scholarly journals Traditional Music Therapy to Decrease Pain Perception on Elderly in Jakarta Elderly Social Institution

2020 ◽  
Vol 4 (1) ◽  
pp. 22
Author(s):  
Anisa Fitri Marsyia ◽  
Widyatuti Widyatuti
Keyword(s):  
Music Therapy ◽  
Acute Pain ◽  
Pain Perception ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
The Elderly ◽  
Traditional Music ◽  
Social Institution ◽  
Pain Scale ◽  
Health Service Provider

<p align="left"><strong>Objective: </strong>Pain is a health problem that often occurs in the elderly with various precipitation factors. This study aims to analyze nursing care on elderly with acute pain through traditional music therapy at Jakarta Elderly Social Institution</p><p align="left"><strong>Methods: </strong>Three older adults were given traditional music therapy intervention about twenty minutes each day within five weeks.</p><p align="left"><strong>Results:</strong> The result of this study showed that the pain perception of clients decreased after intervention. It was showed by pain scale (Numerical Rating Scale), blood pressure and pulse decreasing.</p><p align="left"> </p><p align="left"><strong>Conclusion: </strong>Elderly Social Institution as a health service provider can apply traditional music therapy as a program in reducing acute pain on elderly.</p><p align="left"> </p><p align="left"><strong>Keywords</strong><em>: </em>acute pain; elderly; traditional music therapy</p>

scholarly journals Sheep Farmers’ Perception of Welfare and Pain Associated with Routine Husbandry Practices in Chile

Animals ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. 225 ◽  
Author(s):  
Cristian Larrondo ◽  
Hedie Bustamante ◽  
Carmen Gallo
Keyword(s):  
Animal Welfare ◽  
Pain Perception ◽  
Rating Scale ◽  
Negative Impact ◽  
Numerical Rating Scale ◽  
Farm Animals ◽  
Farm Size ◽  
Flock Size ◽  
Husbandry Practices ◽  
Level Of Agreement

Considering the public concern about the welfare of farm animals during routine husbandry practices, this study aimed to determine how husbandry practices are carried out in Chilean farms, sheep farmers’ perceptions of animal welfare and pain, and factors that affect them, as well as the level of agreement among farmers in the recognition of pain associated with these practices. Using a self-administered survey, participants were asked about their sociodemographic information, how husbandry practices are carried out in their farms, and their pain perception for seven of these common husbandry procedures using a numerical rating scale (0 to 10). A total of 165 farmers completed the survey and perceived castration and tail docking as the most painful practices in lambs (median pain score 10 vs. 8, p < 0.05). Pain perception was associated with the method used for the specific husbandry practices, the farmers’ educational level, the farm size, and flock size (p < 0.05). There was a fair to good level of agreement beyond chance (p < 0.05) in the recognition of pain associated with the most painful practices. In general, husbandry practices are not carried out in young animals, use painful methods, without using analgesics, which may have a negative impact on animal welfare.

Correlation between quality of pain and depression: A post-operative assessment of pain after caesarian section among women in Ghana

2017 ◽  
Vol 16 (1) ◽  
pp. 165-165
Author(s):  
V.A. Adzika ◽  
F.N. Glozah ◽  
D. Ayim-Aboagye ◽  
C.S.K. Ahorlu ◽  
M. Ekuban
Keyword(s):  
Acute Pain ◽  
Rating Scale ◽  
Depression Scale ◽  
Pain Scale ◽  
Pilot Studies ◽  
King David ◽  
Purposeful Sampling ◽  
Post Operative Pain ◽  
Operative Assessment

