural areas a telemedicine should be used. A program developed for Veteran Affair (VA) called Specialty Care Access NetworkExtension for Community Healthcare Outcomes (SCAN ECHO) was found suitable for Veterans and allowed for teleconference with primary care physicians (PCPs) and specialists (Carey et al., 2016). With chronic pain affecting all aspects of Veterans life and high risk for substance abuse among this population a traditional pain management with pharmacological treatment should be LETTER TO THE EDITOR 3 paired with active self-care therapy and complimentary integrative medicine (ACT-CIM). This holistic approach empowers Veterans to become actively involved in their care, provides pain education, alternative pain control methods (Delgado et al., 2014). Telemedicine has been found very successful in health provision to female and ethnic minority Veterans suffering from PTSD, substance abuse, and alcohol use disorder. The use of technology provided underinsured Veterans with barrier to healthcare access with concurrent treatment of PTSD using the prolonged exposure treatment (COPE). After an initial face to face assessment patients were able to follow up with providers and attend sessions using home computer. The six month follow up showed a significant decrease of post-traumatic stress disorder and depressive symptoms (Jaconis, Ana, Killeen, Badour, & Back, 2017). The use of telemedicine is convenient, financially feasible as it limits missed work related to travel to VA Medical Centers. Telehealth also provides an alternative for Veterans with limited geographic access, and also for those that due to PTSD suffer from social anxiety. Additionally, telehealth allows for easy electronic medical record access for all involved health care providers. The use of telemedicine fosters interdisciplinary cooperation by the use of video conference, which provides patients with a personalized, holistic approach and prevents medication diversion which is crucial when caring for chronic pain patients that have higher prevalence of substance abuse or risk of thereof (Delgado, et al., 2014).Letter to the Editor of Journal of Nursing Paper

Magdalena Kresta Graduate Master in Nursing Science Student Capella University Minneapolis, MN LETTER TO THE EDITOR 4 References Baser, O., Xie, L., Mardekian, J., Schaaf, D., Wang, L., & Joshi, A. V. (2014). Prevalence of diagnosed opioid abuse and its economic burden in the Veterans Health Administration. Pain Practice, 14(5), 437-445. doi:10.1111/papr.12097 Carey, E. P., Frank, J. W., Kerns, R. D., Ho, P. M., & Kirsh, S. R. (2016). Implementation of telementoring for pain management in Veterans Health Administration: Spatial analysis. Journal of Rehabilitation Research & Development, 53(1), 147-156. doi:10.1682/JRRD.2014.10.0247 Delgado, R., York, A., Lee, C., Crawford, C., Buckenmaier, C., Schoomaker, E., & Crawford, P. (2014). Assessing the quality, efficacy, and effectiveness of the current evidence base of active self-care complementary and integrative medicine therapies for the management of chronic pain: A rapid evidence assessment of the literature. Pain Medicine, 15, S9–S20. https://doi-org.library.capella.edu/10.1111/pme.12412 Jaconis, M., Ana, E. J. S., Killeen, T. K., Badour, C. L., & Back, S. E. (2017). Concurrent treatment of PTSD and alcohol use disorder via telehealth in a female Iraq veteran. The American Journal on Addictions, 26(2), 112–114. https://doiorg.library.capella.edu/10.1111/ajad.12481 Stratton, K. J., Bender, M. C., Cameron, J. J., & Pickett, T. C. (2015). Development and evaluation of a behavioral pain management treatment program in a Veterans Affairs Medical Center. Military Medicine, 180(3), 263–268. https://doiorg.library.capella.edu/10.7205/MILMED-D-14-00281Letter to the Editor of Journal of Nursing Paper