A Pilot Study: The Effect of Healing Touch on Anxiety, Stress, Pain, Pain Medication Usage, and Physiological Measures in Hospitalized Sickle Cell Disease Adults Experiencing a Vaso-occlusive Pain Episode PDF Download
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Author: Linda Steedly Thomas
Publisher:
ISBN:
Category :
Languages : en
Pages : 147
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Book Description
Sickle cell disease (SCD), a common genetic blood disorder affecting primarily African-Americans (Edwards, Scales, Loughlin, Bennett, Harris-Peterson, et al., 2005) causes a vaso-occlusive pain episode (VOPE) affecting both men and women across their life span. Both physical and psychological stress has been reported to precipitate a VOPE (Anie & Green, 2006) placing them at risk for early death. In fact, 78% of the patients who die from SCD do so during a VOPE. Healing Touch (HT), a complementary therapy, has been shown to decrease anxiety, stress, and pain in other patient populations such as cancer, orthopedic, and post-cardiac surgery patients, but sickle cell pain has not been studied. The purpose of this parallel-group randomized control trial (RCT) was to determine the effectiveness of Healing Touch on anxiety, stress, pain, pain medication usage, and selected physiological measures of hospitalized SCD adults experiencing a VOPE. The outcome variables were measured, while controlling for the music and presence. The study sample was 24 participants who ranged in age from 22 to 49 years with an average age of 31.4 years. Healing Touch sessions were administered for 30 minutes on four consecutive days, and the self-reported data on anxiety, stress, pain, and the selected physiological data were collected. The results on the 16 patients who completed the study were not statistically significant across the two groups due to the small sample size. Overall, there were no statistically significant changes in any between group comparisons, except for present pain on day 4 for the Attention Control with Music (ACM) group. For both Healing Touch with Music (HTM) and the ACM, the within groups comparison showed a reduction in physiological parameters, but was not statistically significant. For anxiety, the within groups comparison showed a statistically significant reduction for the ACM group (p=.01). For stress, the ACM group reached a statistically significant reduction (p=.03), after day 4, however the HTM group also reached statistical significance after day 2 (p=.02) and again after day 4 (p=01), consistent with the findings from previous studies in HT. The pre- to post-intervention reductions in present pain were greater in the HTM group than the ACM group across all 4 days. The only statistically significant within groups findings for present pain reduction were in the HTM group (p
Author: Linda Steedly Thomas
Publisher:
ISBN:
Category :
Languages : en
Pages : 147
Get Book Here
Book Description
Sickle cell disease (SCD), a common genetic blood disorder affecting primarily African-Americans (Edwards, Scales, Loughlin, Bennett, Harris-Peterson, et al., 2005) causes a vaso-occlusive pain episode (VOPE) affecting both men and women across their life span. Both physical and psychological stress has been reported to precipitate a VOPE (Anie & Green, 2006) placing them at risk for early death. In fact, 78% of the patients who die from SCD do so during a VOPE. Healing Touch (HT), a complementary therapy, has been shown to decrease anxiety, stress, and pain in other patient populations such as cancer, orthopedic, and post-cardiac surgery patients, but sickle cell pain has not been studied. The purpose of this parallel-group randomized control trial (RCT) was to determine the effectiveness of Healing Touch on anxiety, stress, pain, pain medication usage, and selected physiological measures of hospitalized SCD adults experiencing a VOPE. The outcome variables were measured, while controlling for the music and presence. The study sample was 24 participants who ranged in age from 22 to 49 years with an average age of 31.4 years. Healing Touch sessions were administered for 30 minutes on four consecutive days, and the self-reported data on anxiety, stress, pain, and the selected physiological data were collected. The results on the 16 patients who completed the study were not statistically significant across the two groups due to the small sample size. Overall, there were no statistically significant changes in any between group comparisons, except for present pain on day 4 for the Attention Control with Music (ACM) group. For both Healing Touch with Music (HTM) and the ACM, the within groups comparison showed a reduction in physiological parameters, but was not statistically significant. For anxiety, the within groups comparison showed a statistically significant reduction for the ACM group (p=.01). For stress, the ACM group reached a statistically significant reduction (p=.03), after day 4, however the HTM group also reached statistical significance after day 2 (p=.02) and again after day 4 (p=01), consistent with the findings from previous studies in HT. The pre- to post-intervention reductions in present pain were greater in the HTM group than the ACM group across all 4 days. The only statistically significant within groups findings for present pain reduction were in the HTM group (p
