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4. Articles of Interest
1. Complementary and alternative pain therapy in the emergency department.
Dillard JN, Knapp S.
Emerg Med Clin North Am. 2005 May;23(2):529-49.
One primary reason patients go to emergency departments is for pain relief. Understanding the physiologic dynamics of pain, pharmacologic methods for treatment of pain, as well CAM therapies used in treatment of pain is important to all providers in emergency care. Asking patients about self-care and treatments used outside of the emergency department is an important part of the patient history. Complementary and alternative therapies are very popular for painful conditions despite the lack of strong research supporting some of their use. Even though evidenced-based studies that are double blinded and show a high degree of interrater observer reliability do not exist, patients will likely continue to seek out CAM therapies as a means of self-treatment and a way to maintain additional life control. Regardless of absolute validity of a therapy for some patients, it is the bottom line: "it seems to help my pain." Pain management distills down to a very simple endpoint, patient relief, and comfort. Sham or science, if the patient feels better, feels comforted, feels less stressed, and more functional in life and their practices pose no health risk, then supporting their CAM therapy creates a true wholistic partnership in their health care.CAM should be relatively inexpensive and extremely safe. Such is not always the case, as some patients have discovered with the use of botanicals. It becomes an imperative that all providers be aware of CAM therapies and informed about potential interactions and side effects when helping patients manage pain and explore adding CAM strategies for pain relief. The use of regulated breathing, meditation, guided imagery, or a massage for a pain sufferer are simple but potentially beneficial inexpensive aids to care that can be easily employed in the emergency department. Some CAM therapies covered here, while not easily practiced in the emergency department, exist as possibilities for exploration of patients after they leave, and may offer an improved sense of well-being and empowerment in the face of suffering and despair.The foundations of good nutrition, exercise, stress reduction, and reengagement in life can contribute much to restoring the quality of life to a pain patient. Adding nondrug therapies of physical therapy, cognitive-behavioral therapy, TENS, hypnosis, biofeedback, psychoanalysis, and others can complete the conventional picture. Adding in simple mind/body therapies, touch therapies, acupuncture, or others may be appropriate in select cases, and depending on the circumstances, may effect and enhance a conventional pain management program. Armed with an understanding of pain dynamics and treatments, practitioners can better meet patient needs, avoid serious side effects, and improve care when addressing pain management in the emergency department.
2. Abstracts from the North American Research Conference on Complementary and Integrative Medicine May 12-15, 2009
The Journal of Alternative and Complementary Medicine, April 2009, 15(4): 446-458.
Click here to read more
3. Weight gain in preterm infants following parent-administered vimala massage: A randomized controlled trial. Gonzalez AP, Vasquez-Mendoza G, Garcia-Vela A, Guzman-Ramirez A, Salazar-Torres M, Romero-Gutierrez G. Click here to read more American Journal of Perinatology, 2009, 26(4), 248-252.
4. Scientific ways to study intercessory prayer as an intervention in clinical research. Rath LL. Journal of Perinatal & Neonatal Nursing. 23(1):71-7; Jan-mar2009.
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5. Searching for controlled trials of complementary and alternative medicine: a comparison of 15 databases. Cogo E, Sampson M, Ajiferuke I, et al.
Evidence Based Complementary and Alternative Medicine, eCAM Advanced publishing, May 2009 epub ahead of print
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6. Anxiety: Prevention and Complementary Therapies for Children and Adolescents CME/CE
Kathi J. Kemper, MD, MPH
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7. Compassion Fatigue: A Review of the Research to Date and Relevance to Cancer-care Providers
N.Najjar, L. W. Davis, K. Beck-Coon, and C. Carney Doebbeling. J Health Psychology, 2009 14: 267-277.
A study was done by a researcher at the Indiana University School of Medicine and the Regenstrief Institute of Indianapolis related to compassion fatigue among professionals working with the terminally ill. Their review of 57 compassion fatigue studies indicates that people in this field need to be taught what to expect and how to deal with their experiences (UPI.com, April 09).
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8. Mind games: Do they work? Butcher, J. (2008). Student BMJ, 16: 103-105/17.
James Butcher investigates whether programs that claim to improve cognitive function, could help elderly users. While the clinical benefit of brain training products is unproven, researchers believe the risk of harm is low. Such training should be incorporated into a treatment program that includes lifestyle changes when a diagnosis of cognitive impairment is made.
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9. Recently the Committee on Doctrine of the United States Conference of Catholic Bishops issued Guidelines for Evaluating Reiki as an Alternative Therapy
Many AHNA members who practice Reiki or work in institutions utilizing Reiki voiced concerns over this document and its implications for their practice and their organizations. AHNA has responded to these guidelines. To read the AHNA response go to click here. |
