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Chronic Multisymptom Illness – VA/DoD Clinical Practice Guideline

December 29, 2019


♪ compelling music As a military Service Member,
a family member or as a Veteran who
proudly served you are aware of the potential
hazards of military service but what should you do if you
are experiencing health issues that are difficult to diagnose,
or medically unexplained? How can you and your
Healthcare Team work together to manage symptoms
that are consistent with Chronic Multisymptom Illness
or CMI? CMI is an important health concern for service members and Veterans It is also a critical healthcare issue for the Veterans Health Administration and the Department of Defense I’m an internist and I specialized in post-deployment healthcare. I’m also a primary care provider so I’ve spent 16 years working in the VA, helping Veterans with deployment-related health concerns. Chronic Multisymptom Illness
is one of those concerns. I think the most important thing for providers to know about CMI is, what it is, and how to
recognize it. To assist healthcare teams in delivering the best patient
centered care focused on improving health outcomes for individuals with CMI DoD and VA experts have worked together to develop a clinical practice guideline I am a doctor at
Walter Reed National Military Medical Center I trained in both internal medicine
and psychiatry. military providers need to be aware of the clinical practice guidelines for chronic multisymptom illness
in order to provide care for active duty service members,
family members, and retirees. The CPG can help us do that. Chronic multisymptom illness is a term used by the medical community for chronic medically
unexplained symptoms. While it can exist in civilian populations, for Veterans and service members CMI includes military-specific, medically unexplained illnesses, such as Gulf War Illness,
Gulf War Syndrome, or other post-deployment
syndromes including chronic fatigue syndrome, fibromyalgia, and irritable bowel syndrome. Symptoms vary but can include
combinations of excessive tiredness headaches, concentration
or attention problems changes in mood,
muscle or joint pain cough, sore throat, ear
or nasal symptoms or stomach and digestive problems If you, as a service member or Veteran, have multiple symptoms
like these lasting longer than six months ask your healthcare provider
about an evaluation for CMI and work closely with
your Healthcare Team on the best way to
manage your symptoms. The clinical practice guideline is a great
resource for providers because it, first of all,
defines what CMI is. It talks about what some
of the risk factors are for chronic multisymptom illness, and then, really importantly,
it talks about the general management strategies as well as some very
specific treatment options that may work for
your patient A toolkit has been
developed to give Veterans, service members and
their healthcare providers access to The CMI
clinical practice guideline and other useful resources. Visit the US Army Medical Department Office of Quality Management
website and the VA/DoD clinical practice
guidelines website for more information on
obtaining toolkit items. The CMI toolkit includes a summary of the CMI
clinical practice guideline a CMI pocket card, for
healthcare providers and frequently asked questions for patients and family members. The clinical practice
guidelines includes the basics and framework
of providing the recommendations
of care for patients experiencing
chronic multisymptom illness. The full CPG can
be found at this website Here, healthcare providers will find valuable CMI managemet strategies including A collaborative,
team-based approach The use of shared-decision
making principles to develop a comprehensive and
personalilzed treatment plan and critical domains where
enhanced knowledge may be beneficial when caring for patients with CMI. Using the tools and strategies
in the CMI Clinical Practice Guideline can improve health outcomes
and help providers to Optimize the use of
available therapies to reduce the symptoms of CMI and enhance
quality of life Minimize preventable complications and emphasize the use of personalized, proactive, patient-driven care By taking the time to
learn more about these tools we can accomplish the mission of improved care and quality of life ♪ uplifting music

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