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! 2 2012 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. 3 2012 1
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. 4 2012 5 2012 Sympathetic Nervous System Blood Pressure Heart Rate Respiratory Rate 6 2012 2
Medications = More Symptoms Constipation Headache Increased heart rate Decreased respiratory rate 7 2012 High-Tech vs. High-Touch Touch is like food A basic nutrient for survival Therapeutic massage is among the most popular touch therapies 8 2012 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 9 2012 3
MEDICAL MASSAGE TECHNIQUES SWEDISH MASSAGE (LIGHT STROKES) NO DEEP-TISSUE COMFORT HOLDS 10 2012 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 11 2012 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 12 2012 4
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 13 2012 STRESS! STRESS IS SHOWN TO BE RESPONSIBLE FOR NEARLY 90% OF TODAY S SICKNESS & DISEASE -Managing Physical Stress/Forman 2007 14 2012 STRESS! STRESS PAIN PHYSICAL RESPONSE PSYCHOLOGICAL RESPONSE 15 2012 5
Physiological Response FIGHT OR FLIGHT 16 2012 Psychological Response 17 2012 Dr. Tiffany Field Ph.D., Director of The Touch Research Institute, Univ. of Miami Medical School 18 2012 6
MANUAL MORPHINE NEGATIVE SIDE-EFFECTS TRIGGERS RELAXATION RESPONSE THE PAIN CYCLE THE RESPONSE TO PAIN THE PERCEPTION OF PAIN 19 2012 GOALS OF MASSAGE PAIN/STRESS/ANXIETY/NAUSEA/AGITATION RELAXATION PROMOTE CALM INCREASE SENSE OF WELL-BEING HELP DIGESTIVE ISSUES (i.e. CONSTIPATION) 20 2012 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 21 2012 7
MASSAGE THERAPY = POWERFUL MEDICINE 22 2012 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 23 2012 Research & information www.healingtouchinternational.org www.healingtouchprogram.com www.nccam.nih.gov Little Footprints of Light, Energy Magazine May 2010 Barb Cant, Jill Maltrud, Candace Linares, Karen Gillespie Haeg 24 2012 8
HEALING TOUCH & HEALTHCARE NICU Touch aversion (i.e. Autism) Limited skin exposure Patient wants no touch Minimal stimulation 25 2012 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 26 2012 HOW DO I DEVELOP A MASSAGE PROGRAM? How is it funded? Billing Certification/Licensure massagetherapy.com/careers/stateboards.php ncbtmb.org/legislators.php 27 2012 9
Contact information barb.symalla@childrensmn.org jill.maltrud@childrensmn.org barb.cant@childrensmn.org 28 2012 10