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MedicineAnatomy and Physiology

Self Managing the Consequences of Major Limb Trauma

Authors: Ellen J MacKenzie; JOHNS HOPKINS UNIV BALTIMORE MD
Abstract:
The objective of this research is to develop and evaluate the efficacy of a computer-based self management program (heretofore referred to as NextSteps Program) for reducing secondary conditions and improving function following major lower limb trauma. The intervention will build on widely accepted self-management programs developed for persons with arthritis as well as components of a face-to-face self-management program for civilians with long-standing limb loss. It will be necessary, however, to tailor the content and delivery of these programs to better accommodate the needs of a young, acutely injured population. Specific needs not typically addressed in the existing programs include the management of acute anxiety and post-traumatic stress disorder (PTSD), and the maintenance or acquisition of employment or return to active duty. If shown to be efficacious, computer based self management programs for the acutely injured will provide a much-needed adjunct to the orthopedic care now available and contribute to a comprehensive trauma management program to improve long-term outcomes and quality of life. The military version of SM program will provide injured soldiers with an ongoing mechanism of support as they transition from inpatient rehabilitation to the community - whether that be in the military or civilian sectors.

Limitations: APPROVED FOR PUBLIC RELEASE
Description: Annual rept. 3 Feb 2008-2 Feb 2009
Pages: 15
Report Date: 01-Mar-2009
Contract Number: W81XWH-06-1-0343 W81XWH0610343
Report Number: A812405
Keywords relating to this report:
*EXTREMITIES
*POST TRAUMATIC STRESS DISORDER
*TRAUMA
ACQUISITION
ACTIVE DUTY
ANXIETY
ARMY PERSONNEL
ARTHRITIS
CIVILIAN POPULATION
COMPUTER APPLICATIONS
EMPLOYMENT
INTERPERSONAL RELATIONS
LIVING STANDARDS
LOSSES
MANAGEMENT
ORTHOPEDICS
PATIENTS
POPULATION
QUALITY
REHABILITATION
SECONDARY
SELF OPERATION
STRESS_PHYSIOLOGY_
WOUNDS AND INJURIES
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