Application in an acute care setting? How

Application of Concept Analysis to Clinical Practice
Tammeda Griggs
Grand Canyon University
Nursing 502

With all the different types of pain medication being used in the hospitals today, why is pain management still a problem in the acute care setting? In nursing school, we are taught to assess our patients for pain more ways than one. Every shift, patients are asked about their pain level, if they are unable to verbalize their pain, nurses look for nonverbal ques of pain. Because pain control remains an issue for hospitals today, we must look for other alternatives to control the patients pain. So, what can help with pain management in an acute care setting? How about adding message therapy to the plan of care? Massage therapy was and is being used for many years now in nontraditional medicine, to manage pain.
For this assignment I was asked to find a peer-reviewed concept analysis article of my choice. In my search for an article, I came across this article written in the Global Journal of Therapeutic Massage and Bodywork. The title of the article is “The Effects of Massage Therapy on Pain Management in the Acute Care Setting”
The article was written as a study to assess, and evaluate the utilization of body rub treatments as a form of pain control, on patients in an acute care hospital. This study was done in Flagstaff Medical Center in Arizona on their inpatient population. The requirement for this study, was a group of patients with mild to moderate pain levels. The plan was to assess the patients pain level before and after massage therapy. Pain was assessed utilizing the number pain sensory scale. Quantitative and subjective strategies were additionally utilized for examination of this investigation.
Method of Analysis
The examination was led by three females, authorized message specialists with encounter going from 2 to 20 years of administration. An accommodation test of 65 patients that were conceded between October first, 2006, and March 31st, 2007. The patient samples were picked from the medical, surgical, and obstetrics units. The study was conducted by three females, licensed massage therapists with experience ranging from 2 to 20 years of service.
For patients to participate in the study, they had to have an order from their physician for message therapy. The patient also had to sign a consent as a willing participant, and give feedback to the hospital after being discharged from the hospital. Every patient got at least one treatment session averaging 30 minutes each at the bedside.
The quantity of sessions got relied upon the length of stay in the hospital. There were many types of massage treatments offered during the patient session. According to Adams, White & Beckett (2010), treatments included delicate Swedish effleurage or petrissage, pressure point massage, craniosacral treatment, or cross-fiber myotherapy with light-weight effleurage, and pressure points being the most usually utilized modalities. The parts of the body messaged, included for the most part the head, neck, shoulders, back, and feet. The therapist likewise, utilized daintily scented oils and delicate music. The study utilized as a part of this research, was adjusted from a survey utilized by Motsinger in her Capstone Project, titled Development of an Inpatient Massage Therapy Program in an Allopathic Hospital.
The means of process and the outcomes for each progression
The first step in the study, is to submit a plan for review to the hospital review board, and get an approval. Next thing is to seek out patients who are willing to sign a consent and participate in the research study. Then you must obtain a physician order for message therapy. Once all paper work is signed off, the patients can now begin the study. After multiple sessions of massage therapy, the study is now completed. The information got in review demonstrates that fifty percent of patients in the study got 1 message session. Another forty percent got 2-3 sessions, and nearly ten percent of the members got more than 3 sessions. The sessions lasted from 15 minutes to 45 minutes. know whether they would proceed with rub treatment after their hospitalization
The finding for the study was reported to be effective overall. Most of the patients reported a decrease in the need for pain medication after receiving massage therapy. They also reported more flexibility to move around with less pain, even sleeping better at night. But only a small number of patients were undecided about continuing therapy after their hospitalization.
Apply the concepts to a practice situation.
As a labor and delivery nurse, I often find that massage therapy is a great way to easy some of the pain the mom is experiencing while laboring. There are many areas you could massage to help ease the pain. Applying a gentle, kneading massage to the lower back in a slow, rhythmic pattern during a contraction, can relieve most of the sharp shooting pain. According to Field (2010), Back and body message treatment has been shown to be successful during pregnancy. Laboring moms also reported a decrease in back and leg pain after receiving multiple message sessions. Back messages during labor help to decrease extreme fetal movement which lowers pain levels and shorten the labor process.
As healthcare providers, continue their search for more effective ways to manage pain, nurses can always implement in their care plan some form of massage therapy. Offering massage therapy in the acute care setting can prevent the need to always treat pain with medication. In my opinion, a lot of our patient become addicted to pain medications, because it seems to be an easy, quick fix to managing pain. If health care facility, added massage therapy as the first form of pain management, we will find that this form of treatment, according to Field (2010), can have pain relief effect and help with relaxation. Messages can also support a patient’s well-being and can, guide in the healing procedure for hospitalized patient

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Field, T. (2010). Pregnancy and labor massage. Expert Review of Obstetrics ; Gynecology, 5(2), 177–181.

Adams, R., White, B., ; Beckett, C. (2010). The Effects of Massage Therapy on Pain Management in the Acute Care Setting. International Journal of Therapeutic Massage ; Bodywork, 3(1), 4–11.

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