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Utilization of non pharmacological pain alleviating methods
Utilization of non pharmacological pain alleviating methods
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This paper will discuss the use of nonpharmacological modalities for pain relief. Pain can be difficult to assess in clients. It is different for each individual and the best way to determine a client’s pain is through subjective data. I learned in lecture that it is also important to observe a client’s facial expressions, posture, and body movements when assessing for pain. I was lucky to be able to experience in clinical this semester, many clients who were experiencing severe post-operative pain. After receiving opioids and non-opioid medications, most of these clients were still continuing to experience severe unrelieved pain. These occurrences inspired my curiosity with the use of nonpharmacological modalities. I have already learned in lecture that different types of nonpharmacological modalities such as, massage, music, and guided imagery can help relieve pain when used along with pharmacological medications. However, I wanted to research the different types of nonpharmacological modalities that are available for nurses and which ones work best for different areas of the body. What are the best nonpharmacological modalities currently in use within the nursing practice that may help alleviate pain in a hospitalized client? The following three articles present information on several types of nonpharmacological modalities along with which ones were found to be most successful in alleviating certain types of pain and which ones were not.
An article from the Journal of Rehabilitation and Research & Development, “Efficacy of selected complementary and alternative medicine interventions for chronic pain” discusses several different types of nonpharmacological pain modalities and the review of effectiveness for each. This article ...
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...mber 23). Retrieved April 19, 2011, from Veterans Health Administration Research Development: http://www.research.va.gov/programs/rrd.cfm
EA, G., RJA, L., DJ, M., SM, P., CA, D., & JP., M. (2010). Effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures: a randomized, single-blind study. American Association of Nurse Anesthetists Journal, 181-188.
G, T., MH, C., MJ, B., MK, G., J, G., MP, J., et al. (2007). Efficacy of selected complementary and alternative medicine interventions for chronic pain. Journal of Rehabilitation Research & Development, 195-222.
Terry Richards, B. R., Jennifer Johnson, B. C., Amy Sparks, M. R.-C., & Howard Emerson, C. (2007). The effect of music therapy on patients' perception and manifestation of pain, anxiety, and patient satisfaction. MEDSURG Nursing. The Journal of Adult Health, 7-15.
Have you ever wondered why when you stub your toe on the chair in the living room, it helps tremendously to yell out an expletive or two and vigorously rub the area? I may not be able to discuss the basis for such language in this paper, but we will explore the analgesic response to rubbing that toe, in addition to the mechanism of pain and alternative treatments such as acupuncture and transcutaneous electrical nerve stimulation.
Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
McFarland, B., Bigelow, D., & Kaplan, M. (2002, October). Complementary and Alternative Medicine Use in Canada and the United States. American Journal Public Health, pp. 1616-1618.
Music therapy works because of its three fundamentals: the application of systematic thinking through music theory, the creation of an individualized treatment plan, as well as the patie...
Epiro, E. & Walsh, N., (1997). “Alternative Medicine–Part Two: Mind Body Medicine–Expanding Health Model”. Patient Care 15 Sept. 1997: 127-145. Retrieved: February 13, 2011, from:
B., Gfeller, K. E., & Thaut, M. H. (2008). An Introduction to Music Therapy: Theory and
Marion Good, PhD, RN, has focused her study, “A Middle-Range Theory of Acute pain Management: Use in Research,” on complementary medicine for pain and stress, acute pain, and stress immunity. The purpose of this theory is to put into practice guidelines for pain management. Good, 1998, noted the need for a balance between medication usage and side effects of pain medications. The theory also promoted patient education related to pain management following surgery and encouraged plan development for acceptable levels of pain management. This theory was developed through deductive reasoning. Chinn & Kramer, 2008, defined deductive reasoning as going from a general concept to a more specific concept. Good, 1998, related that there was a balance between analgesia and side effects in which two outcomes can be deduced: (1) a decrease in pain, and (2) a decrease in side effects. These outcomes can be studied further or more detailed concepts can be deduced from them.
Nowadays, complementary alternative medicine is very popular in the United States. It is widely used by adults and children. National health statistic reports done in 2007 shows that 38.3% of adults and 11.8% of children use some form of alternative medicine (U. S. Department of Health and Human Services, 2016). But why is this happening? Why is it becoming so popular? Why are more people turning to it? Many times, this is because conventional medicine has not work and they want to try an alternative. That is the case of the author of this paper.
Morton, Mary and Michael. (1997). Ten Most Commonly Asked Questions About Alternative Medicine [Online]. Available: http://www.healthy.net/library/articles/morton/ten.htm [1999, March 1].
These alternative treatments include acupuncture, meditation, and therapy among many others.There is growing evidence that the desire for alternative medicine is expanding because people undergoing procedures in today’s health care system has had unmet needs as well as feelings of being uncared for (Acari & Flanagan, 2015). Alternative medicine is able to provide patients with treatments that provide relief for hard to cure problems such as back pain, neck pain, and arthritis. Many of these alternative treatments have been shown to be successful for various problems. The use of complimentary and alternative medicine as well as the open ended communication that holistic nursing provides is gaining popularity from patients who are fed up with traditional care and hospital
Complementary and alternative therapies are relatively new and essential options in health care, they help to increase the quality of life of patients and provide them with numerous possibilities to ensure growth of their health, beyond current medicine. Recently, these therapies, such as massage therapy and acupuncture, have become more prevalent in research. Consequently, their substitution with standard medicine in the healthcare system has been supported by the literature. The literature that supports these methods has explored why complementary therapies are needed, the different and distinct features of each therapy, and they also examine the education and knowledge those implementing the services must have. To accurately analyze if complementary and alternative therapies are valuable to the health care system, this paper will aim to learn why they are becoming predominant and why nurses should use these therapies’ to assist in improving the health of individuals. To determine the main attributes of these therapies, a variety of resources that extensively discuss complementary and alternative therapies will be examined and the paper will also examine the benefits and weaknesses they have on improving health. Lastly, this paper will aim to determine if these services should be implemented by nurses as alternative options for their patients, as nurses should have substantial knowledge pertaining to implementing these therapies.
Jackson, M.A. & Simpson, K. H. (2006). Chronic Back Pain. Continuing Education in Anaethesia, Critical Care and Pain, 6(4), 152-155. http://dx.doi: 10.1093/bjaceaccp/mkl029
Murrock, C. J., & Higgins, P.A. (2009). The theory of music, mood and movement to improve health outcomes. Journal of Advanced Nursing, 65(10), 2249-2257.
Li, X., Zhou, K., Yan, H., Wang, D., & Zhang, Y. (2012). Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial. Journal Of Advanced Nursing, 68(5), 1145-1155.