1. RESEARCH POSTER PRESENTATION DESIGN © 2015
www.PosterPresentations.com
Effective pain management/ relief is crucial for successful
post-operative recovery.
On a surgical oncology floor, there is a need for management
of both acute post-surgical pain and chronic cancer pain. 40-
90% of cancer patients will complain of pain due to disease,
treatment or recovery (Cambron, 2015).
There are health risks, side effects and costs to consider when
using pharmacologic interventions.
Introduction
Research Overview
Conducted an informal surveyed on 38 randomly selected
patients
Questions asked
1. Which of these methods did you know helped with pain
relief?
2. Which are you interested to learn more about?
3. Which are you interested in trying?
LIST OF NON PHARMACOLOGICAL TREATMENTS
FOR PAIN MANAGEMENT
Transcutaneous Electrical Nerve Stimulation
Massage Therapy, Reflexology
Hot-Cold Therapy
Relaxation, Meditation, Hypnotherapy
Herbalogy
Music Therapy
Aromatherapy
Distractions
Exercise, Yoga, Positioning
Acupuncture
Cognitive Behavioral Therapy
Biofeedback
Results
Informal Survey and Results
Services (available to all HCI patients)
ACUPUNCTURE
MASSAGE THERAPY
MUSIC THERAPY
EXERCISE
• Yoga for Wellness
• T’ai Chi / Qigong
• Zumba
• Pilates
• Personal Optimism with Exercise Recovery (POWER)
• Step Into Life: A Modern and Creative Dance Class
• Morning Fitness Classes
• Weight Reduction Programs
MEDITATION
• Mind-Body Skills Group
Hypnosis and Mindfulness-
• Oriented Recovery
Enhancement(MORE)
DISTRACTION
• Knit Night
• YourStory
• Artist in Residence
• Writer in Residence
• Creative Writing
• Cooking Class
• Look Good…Feel Better
- Patients are more likely to- attend services under doctor’s
recommendation.
- More likely to attend if invited or linked to a personal
interest of hobby.
- Early involvement in these therapies have strong
indications of cancer treatment adherence, overall strength
and happiness.
Wellness Center and Integrative Health Center Conclusion and Implications
-Educate ourselves on the resources at the Wellness Center to
better promote services and bring awareness to our patients.
-Include assessment of patient hobbies and interest during
bedside to better refer patients to services
-Using the influence you have as a nurse and suggest services
at the Wellness service to physician. Be a patient’s advocate .
-Consider teaching patients about other methods besides
medicine to improve pain relief.
References
Bjersa, K., & Andersson, T. (2013). High frequency TENS as a
complement for pain relief in postoperative transition from epidural to
general analgesia after pancreatic resection. Complementary Therapies in
Clinical Practice, 20(1):5-10. doi: 10.1016/j.ctcp.2013. 11.004.
Cambron, J. (2015). Massage therapy for Cancer Symptoms. Associated
Bodywork & Massage Professionals. https://www.abmp.com/textonlymags
/article.php?article=1320
Huang, ST., Good, M., & Zauszniewski, JA. (2010). The effectiveness of
music in relieving pain in cancer patients: a randomized controlled trial.
International Journal of Nursing Studies, 47(11), 1354-62. doi:
10.1016/j.ijnurstu.2010.03.008
Meeus, M., Roussel, NA., Truijen, S. & Nijs, J. (2010). Reduced pressure
pain thresholds in response to exercise in chronic fatigue syndrome but not
in chronic low back pain: an experimental study. Journal of Rehbilitation
Medicine, 42(9):884-90. doi: 10.2340/16501977-0595
Wellness and Integrative Health Center.
http://healthcare.utah.edu/huntsmancancerinstitute/patient-care/clinics-
and-care-teams/wellness-survivorship-center/
Acknolwegements
Shelley White, MSW, LCSW, Manager
Wellness and Integrative Health Center
Transcutaneous Electrical Nerve Stimulation
(TENS)
Low-voltage electrical nodes attached to areas of pain.
This stimulates A-beta fibers which activates gate control
on the same segmental level as pain. Randomized
controlled study evaluating pain and quality of recovery
using TENS after pancreatic resection conducted by
Bjersa and Andersson (2013). There is a lack of high
quality studies on TENS effectiveness. No strong
statistical benefits were detected due to small sample size.
Massage Therapy
Pain relief was most effective when body massage was
accompanied by foot reflexology and aromatherapy
(Cambron, 2015).
Exercise
Mean pain thresholds decreased among 21 subjects with
chronic low back pain after undergoing submaximal aerobic
exercise (Meeus, Roussel, Truijen, & Nijs, 2010).
Cognitive Behavioral Therapy
In a hypnosis-based CBT, a therapist will provide specific
suggestions that will foster relaxation and control over
pain (Global Year Against Cancer Pain, 2009). Studies
show pain was reduced 86% under hypnosis based CBT.
This intervention was particularly effective among
children undergoing bone marrow biopsy, pain among
women with metastatic breast cancer and adults
undergoing bone marrow transplant therapy
Music Therapy
Music has also been show to improve anxiety, depression
and increases a sense of power (Huang, Good &
Zauszniewski, 2010). Studies show that music therapy
decreased pain level of postoperative patient’s by .5 ( scale
1-10) compared to no music. Results showed in a study in
Taiwan that comfort was increased by 150% and 50% of
the participants reported the music improved their ability
to sleep supporting its sedative effect.
Brigham Young University
Miyako Asai, SN-BYU
Pain Management: Non-pharmacological Methods
2%
16%
9%
7%
10%
8%
10%
5%
9%
15%
4%
5%
AWARE
TENS Massage/ Reflex Hot-Cold Med/ Hypno Herb Music
Aroma Distractions Exercise Acupuncture CBT Biofeedback
14%
14%
9%
9%
14%
0%
9%
0%0%
14%
17%
0%
LEARN
TENS Massage/ Reflex Hot-Cold Med/ Hypno Herb Music
Aroma Distractions Exercise Acupuncture CBT Biofeedback
11%
27%
5%
11%
5%
0%
5%
0%
5%
26%
5% 0%
TRY
TENS Massage/ Reflex Hot-Cold Med/ Hypno Herb Music
Aroma Distractions Exercise Acupuncture CBT Biofeedback