Complementary therapy in pediatric pain

2021 ◽  
pp. 596-606
Author(s):  
Sarah R. Martin ◽  
Lonnie K. Zeltzer
Keyword(s):  
Pain Management ◽  
Clinical Judgment ◽  
Complementary Therapies ◽  
Complementary Therapy ◽  
Pediatric Pain ◽  
Limited Evidence ◽  
Acupuncture Research ◽  
Pediatric Use

There is increasing pediatric use of complementary therapies, especially for pediatric pain. This chapter reviews the key literature on studies that pertain to the use of complementary therapy in pediatric pain management. Though limited evidence exists for many complementary therapy modalities, initial evidence is promising. Currently, the strongest evidence supports the use of hypnotherapy, which will have its own chapter, and biofeedback for headaches. Acupuncture research is growing, but there are few well-designed studies in children. Most data indicate that complementary therapy use is safe in children when administered by a trained practitioner using good clinical judgment (e.g., avoiding massage in children aversive to touch).

Complementary therapy in paediatric pain

2013 ◽  
pp. 623-632
Author(s):  
Lonnie K. Zeltzer
Keyword(s):  
Complementary Therapies ◽  
Complementary Therapy ◽  
Clinical Judgement ◽  
Acupuncture Research

There is increasing paediatric use of complementary therapies (CTs), especially for paediatric pain. This chapter reviews the key literature on studies that pertain to CTs that impact pain in children. The research is still in its infancy with few studies that have been well designed and replicated. Likely the strongest of the studies is in hypnotherapy, which will have its own chapter, and in biofeedback for headaches. Acupuncture research is growing but there are few well designed studies in children compared to those in adults. Risks in CTs mostly relate to training of the practitioner and good clinical judgement (e.g. avoiding massage in children aversive to touch). Most are safe when used with clinical judgement.

Evaluation of the pain resource nurse role: a resource for improving pediatric pain management

2004 ◽  
Vol 5 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Lynn McCleary ◽  
Jacqueline A Ellis ◽  
Betty Rowley
Keyword(s):  
Pain Management ◽  
Pediatric Pain ◽  
Nurse Role

scholarly journals Cost-Effectiveness of Complementary Therapies in the United Kingdom—A Systematic Review†

2006 ◽  
Vol 3 (4) ◽  
pp. 425-432 ◽  
Author(s):  
Peter H. Canter ◽  
Joanna Thompson Coon ◽  
Edzard Ernst
Keyword(s):  
Back Pain ◽  
Cost Effectiveness ◽  
National Health Service ◽  
Health Service ◽  
Spinal Manipulation ◽  
Conventional Treatment ◽  
Complementary Therapies ◽  
Complementary Therapy ◽  
The Uk ◽  
Effectiveness Studies

Objectives: The aim of this review is to systematically summarize and assess all prospective, controlled, cost-effectiveness studies of complementary therapies carried out in the UK.Data sources: Medline (via PubMed), Embase, CINAHL, Amed (Alternative and Allied Medicine Database, British Library Medical Information Centre), The Cochrane Library, National Health Service Economic Evaluation Database (via Cochrane) and Health Technology Assessments up to October 2005.Review methods: Articles describing prospective, controlled, cost-effectiveness studies of any type of complementary therapy for any medical condition carried out in the UK were included. Data extracted included the main outcomes for health benefit and cost. These data were extracted independently by two authors, described narratively and also presented as a table.Results: Six cost-effectiveness studies of complementary medicine in the UK were identified: four different types of spinal manipulation for back pain, one type of acupuncture for chronic headache and one type of acupuncture for chronic back pain. Four of the six studies compared the complementary therapy with usual conventional treatment in pragmatic, randomized clinical trials without sham or placebo arms. Main outcome measures of effectiveness favored the complementary therapies but in the case of spinal manipulation (four studies) and acupuncture (one study) for back pain, effect sizes were small and of uncertain clinical relevance. The same four studies included a cost-utility analyses in which the incremental cost per quality adjusted life year (QALY) was less than £10 000. The complementary therapy represented an additional health care cost in five of the six studies.Conclusions: Prospective, controlled, cost-effectiveness studies of complementary therapies have been carried out in the UK only for spinal manipulation (four studies) and acupuncture (two studies). The limited data available indicate that the use of these therapies usually represents an additional cost to conventional treatment. Estimates of the incremental cost of achieving improvements in quality of life compare favorably with other treatments approved for use in the National Health Service. Because the specific efficacy of the complementary therapies for these indications remains uncertain, and the studies did not include sham controls, the estimates obtained may represent the cost-effectiveness non-specific effects associated with the complementary therapies.

scholarly journals Canadian Emergency Medicine Residents’ Perspectives on Pediatric Pain Management

CJEM ◽  
2015 ◽  
Vol 17 (5) ◽  
pp. 507-515 ◽  
Author(s):  
Huma Ali ◽  
Janeva Kircher ◽  
Christine Meyers ◽  
Joseph MacLellan ◽  
Samina Ali
Keyword(s):  
Emergency Medicine ◽  
Pain Management ◽  
Online Survey ◽  
Oral Morphine ◽  
Management Approach ◽  
Developmentally Delayed ◽  
Pediatric Pain ◽  
Graduate Curricula ◽  
Facilitators And Barriers ◽  
Children's Pain