Author: Maureen Cooney
Publisher: Elsevier Health Sciences
ISBN: 0323530788
Category : Medical
Languages : en
Pages : 865
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Book Description
Learn best practices and evidence-based guidelines for assessing and managing pain! Assessment and Multimodal Management of Pain: An Integrative Approach describes how to provide effective management of pain through the use of multiple medications and techniques, including both pharmacologic and non-pharmacologic treatment regimens. A holistic approach provides an in-depth understanding of pain and includes practical assessment tools along with coverage of opioid and non-opioid analgesics, interventional and herbal approaches to pain, and much more. Written by experts Maureen F. Cooney and Ann Quinlan-Colwell, this reference is a complete, step-by-step guide to contemporary pain assessment and management. Evidence-based, practical guidance helps students learn to plan and implement pain management, and aligns with current guidelines and best practices. Comprehensive information on the pharmacologic management of pain includes nonopioid analgesics, opioid analgesics, and co-analgesics, including dose titration, routes of administration, and prevention of side effects. UNIQUE! Multimodal approach for pain management is explored throughout the book, as it affects assessment, the physiologic experience, and the culturally determined expression, acknowledgement, and management of pain. UNIQUE! Holistic, integrative approach includes thorough coverage of pain management with non-pharmacologic methods. Clinical scenarios are cited to illustrate key points. Equivalent analgesic action for common pain medications provides readers with useful guidance relating to medication selection. Pain-rating scales in over 20 languages are included in the appendix for improved patient/clinician communication and accurate pain assessment. UNIQUE! Authors Maureen F. Cooney and Ann Quinlan-Colwell are two of the foremost authorities in multimodal pain assessment and management. Sample forms, guidelines, protocols, and other hands-on tools are included, and may be reproduced for use in the classroom or clinical setting.
Author: ASPMN
Publisher: Elsevier Health Sciences
ISBN: 0323461972
Category : Medical
Languages : en
Pages : 656
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Book Description
Learn how to successfully work with patients in pain with The Core Curriculum for Pain Management Nursing, 3rd Edition. Written by the American Society for Pain Management Nursing (the primary nursing organization in pain management), this easy-to-read text covers the entire scope of pain management in a very user-friendly outline format. This new edition has been thoroughly updated to reflect the latest standards and scope of practice put forth by the ASPMN. Yet, it still retains its strong nursing focus as it explores the nurse’s role as a patient advocate in pain management and how that role changes from a Registered Nurse to a Clinical Nurse Specialist to a Nurse Practitioner. Both pharmacologic and non-pharmacologic methods of pain management are discussed, as is a wide variety of patient subsets beyond the traditional pediatric, adult, and geriatric patient. If you’re looking to pass the ASPMN credentialing exam and work successfully with all types of patients in pain, then this is the perfect text for you! Content written by the ASPMN (American Society for Pain Management Nursing), the primary nursing organization in pain management, ensures the material is authoritative and timely. UNIQUE! Expansive patient coverage addresses not only adults, pediatric and geriatric patients, but also key subsets of patients — such as those who have concomitant addiction, those who have cancer, those who are under sedation for a procedure, and more. Comprehensive coverage discusses important topics — such as the disparities in pain management, gender differences in pain and analgesia, the effect of depression on pain perception and management, the use of research, various theories of pain management, and more — to fully prepare you for your ASPMN credentialing exam and professional practice. UNIQUE! Strong nursing focus thoroughly explores the nurse’s role as a patient advocate in pain management and how that role changes from a Registered Nurse to a Clinical Nurse Specialist to a Nurse Practitioner. Unique outline format makes the text an accessible and easy-to-read reference. NEW! Coverage of both pharmacologic and non-pharmacologic pain interventions has been updated to keep you abreast of the latest methods for both types of pain management. NEW! Thoroughly updated information reflects the latest standards and scope of practice as well as the blueprint for the ASPMN credentialing exam. NEW! Additional information on pain management in bariatric patients highlight important considerations that you need to know when caring for this specific patient population. NEW! Added illustrations and figures throughout the text make difficult concepts easier to understand.
