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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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
We presently forget 98% of everything we experience. That will go away in favor of perfect, controllable, configurable memory. Skills and knowledge will become commodities that can be purchased and installed. We will be able to feel exactly as we wish to feel at any given time. How we perceive the world will be mutable and subject to choice. How we think, the very fundamental basis of the mind, will also be mutable and subject to choice. We will merge with our machines, as Kurzweil puts it. The boundary between mind and computing device, between the individual and his or her tools, will blur. Over the course of the ...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
ConclusionPresent research revealed that higher prevalence of chronic musculoskeletal pain exists in the urban population of Udupi Taluk, which was influenced by repetition of same joint movement, trauma and depression irrespective of the other risk variables.
Source: Clinical Epidemiology and Global Health - Category: Epidemiology Source Type: research
ConclusionHerbal medicine utilisation among patients admitted to integrative inpatient care is common. While predictors of herbal medicine use appear to be in line with previous findings, there is a need for more in-depth examination of patients’ motivations for the use of herbal medicine to further the understanding of their health behaviours and needs.
Source: Journal of Herbal Medicine - Category: Complementary Medicine Source Type: research
Publication date: Available online 15 May 2017Source: Progress in Neuro-Psychopharmacology and Biological PsychiatryAuthor(s): Ana Miriam Velly, Shrisha MohitAbstractChronic pain is a common pain condition. Some psychiatric disorders, such as anxiety and depression, are also common in the general population. Epidemiological studies found that some psychiatric disorders are more commonly found among persons with chronic pain (e.g., headache, back pain) than those without chronic pain. Why those psychiatric disorders co-occur with chronic pain, however, is not well understood. Further, studies demonstrated that some psychiat...
Source: Progress in Neuro Psychopharmacology and Biological Psychiatry - Category: Psychiatry Source Type: research
DiscussionThis case shows that repeated sessions of high-frequency motor cortex rTMS delivered on the bihemispheric cortical representation of the lower limb muscles can improve daily functioning in patients with chronic neuropathic pain affecting the lower limbs, even in the absence of pain relief. Motor cortex rTMS may have a therapeutic impact in pain patients by acting on different brain circuits and the various induced changes can contribute to overall patient satisfaction in the long-term.
Source: Neurophysiologie Clinique - Category: Neuroscience Source Type: research
Publication date: Available online 10 October 2017Source: NeuroscienceAuthor(s): Alexandra Ladouceur, Nabi Rustamov, Jean-Daniel Dubois, Jessica Tessier, Alexandre Lehmann, Martin Descarreaux, Pierre Rainville, Mathieu PichéAbstractThe aim of the present study was to assess inhibition of pain and somatosensory-evoked potentials (SEPs) by heterotopic noxious counter-stimulation (HNCS) and by selective attention in patients with chronic non-specific LBP. Seventeen patients and age/sex-matched controls were recruited (10 men, 7 women; mean age ± SD: 43.3 ± 10.4 and 42.7 ± 11.1, respec...
Source: Neuroscience - Category: Neuroscience Source Type: research
This study will investigate whether the results of the first cognitive functional therapy randomised clinical trial are reproducible. The present study will have a sample size capable of detecting clinically relevant effects of the treatment with a low risk of bias. In pragmatic terms, this clinical trial is designed to reproduce the intervention as it would be performed in clinical practice by a trained physiotherapist who works with cognitive functional therapy, which increases the relevance of this study. The combined manual therapy and exercise group comprises an intervention strategy widely used by physiotherapists to...
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
Self efficacy. It’s a word bandied about a lot in pain management, and for a group of clinicians in NZ, it’s been a shock to find out that – oh no! They’re not supporting self efficacy with their patients very much! It means “confidence that if I do this under these conditions, I’ll be successful”. Self efficacy is part of Bandura’s social learning theory (click here for the Wikipedia entry) where he proposed that much of psychological treatment is driven by a common underlying mechanism: to create and strengthen expectations of personal effectiveness. Bandura recognised that...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Clinical reasoning Coping Skills Coping strategies Motivation Pain Pain conditions Professional topics Research Resilience Science in practice biopsychosocial Chronic pain function healthcare pain management rehabilitation Source Type: blogs
Most people know the telltale signs of depression: a deep, sinking sadness, loss of hope, a bleak outlook on life, and weight and appetite changes. As psychologist Deborah Serani, Psy.D, said, most people also picture a slow-moving individual with sloped shoulders who’s unable to get out of bed. While for some people the above is absolutely true, for others, different signs are more prominent and indicative of depression—signs that might surprise you. Below are six symptoms to watch out for. You have a super short fuse. Irritability is a common sign of depression in men, but it also shows up in women. For examp...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Disorders General Health-related Industrial and Workplace Mental Health and Wellness Self-Help Stress Students Success & Achievement Source Type: blogs
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