A novel integrative healing services approach for neurosurgery inpatients: Preliminary experiences and cost calculations

This study characterizes and evaluates how Integrative Healing Services (IHS) affects patient pain levels and length of stay. We also performed a literature review to examine national trends in inpatient integrative healing.MethodsAn IHS team (e.g. acupuncture, healing touch, music therapy, pet therapy, and counseling) was incorporated into the treatment regimen of neurosurgery inpatients (with>4 days of stay) with chronic or intractable pain, stress or depression, and/or patients intolerant to or who failed physical or occupational therapy.Results34 charts were retrospectively reviewed, with 17 patients receiving IHS (11 cranial and 6 spine cases), and 17 age and gender matched controls receiving routine care (11 cranial and 6 spine patients). Overall, 71% (12/17) of patients had a reduction in pain medication consumption, with 55% (6/11) of cranial and 100% (6/6) of spine patients reporting a reduction compared to baseline. The average pre-treatment pain-scale score was 5.5 out of 10 across all patients, while the average post-treatment pain-scale score was 3 out of 10 (p 
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research

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Depressed patients frequently report a broad range of body-related symptoms and phenomena such as decreased feelings of vitality; negative appraisal of the body, loss of sexual interest; and physical complaints like chronic joint pain, limb pain, back pain and gastrointestinal problems (Trivedi, 2004). Furthermore, studies have shown a positive association between depression and psychomotor retardation (Bennabi et al., 2013; Lecrubier, 2006) as expressed in, among others, decreased gait, restricted sensorimotor space (Fuchs and Schlimme, 2009; Michalak et al., 2009) and increased standing phases and slumped posture with re...
Source: Journal of Affective Disorders - Category: Neurology Authors: Source Type: research
Conditions:   Low Back Pain;   Depression;   Anxiety;   Osteoarthritis Intervention:   Sponsor:   University of Washington Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: The findings of this study suggest a very small favorable average effect on relevant health outcomes of additional serious gaming during multidisciplinary rehabilitation. The indication that serious gaming could be a relatively time-efficient component warrants further research into if, when, how, and for which patients serious gaming could be cost-effective in treatment and why. Trial Registration: Netherlands Trial Registry NTR6020; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=6020 (Archived by WebCite at http://www.webcitation.org/71IIoTXkj)
Source: Journal of Medical Internet Research - Category: General Medicine Authors: Source Type: research
Conclusion “His EKG was unrevealing of acute myocardial injury current and initial troponin was negative. However, the patient had ongoing intermittent chest pain during the night despite intravenous nitroglycerin and blood pressure control and serial troponin levels have become elevated. Coronary angiography is recommended for further evaluation….” “LCX — Left circumflex coronary artery is large in caliber, lateral wall obtuse marginal system, which is bifurcating along the lateral wall to the apex. A secondary stented branch is subtotally occluded with what appears to be left-to-left collat...
Source: EMS 12-Lead - Category: Cardiology Authors: Tags: 12 lead ecg electrocardiographically silent high lateral stemi equivalent ischemia does not localize Source Type: research
In this study, we analyzed FGF21 levels and alterations in the expression of genes encoding components of the FGF21-responsive molecular machinery in adipose tissue from aged individuals so as to ascertain whether altered FGF21 responsiveness that develops with aging jeopardizes human health and/or accelerates metabolic disturbances associated with aging. We studied a cohort of 28 healthy elderly individuals (≥70 years) with no overt signs of metabolic or other pathologies and compared them with a cohort of 35 young healthy controls (≤40 years). Serum FGF21 levels were significantly increased in elderly indiv...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Abstract Therapy with acupuncture as a part of Traditional Chinese Medicine (TCM) is increasingly being used as an alternative or complementary method. The regular diagnostic processes and conventional therapies must primarily be applied as the basic principle of a treatment concept. In addition to a qualified education and training with recognition of the further qualification in acupuncture a continued medical education is required to treat patients. In the field of regular medical care diseases with the symptoms chronic low back pain, chronic low back pain with radicular symptoms radiating to the...
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research
NEW YORK (New York)—Patients with anxiety and depression may be less satisfied than other patients with their chronic low back pain (CLBP) treatments, new research suggests. “Patients with anxiety/depression symptoms experienced more pain severity and more pain-related functional, social, and emotional disability, and they were less satisfied with care, compared with the other groups,” the... [Read More]
Source: The Rheumatologist - Category: Rheumatology Authors: Tags: Conditions anxiety Back pain Chronic pain Depression low back pain Pain Management Source Type: research
Chronic pain is pain that lasts for more than 3-6 months. It is a complex health condition that is difficult to treat. Chronic pain is stressful, and can lead to serious and costly physical and mental health problems. Many people affected by chronic pain can become addicted to pain medications, like opioids. It can also lead to depression and loss of income from days out of work. The most common causes are low back pain, arthritis, and headaches.
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Tags: Organization News Source Type: research
Conclusions: The contribution of psychological factors may be different depending on the sample (acute vs. chronic) and the outcome domain. Future research should validate these results with respect to other patient-centered outcomes and in other CLBP samples. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Source: Rehabilitation Psychology - Category: Rehabilitation Source Type: research
Conclusions: This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients. PMID: 30013734 [PubMed]
Source: Korean Journal of Pain - Category: Anesthesiology Tags: Korean J Pain Source Type: research
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