Author: Sanghamitra M. Misra
Publisher: Springer
ISBN: 3319068350
Category : Medical
Languages : en
Pages : 103
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Book Description
In response to the rise in chronic medical conditions--and the growing use of complementary and alternative therapies--among pediatric and adolescent patients, healthcare practitioners are taking a serious look at pediatric integrative medicine (PIM). Although it dovetails with current concepts of preventive medicine, wellness, and patient control, PIM is still an evolving field with its own particular challenges and opportunities. A Guide to Integrative Pediatrics for the Healthcare Professional explores its subject through the more familiar lens of integrative medicine. This concise comprehensive resource synthesizes the knowledge base on a range of therapies commonly associated with PIM, such as acupuncture, herbal remedies, clinical hypnosis, yoga, homeopathy, and therapeutic massage, with findings on their effective use with children. Case examples illustrate uses of PIM modalities with allopathic medicine to treat young patients at various developmental stages, and the authors pinpoint safety and appropriateness concerns, answer licensing questions, and note clinical areas requiring further study. The wide-ranging information contained here will help support interest in PIM at the research, training, and practice levels. Features of the Guide: An introduction to basic concepts in PIM. Trends in IM/PIM education. A survey of complementary and alternative therapies, including biologically-based, body-based, mind-body, energy-based, and alternative whole systems. Current evidence for IM in treating common pediatric conditions. The future of integrative pediatrics. References and links for further information. Offering a front-row seat to the continued expansion of the field, A Guide to Integrative Pediatrics for the Healthcare Professional is a salient text not only for pediatricians but for all healthcare practitioners tasked with improving children's wellbeing. “/p>
Author: Samir K. Ballas
Publisher: Lippincott Williams & Wilkins
ISBN: 1496331834
Category : Medical
Languages : en
Pages : 1004
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Book Description
Sickle Cell Pain is a panoramic, in-depth exploration of every scientific, human, and social dimension of this cruel disease. This comprehensive, definitive work is unique in that it is the only book devoted to sickle cell pain, as opposed to general aspects of the disease. The 752-page book links sickle cell pain to basic, clinical, and translational research, addressing various aspects of sickle pain from molecular biology to the psychosocial aspects of the disease. Supplemented with patient narratives, case studies, and visual art, Sickle Cell Pain’s scientific rigor extends through its discussion of analgesic pharmacology, including abuse-deterrent formulations. The book also addresses in great detail inequities in access to care, stereotyping and stigmatization of patients, the implications of rapidly evolving models of care, and recent legislation and litigation and their consequences.
Author: Pamela E. Macintyre
Publisher:
ISBN: 9780977517442
Category : Analgesia
Languages : en
Pages : 491
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Book Description
Author: Raymond S. Sinatra
Publisher: Cambridge University Press
ISBN: 0521874912
Category : Medical
Languages : en
Pages : 729
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Book Description
This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.
Author: Eric S. Hsu
Publisher: Cambridge University Press
ISBN: 1107513448
Category : Medical
Languages : en
Pages : 398
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Book Description
Pain management is an essential part of clinical practice for all healthcare providers from trainees, physician assistants and nurse practitioners through to practising physicians. Problem-Based Pain Management is a collaboration between experts in anesthesiology, geriatric medicine, neurology, psychiatry and rehabilitation which presents a multidisciplinary management strategy. Over 60 chapters follow a standard, easy-to-read, quick access format on: clinical presentation, signs and symptoms, lab tests, imaging studies, differential diagnosis, pharmacotherapy, non-pharmacologic approach, interventional procedure, follow-up and prognosis. The broad spectrum of topics include headache, neck and back pain, bursitis, phantom limb pain, sickle cell disease and palliative care. Unlike other large, cumbersome texts currently available, this book serves as a quick, concise and pertinent reference in the diagnosis and management of common pain syndromes.
Author: Nancy L. Moureau
Publisher: Springer
ISBN: 3030031497
Category : Medical
Languages : en
Pages : 303
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Book Description
This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
Author: Alan J. Christensen
Publisher: Springer Science & Business Media
ISBN: 0387225579
Category : Psychology
Languages : en
Pages : 355
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Book Description
- Not only is Health Psychology, a field that focuses on the promotion and maintenance of both physical and mental health, a rapidly growing area of interest, but it is also a field that draws on and contributes to the other varied fields of psychology, medicine, nursing, sociology, anthropology, among others. - Provides a relatively comprehensive and accesible overview of the central concepts, issues, conditions and terms that comprise the broad discipline of health psychology - Covers more than 200 contributions by more than 150 of the leading researchers, educators, and practitioners in the field