Abstract Background and aims Post-operative pain after caesarean operation remains one of the major complains after delivery. With the rising rate of caesarean deliveries, the assessment and management of acute pain has become a major concern for medical professionals in Ghana. The aim was to determine the association between the neuroplasticity of pain and depression using a postoperative pain assessment among women after caesarean section in Ghana. Methods A descriptive pilot studies consisting of 54 women who have undergone caesarean operations and reported of acute pain after three months were conducted in King David Hospital and Neptune Medical centre. A purposeful sampling was used to complete the Numeric Pain Scale (NPS) and the Wong-Baker FACES Pain Rating Scale to justify the inclusion criteria. While the Pain Quality Assessment Scale (PQAS) and the Beck Depression Inventory (BDI) were completed by participant. Results On the characteristics of their pain respondents scored above 7, on average, for hot pains (7.04 ±2.028, minimum of 5 and maximum of 10), unpleasant pains (7.33±1.907, minimum of 5 and maximum of 10), intense and deep pain (7.35 ±1.825, minimum of 5 and maximum of 10) and intense but surface (7.38 ±1.784, minimum of 5 and maximum of 10), each with a minimum of 5 and a maximum of 10. This implies that for each of those types of pain, respondents scored very high levels of intensity. Similarly, on intensity of pain sensation (6.43 ±1.814, minimum of 5 and maximum of 10), sharpness of pain (6.53±1.772, minimum of 5 and maximum of 10), how dull their pains felt (6.38 ±2.603, minimum of 0 and maximum of 10) sensitiveness of their skins (6.75 ±1.9, minimum of 4 and maximum of 10) and how itchy (6.98±2.137, minimum of 4 and maximum of 10) their skins felt with their respective standard deviations. On the depression scale, more than half of the respondents (51.9%) captured in this study had moderate depression. Conclusions We ultimately sought to conduct a test of association between ten indicators of quality of pain and depression. There turned out to be significant association between intensity of pain and depression (χ2 = 21.507; p < 0.001) simply implying that where there is a rise in intensity of pain, there is likely going to be depression. There was also a significant association between sharp sensation and depression (χ2 =31.256).

Nebulized morphine for analgesia in an emergency setting

2018 ◽  
Vol 5 (1) ◽  
pp. 23 ◽  
Author(s):  
Vincent Bounes, MD ◽  
Jean Louis Ducassé, MD ◽  
Annie Momo Bona, MD ◽  
Florent Battefort, MD ◽  
Charles-Henri Houze-Cerfon, MD ◽  
...  
Keyword(s):  
Pain Relief ◽  
Acute Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Statistical Significance ◽  
A Priori ◽  
Primary Outcome Measure ◽  
Point Estimate ◽  
Emergency Setting ◽  
Significant Difference

Objective: To evaluate the efficacy and safety of inhaled morphine delivered in patients experiencing severe acute pain in an emergency setting.Patients and Methods: Patients were eligible for inclusion if they were aged 18 years or older, with a severe acute pain defined by a numerical rating scale (NRS) score of 60/100 or higher. The intervention involved administering a single dose of 0.2 mg/kg morphine nebulized using a Misty-Neb nebulizer system. NRSs were recorded and were repeated at 1, 3, 5, and 10 minute after the end of inhalation (T10). The protocol-defined primary outcome measure was pain relief (defined by an NRS score of 30/100 or lower) at T10. Secondary outcomes included differences between pain scores at baseline and at T10 and incidence of adverse events.Results: A total of 28 patients were included in this study. No patient experienced pain relief 10 minutes after the end of inhalation, and no adverse effects were recorded. Respective initial and final median NRS scores were 80 (70-90) and 70 (60-80), p < 0.0001. Despite achieving statistical significance, the value of this point estimate is less than the 14 NRS difference that was defined a priori as representing a minimum clinically significant difference in pain severity.Conclusion: 0.2 mg/kg nebulized morphine is not effective in managing acute pain in an emergency setting. In spite of the potential advantages of the pulmonary route of administration, opioids should be intravenous prescribed at short fixed intervals to control severe acute pain in an emergency setting.

scholarly journals Observer trait anxiety is associated with response bias to patient facial pain expression independent of pain catastrophizing

2015 ◽  
Vol 20 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Joshua A Rash ◽  
Kenneth M Prkachin ◽  
Tavis S Campbell
Keyword(s):  
Response Bias ◽  
Trait Anxiety ◽  
Pain Perception ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Catastrophizing ◽  
Detection Methods ◽  
Top Down ◽  
Helping Behaviours ◽  
Numerical Rating

