Empowering Veterans: A New Approach to Perioperative Care

Transforming Surgical Experiences for Veterans

Witnessing veterans jolt awake in terror is a heart-wrenching experience. They thrash violently, self-extubating tubes, and inadvertently injuring themselves and staff. The VA Pittsburgh team refused to accept emergence delirium as an unavoidable risk. Instead, they took action. They implemented a gold-cap identification system and a comprehensive, evidence-based intervention that included 21 clinical strategies.

These strategies encompassed routine PTSD risk screening, enhanced staff communication, and environmental modifications to soothe disorientation. Tailored anesthetic medication protocols and clear guidelines for manual restraint were also established. Every member of the perioperative team completed hands-on training, reinforced by recorded demonstrations. This approach ensured consistency and confidence at every hand-off.

The Impact of Change

The results were nothing short of dramatic. Emergence delirium rates among high-risk veterans plunged by 90%, dropping from 27% to just 2.7%. Wake-up injuries to both patients and staff vanished. Lost IV lines and compromised airways became stories of the past. Instead, gratitude poured in from veterans who no longer “wake up in Iraq.”

This program’s success earned the team a 2020 Gears of Government Award and a 2021 Patient Safety Achievement Award. Now, VA centers nationwide are adopting this new standard in compassionate, trauma-informed perioperative care.

A Commitment to Healing

The commitment to healing doesn't stop here. The VA Pittsburgh team continues to explore innovative ways to support veterans. They understand that mental well-being is crucial for recovery. By prioritizing trauma-informed care, they empower individuals to reclaim their lives.

As someone who has witnessed the transformative power of such initiatives, I believe in the importance of personalized care. Each veteran's journey is unique, and tailored approaches can make a significant difference.

The Role of Telehealth Counseling

In addition to in-person interventions, telehealth counseling offers a valuable resource for veterans. It provides a convenient way to access mental health support from the comfort of home. This flexibility is especially beneficial for those who may face mobility challenges or live in remote areas.

Telehealth counseling can help veterans uncover clarity and balance in their lives. It fosters resilience and encourages individuals to prioritize their mental well-being.

Conclusion: A Path Forward

The journey toward improved perioperative care for veterans is ongoing. By embracing innovative strategies and prioritizing mental health, we can create a supportive environment for healing. Together, we can ensure that no veteran feels alone in their struggles.

For more information on how to support veterans and their families, check out this Pittwire article.

Published Research:

73483-a-perioperative-intervention-to-prevent-and-treat-emergence-delirium-at-a-veterans-a.

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