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QualityTool Icon QualityTool:

Management of Post-traumatic Stress - Module A1: Acute Stress Reaction (2-4 Days After Trauma) Algorithm


square iconDescription

This interactive algorithm on acute stress reaction (ASR) is derived from the evidence-based clinical practice guideline Management of Post Traumatic Stress, developed by the Department of Veterans Affairs and Department of Defense.

This algorithm addresses the following topics:

  • Trauma exposure
  • Screen for ASR
  • Dangerousness to self or others
  • Obtain assessment of medical and functional status based on general appearance and screening instruments
  • Assess pre-existing psychiatric and medical conditions
  • Risk factors for developing ASR/post-traumatic stress disorder
  • Ensure that basic physical needs are met
  • Acute symptom management
  • Psychological debriefing
  • Education and normalization/expectancy of recovery
  • Facilitate social and spiritual support
  • Pharmacotherapy
  • Reassessment
  • Referral and consultation with mental health
  • Monitor and followup 

Links to the Tool:
This tool is available at: http://www.oqp.med.va.gov/cpg/PTSD/PTSD_cpg/Content/asr/algoasr.htm

Developer

Department of Defense; Department of Veterans Affairs; Veterans Health Administration

Funding Sources

Department of Defense; Department of Veterans Affairs; Veterans Health Administration


QualityTool Topic

Disease/Condition-Related; Guideline-Related


Links to National Guideline Clearinghouse or National Quality Measures Clearinghouse:

This tool is derived from the following guideline in the National Guideline Clearinghouse (NGC): VA/DoD clinical practice guideline for the management of post-traumatic stress:
http://www.guideline.gov/summary/summary.aspx?view_id=1&doc_id=5187

History

  • Release Date: 12/2003
  • Original Summary: 03/2005
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.
QualityTool Classification
Disease/Clinical Category: spacer Post-traumatic stress disorder; Stress disorders, traumatic, acute
Patient Population: spacer Vulnerable Populations > Mentally ill; Military/Dependents/Veterans; Natural Disaster Victim
Stage of Care: spacer Primary care; Acute care
Patient Care Process: spacer Preventive Care Processes > Screening; Primary prevention; Active Care Processes: Diagnosis and Treatment > Assessment; Behavioral or mental health therapy; Medication: ordering, transcription, administration, dispensing; Primary care; Triage; After Care Processes > Follow-up care; Care Management Processes > Coordination of care; Patient-Focused Processes/Psychosocial Care > Patient education; Provider-patient communication
IOM Domains of Quality: spacer Effectiveness; Patient-centeredness
QualityTool Format: spacer Algorithm/Flowchart; Workbook/Manual/Guide
QualityTool Topic: spacer Disease/Condition-Related; Guideline-Related
Developer: spacer Department of Defense; Department of Veterans Affairs; Veterans Health Administration
Funding Sources: spacer Department of Defense; Department of Veterans Affairs; Veterans Health Administration

 

Last updated: April 11, 2008.

 

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