Music Therapy There is a clinical and evidence-based use of music therapy offering a low-risk, inexpensive, non-pharmacological addition to standard care in pain management. Music therapy assists the patient in helping regain self-control and to become actively involved in the management of pain (Gutgsell et al, 2013). The different types of music interventions include singing, listening to music, and song writing that aid in enhancing relaxation, providing opportunities for self-expression, facilitating communication with loved ones, and bringing beauty to suffering (Gutgsell, 2013). This aids in relieving anxiety and fear. The music therapist utilizes methods of muscle relaxation and guide for incorporating breathing with images of pain relief…
This report allows me to compare and contrast the different measures besides pharmacological interventions for efficacy. By including this research into my article I can provide increase validity in providing recommendations for the treatment of pain by providers. There is potential for bias in the selection process of research to include, while the author did provide inclusion and exclusion criteria, some research was not included simply because it was…
This poster was created by Aubrey Bair and she studied the effect of TENS and acupuncture on postoperative opioid use. Her hypothesis was that the use of transcutaneous electrical nerve stimulation (TENS) or acupuncture therapies will effectively decrease opioid usage in postoperative and post-surgical pain control. This is important because heroin abuse is a rising epidemic within the US. Opioid analgesics are commonly used to decrease postoperative pain levels, but put patients at risk for developing drug dependence and other side effects. She found that TENS and acupuncture therapies demonstrated statistical significance in reducing postoperative pain and opioid usage for patients in acute care settings.…
Fibromyalgia is a chronic disease caused by widespread musculoskeletal pain, fatigue, and tenderness in certain areas. This disease usually takes place after extensive surgery, physical trauma to the body, infections in the body, or even stress on the mind and body. It usually takes doctors about 5 years to correctly diagnosis a patient with fibromyalgia, due to lack of knowledge of the disease and it’s symptoms. Within this testing trial, nine females that met the criteria for a diagnosis of primary fibromyalgia were chosen to be part of the study in Columbus, OH. Such criteria to get into the study was being between the ages of eighteen and twenty-five, that had a history of fibromyalgia, and that there was not any ‘physical trauma” or infection…
One of the most common chief complaints that pediatric patients report in the emergency department is pain. The overall purpose of this systematic review, was to not only examine what type of nonpharmacological methods Emergency Departments’ (ED) are using to manage pain in pediatric patients, but also to examine the benefits of using these methods. After reviewing studies in the CINAHL, PubMed, and Cochrane databases, only fourteen articles met the criteria for this review. Records were excluded if the study was not conducted in the ED, if the study was conducted more than eighteen years ago, if they were not published in English, if the study included adults, and if the study only included pharmacological methods for pain management. Some examples of nonpharmacological interventions implemented to manage pain in children in the ED that were discussed in the article included music, guided imagery, breathing techniques, distractions, the application of hot and cold, massage, swaddling, suckling, temperature regulation, rocking, and transcutaneous electrical nerve stimulation.…
How do the parts of the theory relate to each other? Does the theory “make sense” to you before you begin applying it to any specific client situation? This theory revolves around the concept of balance between the use of analgesics and their side effects for adult patients with moderate to severe pain (Good, 1998). It outlines the role of the nurse in administering pharmacological pain relief as well as non-pharmacological pain relief methods.…
Given the multidimensional nature of cancer pain, effective pain management mandates multidisciplinary interventions to improve the success of pain management. However, evaluation and management of cancer pain may be clinically challenging to radiation therapists. Consequences around undermanaged pain can result in psychological distress that include anxiety and depression in patients. As with depression, a patient with one pain site are nearly twice as likely to have clinically significant levels of anxiety compared to persons with no pain (Gureje et al 2008, p 39 pain). Moreover, undermanaged pain may generate interference and adherence issues with treatment.…
The Patient-Centered Medical Home (PCMH) is an innovative approach to the delivery of high-quality, cost-effective, and patient-oriented primary care, with an emphasis on the effective management of chronic conditions. Under this model, the primary care provider (PCP) coordinates continuous, comprehensive, team-based care for his patients using evidence-based medicine, while encouraging self-management of care through enhanced information technologies. In the last decade, PCMHs have been introduced as significant interventions to improving the delivery and quality of primary care in the United States at lower costs.1 In 2007, four organizations representing approximately 330,000 primary care physicians in the United States (the American Academy of Family Physicians (AAFP), the American Academy of Physicians (AAP), the American Osteopathic Association (AOA), and the American College of Physicians (ACP) established the “Joint Principles of the Patient-Centered Medical Home.”4 The…
1) If brain surgeons could safely install and electrode in my brain for pleasure, so I could press it at any time to receive a flooded response of pleasure. I would think this would be good and bad in different perspectives. If I was in extreme chronic pain, it would affect me in a positive way. I would no longer have pain. I would be able to connect with people on a daily basis, also be able to interact with everyone on a normal basis.…
The impact of chronic unrelieved pain on physiological will be if patient is dealing with prolong stress responses. Having an increase heart rate, blood pressure, and the need for more oxygen due to body not receiving enough oxygen. Patient will experience delayed healing, immobility, and decreased immune response. The impact of chronic pain for quality of life will be the pain will interfere with patient activities of daily living, and will experience different mood behaviors like depressions, loneliness and anger. In regards to financial impact, it can cause the patient to lose their job, loss of income.…
To treat chronic pain, the goal is to elevate pain and improve function. Chronic pain classifies as pain lasting past four consecutive months. Improving function for chronic pain allows people to be mobile and active instead of in pain and discomfort. The most common ways to get rid of chronic pain is medication, electrical stimulation, nerve blocks, and surgery. Radiofrequency ablation this finds the nerve that sends pain signals to your brain.…
1. Your text states, "Ensuring that a dying patient has relief from pain is a moral obligation," (p. 430, Key Points). Relate this statement to at least one provision of the American Nurses Association Code of Ethics and explain your answer. 2. There are many barriers to effective pain management including clinician-related, health care setting-related, patient-related and family related.…
Introduction Of the CAM therapies, acupuncture and chiropractic manipulation are the most widely accepted (Barnes, Bloom & Nahin, 2007); both have been scientifically validated for the treatment of chronic pain (Bronfort, Haas, Evans, Leininger & Triano, 2010; Vickers, Cronin, Maschino, Lewith, MacPherson, Foster, Sherman, Witt & Linde, 2012). However, as the conventional medical view tends to reduce chiropractic care and traditional Chinese medicine to the manipulation of the spine and acupuncture therapy, respectively, these CAM therapies are viewed as compatible with allopathic care and therefore, integrate well with the medical model. This has not been the case with Naturopathic medicine. Elder (2013) discusses the reasons behind this and…
The Centre for Practical Bioethics defines bioethics as “the application of ethics to the field of medicine and healthcare”. An elderly Australian native John Collingsworth – a stage one cancer patient, is being treated under the care of Dr. Bain at the Rand Memorial Hospital located in Freeport, Grand Bahama. Mr. Collingsworth also has no living relatives residing with him in Grand Bahama and have lost most – if not all – contact with his other living relatives. Dr. Bain has been an oncologist for over 15 years and is responsible for evaluating and initiating treatment with due care to his patients that are battling cancer. This scenario will be the premise of exploring passion, responsibility, and empathy as it relates to bioethics.…
In addition, the use of a family centered approach when assessing Asians for pain will increase compliance by the patient. Asian culture values family hierarchy, therefore involving the family when educating the patient about treatment options will enhance the outcome of the…