Music Therapy for Assistance with Pain and Anxiety Management in Burn Treatment

2001 ◽  
Vol 22 (1) ◽  
pp. 83-88 ◽  
Author(s):  
Jennifer D. Prensner ◽  
Charles J. Yowler ◽  
Lori F. Smith ◽  
A. Louise Steele ◽  
Richard B. Fratianne
2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S135-S135
Author(s):  
Eileen Uberti ◽  
Kathrina Prelack

Abstract Introduction Hair highlighting treatment has become popular at salons across the country. The ubiquity of this beauty treatment gives many people the impression that it is safe. The process of changing hair color differs between hair salons and hair stylists. We describe the cases of two teenage patients who received third degree burns from hair highlighting treatments. Differences in highlighting technique and treatment modality will be compared and contrasted. Methods As part of a quality assurance project looking at variation in scalp burn treatment and outcome, two patients were identified who experienced scalp burn injury due to hair highlighting. Patient 1 received a hot foil hair lighting application. After 5 minutes, the patient experienced tingling in the scalp and removed heat lamp and foils from hair. The first two weeks of treatment were administered by her primary care provider before the patient admitted to our burn facility, where topical collagenase was initiated. Forty two days after initial injury the patient underwent first surgery for debridement, followed by subsequent excision and grafting of scalp. Patient returned for tissue expansion nine months later. Patient 2 received a hair highlighting treatment of bleach and water. Patient 2 complained of burning and immediately her hair was washed out by the hairdresser. The patient was seen two weeks later in our clinic, and treated conservatively with mineral oil and antibacterial topical application. Patient was offered tissue expansion surgery but declined. Results Table 1. compares injury type, treatment and outcome in these two patients. Both injuries required significant time to heal, ranging between 56–70 days. Although similar injuries, mode of treatment differed at this same institution. Both patients made decisions based on school activities and fear or surgery, which prolonged time of conservative treatment. Patient 1 received psychological support and anti-anxiety medication prior to all treatments. After tissue expansion Patient 1 no longer required medication and had no sign of alopecia. Patient 2 has area of alopecia 2x2 cm. Neither patient requires further follow up, however Patient 2 could return for tissue expansion if desired. Conclusions Hair highlighting is a risk for serious scalp burn injury. Conservative treatment (often per patient preference) is associated with prolonged days to healing. Surgical intervention which includes subsequent tissue expansion, combined with psychological support and anxiety management results in good outcome. Applicability of Research to Practice Results from this analysis will be used to develop treatment protocols and staff education on scalp burn injury.


2019 ◽  
Vol 161 (4) ◽  
pp. 613-619 ◽  
Author(s):  
Alvaro Ortega ◽  
Felipe Gauna ◽  
Daniel Munoz ◽  
Gerardo Oberreuter ◽  
Hayo A. Breinbauer ◽  
...  

Objective To evaluate whether listening to music through binaural headphones contributes to the perception of pain and anxiety in patients undergoing closed nasal bone fracture reductions. Study Design Randomized controlled trial. Subjects and Methods We recruited patients from San Juan de Dios Hospital with displaced nasal fractures who required a reduction and assigned them to a control group or a music group. For both groups, a protocolized closed reduction of the nasal fracture with local anesthesia was performed. The music group heard music through headphones during the pre-, intra-, and postprocedural periods of the intervention. Physiological variables (blood pressure and heart rate) were measured. An anxiety survey (State-Trait Anxiety Inventory) and the visual analog scale for measuring pain were also applied. Results The music group exhibited significantly lower levels of systolic blood pressure ( P = .0001), anxiety ( P < .0001), and pain ( P = .0004) than the control group. Conclusion Listening to music through headphones—a safe and low-cost intervention—appears to aid in pain and anxiety management associated with procedures that are usually uncomfortable, such as the reduction of nasal bone fractures with local anesthesia. We believe that this effect is achieved by the modulation of pain and anxiety on an emotional-affective dimension at a central level. Given its safety, feasibility, and low cost, music therapy should be considered a complementary treatment for pain and anxiety management for nasal fracture reduction performed with local anesthesia, as well as for other medical procedures of similar pain levels conducted without general anesthesia.


