Академический Документы
Профессиональный Документы
Культура Документы
Objective
Duration of pain
Effective Communication
Gittell and Colleagues study suggested that communication, goal
setting, and patient education contributed to better pain outcome.
Patient Education
Coping Techniques
(Wells, Passaro, and McCaffery, 2008)
Natural
Before suggesting or Instructing patients in the use of
nondrug techniques, nurses need to be aware of the
methods used effectively and preferred by the patient.
COGNITIVE
PHYSICAL
1.
Distraction
1.
Massage
2.
Relaxation
2.
Cold Therapy
3.
Music
3.
Repositioning
4.
Elevation, immobilizing
the effected part
Cognitive Techniques
10
Distraction
Distraction is Effective
11
Distraction
Imagery
Slow gentle breathing
Music
12
Relaxation
Its safe
Induce sleep
Reduce pain
Calm emotions
13
14
Asthma
Nausea
Depression
Nightmares
Fibromyalgia
Overactive Bladder
Headache
Pain
Tinnitus
Smoking cessation
Temperomandibular condition
(TMJ)
MUSIC
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(Ware,2013)
Contributes to distraction
Refocusing attention
Choosing Music
Sedating or soothing music is
Instrumental
Synthesizer
Harp
Piano
Orchestra
Slow jazz
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Physical Techniques
18
19
Anxiety
Tension
Depression
Stress hormones
Pain
20
21
Repositioning
22
23
Positioning Tips
24
Safe Repositioning
25
26
27
Prolonged Immobilization
(more than 3 to 4
weeks) of a joint can
cause stiffness,
contractures and muscle
atrophy.
Immobilization decreases
pain and facilitates
healing by preventing
further injury and is
helpful except for very
rapidly healing injuries.
Conclusion
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Questions???
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References
Nursing Care Related to the Musculoskeletal System.(2012). Kindle edition. Stanmore, New Zealand:
Powerhouse Publishing. ISBN 978-1-78258-128-4.
OPlasty , A. (2008). Positioning for pain control. Retrieved from http://allnurses.com/geriatricnursesltc/positioning-pain-control-350770.html
Pellino, TA., Gordon, DB, Engelke, ZK, et al. (2005) Use of nonpharmacological interventions for pain
and anxiety after total hip and total knee arthoplasty. Orthopaedic Nursing, 24 (3), 182-90
Roberts, J.R. (2007). Overview of musculoskeletal injuries. Merck Manual for Healthcare Professionals.
Retrieved from
http://www.merckmanuals.com/proffesional/injuries_poisoning/fractures_dislocations_and_sprains/over
view_of_musculoskeletal_injuries_html
Ware, A. (2013). The emerging field of harp therapy and its clinical implications. Journal of the
Australasian Rehabilitation Nurses Association, 162(2),15-17.
Wells, N., Pasero,C., McCaffery, M. (2008). Patient safety and quality: and evidence-based handbook for
nurses, Vol. 1, Chapter 17: Improving the quality of care through pain assessment and management.
Agency for Healthcare Research and Quality.
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