Effect of Music Therapy on Pain Perception, Anxiety, and Opioid Use During Dressing Change Among Patients With Burns in India: A Quasi-experimental, Cross-over Pilot Study.

This study was conducted to assess the effect of music therapy on pain, anxiety, opioid use, and hemodynamic variables during burn dressing change. METHODS: Patients in a tertiary care burn unit who were>10 years old, conscious, able to respond, and oriented to time, place, and person participated in a 2-month, quasi-experimental, cross-over pilot study. Each served as his/her own control. Dressings were changed every other day alternating between the control (standard pain management) and experimental (control plus patient-selected music) intervention. Pain was assessed using a numerical rating scale, anxiety was scored using the State Trait Anxiety Test (higher scores indicated more pain and anxiety), and hemodynamic parameters and analgesics were recorded. Wilcoxon Test and chi-squared tests were utilized for statistical analysis. RESULTS: Median pain scores (5, interquartile range [IQR] IQR: 3-7; and 6, IQR: 5-8) and median anxiety scores (12, IQR: 8-17; and 14, IQR: 10-19) were significantly lower during the experimental than during the standard dressing change, respectively (P
Source: Ostomy Wound Management - Category: Surgery Tags: Ostomy Wound Manage Source Type: research

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“PTSD is a whole-body tragedy, an integral human event of enormous proportions with massive repercussions.” ― Susan Pease Banitt This question came up in conversation when I was speaking with someone who has experienced severe panic attacks to the point of calling them “debilitating”, requiring inpatient care.  As they were sharing about the ordeal, they told me that when they contemplate the time spent seeking treatment and the aftermath, it ramped up both the anxiety and PTSD symptoms. Even as a career therapist with decades of experience treating people with stand-alone anxiety, ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic Personal Psychotherapy PTSD Trauma Aromatherapy Breathing Exercise PTSD trigger Relaxation Self Care Source Type: blogs
CONCLUSIONS: Although no tracked parameters showed statistically significant findings, anecdotal HT benefits included enhanced relaxation and sounder sleep. PMID: 30670251 [PubMed - in process]
Source: Complementary Therapies in Medicine - Category: Complementary Medicine Authors: Tags: Complement Ther Med Source Type: research
According to current statistics, approximately 30,000 people will be hospitalized at one of the 128 U.S. Burn Centers this year, with over 3000 patients succumbing to death from fire or inhalation injury. Yet there is little description in the literature of successful Palliative Care/Burn Unit integrated collaborations. Burn patients are unique, representing the most severe model of trauma for many of the disciplines involved. For example, patients with severe burn injury have 40-45% pre-burn psychiatric morbidity, including substance abuse, depression, anxiety, PTSD, and psychosis, and many develop post-burn PTSD and depression.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research
This study will determine if Burnaid ® hydrogel dressing is an effective treatment for reducing pain in the acute period of a burn injury. It is hypothesised that a reduction in pain will then improve re-epithelialisation time in comparison to plastic wrap, which is standard practice at our institution — a metropolitan tertiary paed iatric hospital located in Brisbane, Australia.Methods/designA randomised controlled trial will be conducted to assess the effectiveness of Burnaid ® as an analgesic adjunct to cold running water first aid for the treatment of paediatric burns. Participants will include children a...
Source: Trials - Category: Research Source Type: clinical trials
“Find a place inside where there’s joy, and the joy will burn out the pain.” – Joseph Campbell I am certainly not unique in my experience of pain. Like physical scars — of which I have plenty — pain of any kind tends to hang around doing its dirty work until the one suffering takes appropriate action to help dispel it. Granted, some physical pain can only be ameliorated, not eradicated. That’s good enough in some instances, although not ideal. Having gone through numerous instances where I’ve suffered intense physical pain, some of it chronic, as well as emotional pain c...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Health-related Mindfulness Peer Support Personal Self-Help Chronic Pain Emotional Pain healing surgery Source Type: blogs
This study tested parenting behavior as a mediator for the relationship between parental acute psychological distress and child behavior during burn wound care. Eighty-seven parents of children (1 –6-years-old) self-reported accident-related posttraumatic stress symptoms (PTSS), pre-procedural anxiety, general anxiety/depression symptoms, and guilt before the first dressing change. Parent–child behavior was observed during the first dressing change. Mediation analyses identified three ind irect effects. Parental PTSS predicted more child distress, mediated through parental distress-promoting behavior. Parental ...
Source: Journal of Clinical Psychology in Medical Settings - Category: Psychiatry & Psychology Source Type: research
ConclusionThese results suggest that hypnosis reduces pain intensity and anxiety ratings in adults undergoing burn wound care. However, because of the limitations discussed, clinical recommendations are still premature.
Source: Burns - Category: Dermatology Source Type: research
Publication date: November 2018Source: Burns, Volume 44, Issue 7Author(s): Michael Scheffler, Susan Koranyi, Winfried Meissner, Bernhard Strauß, Jenny RosendahlAbstractThe aim of the present meta-analysis was to investigate the efficacy of non-pharmacological interventions for procedural pain relief in adults undergoing burn wound care compared to standard care alone or an attention control.Through a comprehensive literature search in various electronic databases 21 eligible randomized controlled trials (RCTs) were included, comprising a total of 660 patients. Random effects meta-analyses revealed significant positiv...
Source: Burns - Category: Dermatology Source Type: research
Publication date: Available online 28 October 2018Source: BurnsAuthor(s): Thereasa E. Abrams, Alison A. Lloyd, Laura E. Elzey, William L. HickersonAbstractGlobal use of the internet has become commonplace, and smart phones have paved the way for technological mobility. Incorporation of smart phone technology has the potential to positively affect health outcomes through use of health-directed applications (apps), particularly for those patients living in medically underserved areas. The Bridge Mobile App for Burn Patients (fka: HealthySteps), is a pilot project that was developed to address the unique recovery needs of pat...
Source: Burns - Category: Dermatology Source Type: research
ConclusionsThe B-CAMPIS is a reliable and valid measure, for assessing coping and distress relationships in young children and their families. Pending further validation, the B-CAMPIS assists researchers and clinicians to recognize and target important behaviors to improve young child coping during pediatric burn wound care.
Source: Burns - Category: Dermatology Source Type: research
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