AbstractBackgroundUnder-treatment of children’s pain in the emergency department (ED) can have many detrimental effects. Emergency medicine (EM) residents often manage pediatric pain, but their educational needs and perspectives have not been studied.MethodsA novel online survey was administered from May to June 2013 to 122 EM residents at three Canadian universities using a modified Dillman methodology. The survey instrument captured information on training received in pediatric acute pain management, approach to common painful presentations, level of comfort, perceived facilitators, and barriers and attitudes towards pediatric pain.Results56 residents participated (46%), 25 of whom (45%) indicated they had not received any training in pediatric pain assessment. All levels of residents reported they were uncomfortable with pain assessment in 0-2 year olds (p=0.07); level of comfort with assessment increased with years of training for patients aged 2-12 years (p=0.02). When assessing children with disabilities, 83% of respondents (45/54) indicated they were ‘extremely’ or ‘somewhat’ uncomfortable. Sixty-nine percent (38/55) had received training on how to treat pediatric pain. All residents reported they were more comfortable using pain medication for a 9 year old, as compared to a 1 year old (oral oxycodone p<0.001, oral morphine p<0.001, IV morphine p=0.004). The preferred methods to learn about children’s pain management were role-modeling (61%) and lectures (57%). The top challenges in pain management were with non-verbal, younger, or developmentally delayed patients.ConclusionCanadian EM residents report receiving inadequate training in pediatric pain management, and are particularly uneasy with younger or developmentally disabled children. Post-graduate curricula should be adjusted to correct these self-identified weaknesses in children’s pain management.

scholarly journals Complementary Therapy as an Approach in Managing Occupational Stress

2015 ◽  
Vol 1 (1) ◽  
pp. 46-62
Author(s):  
Nur Aishah Nor Hashim ◽  
Florianna Lendai Michael Mulok ◽  
Helmi Sumilan
Keyword(s):  
Mental Health ◽  
Occupational Stress ◽  
Qualitative Method ◽  
Complementary Therapies ◽  
Working Hours ◽  
Complementary Therapy ◽  
Health Condition ◽  
Long Working Hours ◽  
Holistic Treatment ◽  
Natural Way

Occupational stress is caused by various reasons, such as, workload and long working hours. This leads to occurrence of trend in using wellness activities to treat physical and psychological illness that is known as complementary therapy, which is Yoga, Aromatherapy, Qi gong, and Islamic Medical Practices (Ruqyah). Therefore, this research offered a perspective on the use of complementary therapies as a tool in improving and maintaining mental health condition of employees located in Penang, Malaysia. Qualitative method was used where 5 complementary therapy practitioners were interviewed to identify the perceptions towards the use of complementary therapy and to identify the type of therapy that can be practiced to reduce stress, as well as, discuss the benefits of complementary therapies. It was found that complementary therapy is very beneficial as it acts as a holistic treatment, natural way of healing and more empowering, as it helps to improve employee’s mental, emotional and physical health.Keywords: occupational stress; complementary therapy; mental health; holistic; conventional

scholarly journals Terapi Komplementer untuk Penatalaksanaan Kecemasan atau Depresi pada Lansia yang Tinggal di Komunitas

2020 ◽  
Vol 4 (1) ◽  
pp. 205-214
Author(s):  
Arjuna Arjuna ◽  
Etty Rekawati
Keyword(s):  
Complementary Therapies ◽  
The Elderly ◽  
Complementary Therapy ◽  
Anxiety And Depression ◽  
Inclusion Criteria ◽  
Complementary Treatment ◽  
Keywords Depression ◽  
Search Results ◽  
Online Library ◽  
Ebsco Host

This study aims to determine complementary therapies that can be applied to managing anxiety and depression in the elderly in the community. Methods for searching articles through English databases: EBSCO host, Scopus, Pro-Quest, Wiley Online Library, Sage Publications, Science direct, and Springer Link in the last ten years. The search results obtained 282 articles, and six reports identified that met the inclusion criteria. Systematic review analysts use the PRISMA diagram. There are six complementary therapies used: aromatherapy, reiki, laughter therapy, acupressure, religion, aromatherapy, music, and reiki. In conclusion, all of these complementary therapies are effective in the management of anxiety or depression. The complementary treatment suggested in the direction of pressure is aromatherapy, while depression is religious therapy.   Keywords: Depression, Anxiety, Parents, Complementary Therapy

Advances in Pediatric Pain Management

2007 ◽  
Vol 25 ◽  
pp. 143-187
Author(s):  
Kim-Phuong T. Nguyen ◽  
Nancy L. Glass
Keyword(s):  
Pain Management ◽  
Pediatric Pain

Post-Operative Pediatric Pain Management Education

2018 ◽  
Vol 33 (4) ◽  
pp. e18
Author(s):  
Kelley Kelly ◽  
Maureen Palmer
Keyword(s):  
Pain Management ◽  
Management Education ◽  
Pediatric Pain
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