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Keywords:

  • Hurricane Katrina;
  • Behavioral Medicine;
  • Chronic Pain;
  • Chronic Mental Illness;
  • Electronic Medical Record;
  • Disaster Planning;
  • Opioids

ABSTRACT

Objective.  To evaluate Hurricane Katrina’s impact on patients with pre-existing chronic pain.

Design.  Review of literature about Hurricane Katrina and chronic pain or pain management and a qualitative interview of all identified patients enrolled in a behavioral pain management program.

Setting.  Southeast Louisiana Veterans Healthcare System, Mental Health Service Line.

Subjects.  In total, 42 of the 53 (79%) veterans enrolled in a chronic pain program prior to Hurricane Katrina were able to be contacted and evaluated with interviews and a review of their available medical records.

Outcome Measures.  Major impediments and facilitative factors in delivering pain management services were identified.

Conclusions.  Health care planning for large-scale emergencies must take into the need for prompt continuation of pain management services in patients with chronic pre-existing pain. Coordination between emergency clinics and pain management specialists, as well as the availability of electronic medical records, is an important factor in continuing established pain management services after a regional disaster.