MASSAGE. It s an excellent no, AWESOME nondrug strategy for pain control! 8/31/2012. Massage & Healing Touch Therapy. Evidence for Massage and Pain

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1 Massage & Healing Touch Therapy Enhancing Pain Control for Infants & Children Barb Symalla, RN, CNS Jill Maltrud, BS, NCMBT, HTIP-A, CIMT Barb Cant, RN, NCMBT,CHTP, CPMT MASSAGE It s an excellent no, AWESOME nondrug strategy for pain control! Evidence for Massage and Pain Parlak Gurol, Polat & Akcay (2010). Massage therapy reduced itching, pain and anxiety levels in adolescents who were hospitalized on a burn unit. Russell (2007). Patients with restless leg syndrome received a 45 minute massage two times a week for three weeks. Symptoms decreased and improved throughout the weeks. Wang & Keck (2008). Foot and hand massage decreased pain intensity and distress in patients with postoperative pain

2 Evidence for Massage and Pain Von Stulpnagel, Reilich, Staube et al (2008). Pilot study showing a reduction in headache frequency by 67.7%, intensity by 74.3%, duration by 77.3% in girls receiving trigger point therapy twice weekly for two weeks. Suresh, Wang, Porfyris, et al. (2008). Study showed significant improvement in distress, pain, tension, discomfort levels and mood after children receiving care in a chronic pain clinic received massage Sympathetic Nervous System Blood Pressure Heart Rate Respiratory Rate

3 Medications = More Symptoms Constipation Headache Increased heart rate Decreased respiratory rate High-Tech vs. High-Touch Touch is like food A basic nutrient for survival Therapeutic massage is among the most popular touch therapies How massage can be used in the hospital Pre/post medical procedures IV insertions Chemo injections Motivator to get patients to walk And many other procedures

4 MEDICAL MASSAGE TECHNIQUES SWEDISH MASSAGE (LIGHT STROKES) NO DEEP-TISSUE COMFORT HOLDS Simple Strokes Nurturing Touch Gentle Glides Open Heart Gliding Back & Forth Soothing Stroke Comfort hold to introduce touch Gliding strokes towards the heart Draw a heart shape with warm open palms Alternating hands glide back & forth across area Gliding strokes away from heart Benefits of including Massage in your practice Nurses/Doctors/Caregivers jobs easier Patients are calmer Patients are more content Quality of hospital stay improves Improves satisfaction with hospitalization Decrease in pain, anti-nausea and sleep medication

5 Self-healing Massage can be very effective in balancing the Nervous System & restoring Homeostasis When the body is in balance this is when healing can begin STRESS! STRESS IS SHOWN TO BE RESPONSIBLE FOR NEARLY 90% OF TODAY S SICKNESS & DISEASE -Managing Physical Stress/Forman STRESS! STRESS PAIN PHYSICAL RESPONSE PSYCHOLOGICAL RESPONSE

6 Physiological Response FIGHT OR FLIGHT Psychological Response Dr. Tiffany Field Ph.D., Director of The Touch Research Institute, Univ. of Miami Medical School

7 MANUAL MORPHINE NEGATIVE SIDE-EFFECTS TRIGGERS RELAXATION RESPONSE THE PAIN CYCLE THE RESPONSE TO PAIN THE PERCEPTION OF PAIN GOALS OF MASSAGE PAIN/STRESS/ANXIETY/NAUSEA/AGITATION RELAXATION PROMOTE CALM INCREASE SENSE OF WELL-BEING HELP DIGESTIVE ISSUES (i.e. CONSTIPATION) ABDOMINAL MASSAGE HOW-TO Sun clockwise circle around belly Moon stroke down belly s left side Rainbow draw a rainbow starting on right side stroking to left side Stars All Around tap around belly in clockwise direction

8 MASSAGE THERAPY = POWERFUL MEDICINE Healing Touch A bio-field therapy (magnetic field around the body) that is an energybased approach to health and healing. Internationally recognized & endorsed by the American Holistic Nurses Association Research & information Little Footprints of Light, Energy Magazine May 2010 Barb Cant, Jill Maltrud, Candace Linares, Karen Gillespie Haeg

9 HEALING TOUCH & HEALTHCARE NICU Touch aversion (i.e. Autism) Limited skin exposure Patient wants no touch Minimal stimulation HEALING TOUCH & HEALTHCARE Reduces pain Faster post-op recovery Improves post-op mobility Decreases anxiety, tension, stress Helps symptom relief during chemotherapy and/or radiation Reduces effects of trauma/chronic pain Leads to a shortened hospital stay Supports the dying process HOW DO I DEVELOP A MASSAGE PROGRAM? How is it funded? Billing Certification/Licensure massagetherapy.com/careers/stateboards.php ncbtmb.org/legislators.php

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