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Pain Attenuation with Integrative Therapy in Post Mastectomy Patients

Pain Attenuation with Integrative Therapy in Post Mastectomy Patients. Sharp Memorial Hospital, Short Stay Observation Unit: Homa Shahabzadah, RN, MSN Student; Elizabeth Isaacs, BSN, RN, Advanced Clinician; Susan Moore, MSN, RN, CNS. Objectives.

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Pain Attenuation with Integrative Therapy in Post Mastectomy Patients

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  1. Pain Attenuation with Integrative Therapy in Post Mastectomy Patients Sharp Memorial Hospital, Short Stay Observation Unit: Homa Shahabzadah, RN, MSN Student; Elizabeth Isaacs, BSN, RN, Advanced Clinician; Susan Moore, MSN, RN, CNS

  2. Objectives • Determine if nonpharmacologic therapies reduce pain • Identify cost factors for pain therapies • Assess other benefits of nonpharmacologic therapies

  3. Project Details • 452 bed hospital in southern California • Investigators: MSN student, advanced clinician, and clinical nurse specialist • Project origination: Interprofessional Clinical Practice Council • Promoted integrative therapy use with conventional care • Study applied integrative therapy use for pain attenuation

  4. Background • Mastectomy patients • Experience pain • Have social and psychological concerns • Require physical rehabilitation • Opioid epidemic recognition in the USA • Patients might refuse opioids leading to: • Limitations in physical rehabilitation • Symptoms of depression

  5. Project Foundation • The Joint Commission – January 2018 • Hospitals must offer nonpharmacological pain therapies • Recognition of integrative modalities use in hospitals Integrative Modalities Medications

  6. Integrative Therapies • Test group offered: • Aromatherapy • Music channel • Comfort hand massage

  7. Demographics • Age 30-85 • Test Group: 30 • Control Group: 30 • Test group offered integrative therapies 24 hours post operatively

  8. Medication Costs

  9. Integrative Therapy Costs • Aromatherapy per treatment $0.09/each • Music channel $0.00 • Lotion use for comfort hand massage $0.66

  10. Unexpected Outcomes • Decrease in: • Medication costs • Strength of pain medications administered • Length of stay Empowers patients to engage in self-care

  11. Medications: Strength and Cost

  12. Length of Stay

  13. Pain Attenuation

  14. Key Points for Integrative Therapy Use • Decrease in: • Length of stay • Medication costs • Opioids received • Strength of opioids administered • Average RN administration frequency of opioids • Pain level after four hours

  15. References • The Joint Commission. (2018). Sentinel event alert: pain management. Retrieved December 8, 2018, from https://www.jointcommission.org/topics/pain_management.aspx • U.S. Department of Health and Human Services. (2018, May 23). HHS acting secretary declares public health emergency to address national opioid crisis. Retrieved December 8, 2018, from https://www.hhs.gov/about/news/2017/10/26/hhs-acting-secretary-declares-public-health-emergency-address-national-opioid-crisis.html

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