2017 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Ana Farida Ulfa ◽  
Kurniawati Kurniawati

Hospitalizationis a process by which aplannedor emergency reasons, so the children had to be hospitalized can cause children to experience anxiety. To over come anxiety management can be given psychotherapy, one of which is with music therapy. The purpose ofthis study was todetermine the effect of music therapy to decrease anxiety levels pre- school children who experienced hospitalization in Hospital Jombang Chrysan the mum Pavilion. This study uses the approach Quasy Experiment pretest-posttestdesign with control group. With a total sample of 14 children (2 groups) using  purposive sampling technique. Data was collected through observation and then tabulated using data coding and tested using Mann Whitney and Wilcoxon with α = 0.05 significance level. The results  of the analysis wilcoxon obtained p valueof 0.015, p value;α (0.015 ;0.05) and Mann- Whitney obtained p valueof 0.007, p value<α (0.007;0.05). So there is the effect of music therapy on reducing anxiety levels preschoolers who experienced hospitalization in Hospital Jombang Chrysan the mum Pavilion. The conclusion that can bedrawn from this studyis the effect of music therapy on anxiety levels pre-school children who experienced hospitalization in Hospital Jombang Chrysan the mum Pavilion.


2015 ◽  
Vol 2 (2) ◽  
Author(s):  
Rahayu Setyaningsih ◽  
Sri Aminingsih ◽  
Linda Yuni Hastari

AbstractBackground. Hospitalization is a process that for some reason or emergency plans, so the children had to be hospitalized can cause children to experience anxiety. To overcome anxiety management can be given psychotherapy, one of which is with music therapy. Based on the data obtained through patient registration book entry of data obtained that the number of pediatric patients aged 3-6 years who were admitted to Teratai Ward. Dr. Oen Surakarta in September amounted to 43 children, with the number 5 top disease was observed febrile illness (14 children), abdominal pain (5 children), vomiting (5 children), DHF (5 children) and bronchopneumonia (4 children). The research objective of this study was to determine the effect of music therapy to decrease the level of anxiety in children who were treated at the Dr. Oen Surakarta Hospital before and after the given music therapy. Research method The research used in this study is the approach Quasy Experiment with one group pre-test and post-test. Using purposive sampling with a sample size of 30 children. Collecting data using the observation sheet in the form of a checklist. Results: The results of the analysis using dependent test paired samples T-test SPSS version 18.0 with α = 5% (0.05), obtained results show 21 312 t with p value of 0:00. so p value of <0.05., which means that there is an influence of music therapy to decrease the level of anxiety in children who were treated at the Hospital Dr. Oen Surakarta. Conclusion: There is a decrease in the effect of music therapy on anxiety levels in children who were treated at the Dr. Oen Surakarta Hospital.Keywords : Music Therapy, Anxiety, Hospitalization.


2015 ◽  
Vol 26 (4) ◽  
pp. 207-221
Author(s):  
Wolfgang Mastnak

Abstract. Five overlapping eras or stages can be distinguished in the evolution of music therapy. The first one refers to the historical roots and ethnological sources that have influenced modern meta-theoretical perspectives and practices. The next stage marks the heterogeneous origins of modern music therapy in the 20th century that mirror psychological positions and novel clinical ideas about the healing power of music. The subsequent heyday of music therapeutic models and schools of thought yielded an enormous variety of concepts and methods such as Nordoff–Robbins music therapy, Orff music therapy, analytic music therapy, regulatory music therapy, guided imagery and music, sound work, etc. As music therapy gained in international importance, clinical applications required research on its therapeutic efficacy. According to standards of evidence-based medicine and with regard to clearly defined diagnoses, research on music therapeutic practice was the core of the fourth stage of evolution. The current stage is characterized by the emerging epistemological dissatisfaction with the paradigmatic reductionism of evidence-based medicine and by the strong will to discover the true healing nature of music. This trend has given birth to a wide spectrum of interdisciplinary hermeneutics for novel foundations of music therapy. Epigenetics, neuroplasticity, regulatory and chronobiological sciences, quantum physical philosophies, universal harmonies, spiritual and religious views, and the cultural anthropological phenomenon of esthetics and creativity have become guiding principles. This article should not be regarded as a historical treatise but rather as an attempt to identify theoretical landmarks in the evolution of modern music therapy and to elucidate the evolution of its spirit.


2008 ◽  
Author(s):  
J. Garcia-Sevilla ◽  
M. Penaranda-Ortega ◽  
E. Quinones-Vidal
Keyword(s):  

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