Nonverbal communication, such as facial expression, is an important component of the communication of pain to an observer. One factor that influences pain perception by an observer is characteristics specific to the observer themselves (ie, ‘top-down’ characteristics). The authors of this article aimed to assess how anxiety in the observer affects their ability to rate a sufferer’s pain, controlling for pain catastrophizing.BACKGROUND: Top-down characteristics of an observer influence the detection and estimation of a sufferer’s pain. A comprehensive understanding of these characteristics is important because they influence observer helping behaviours and the sufferer’s experience of pain.OBJECTIVES: To examine the hypothesis that individuals who score high in trait anxiety would perceive more intense pain in others, as indicated by a larger negative response bias, and that this association would persist after adjusting for pain catastrophizing.METHODS: Healthy young adult participants (n=99; 50 male) watched videos containing excerpts of facial expressions taken from patients with shoulder pain and were asked to rate how much pain the patient was experiencing using an 11-point numerical rating scale. Sensitivity and response bias were calculated using signal detection methods.RESULTS: Trait anxiety was a predictor of response bias after statistically adjusting for pain catastrophizing and observer sex. More anxious individuals had a proclivity toward imputing greater pain to a sufferer.CONCLUSIONS: Individuals scoring higher on trait anxiety were more likely to impute pain to a sufferer. Anxious caregivers may be better able to respond with appropriate intervention once pain behaviour is detected, or they may exacerbate symptoms by engaging in excessive palliative care and solicitous behaviour.

scholarly journals Acute Pain Assessment Inadequacy in the Emergency Department: Patients’ Perspective

2022 ◽  
Vol 9 ◽  
pp. 237437352110496
Author(s):  
Jenni Hämäläinen ◽  
Tarja Kvist ◽  
Päivi Kankkunen
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Acute Pain ◽  
Pain Assessment ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Numerical Rating ◽  
Emergency Department Patients ◽  
Pain At Rest ◽  
Patients Perspective

For many patients, acute pain is a common cause to seek treatment in an Emergency Department (ED). An inadequate assessment could cause inappropriate pain management. The aim of this study was to describe and explain patients’ perceptions of acute pain assessment in the Emergency Department. The data were collected from ED patients (n = 114). Patients reported that nurses were asking about intensity of pain at rest, but only 52% during movement. According to the patients, the most common tools to assess acute pain were the verbal rating scale (VRS; 54% of patients), numerical rating scale (NRS; 28% of patients), and visual analogue scale (VAS; 9.7% of patients). Over twenty per cent of patients stated that ED nurses did not ask about the intensity of pain after analgesic administration. Twenty-four per cent of the patients were not pleased with nursing pain assessment in the ED. The assessment of acute pain is still inadequate in the ED. Therefore, ED nurses need to be more attentive to systematic acute pain management of patients in the ED.

scholarly journals Effectiveness of Al-Quran Auditory Therapy and Music Therapy on Pain Quality in Coronary Heart Disease Patients at Ulin General Hospital

2021 ◽  
pp. 827-835
Author(s):  
. Milasari ◽  
. Hamzah ◽  
. Solikin
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Music Therapy ◽  
Quantitative Research ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Therapy Group ◽  
Left Shoulder ◽  
The Mean

Heart disease is the number one cause of death globally; an estimation shows that 17.7 million people die because of cardiovascular disease. 7.4 million deaths are caused by coronary heart disease. The main symptoms of coronary heart disease are chest pain (angina), feeling depressed, squeezed or choked with the location of the pain at the back of the left breastbone spreading from the bottom of the upper arm, left shoulder, to the neck or lower jaw. Pain management can be done with non-pharmacological techniques of Al-Quran auditory therapy and music therapy. The purpose of this study is to determine the effectiveness of Al-Quran auditory therapy and music therapy on the quality of pain in patients with coronary heart disease. This research is a quantitative research with Quasy Experimental research design using two pre and post design approach involving 28 respondents. Measurement of pain level by using Numerical Rating Scale. The results showed that both therapy had an effect on the quality of pain of coronary heart disease patients. The mean decreasing of pain in the group of auditory therapy Al-Quran is bigger than the music therapy group the results of the mean 1.286. So it can be deduced that Al-Quran auditory therapy is more effective in reducing pain in patients with coronary heart disease. The suggestion of this study may provide additional information for response-related pain relief.   Keywords: CHD, Pain, Al-Quran, Music

scholarly journals PENATALAKSANAAN ARTHRITIS RHEUMATOID PADA LANJUT USIA DI PANTI SOSIAL TRESNA WERDHA BUDI LUHUR JAMBI

2019 ◽  
Vol 1 (2) ◽  
pp. 104
Author(s):  
Ariyanto Ariyanto ◽  
Tina Yuli Fatmawati
Keyword(s):  
Community Service ◽  
Inflammatory Process ◽  
The Elderly ◽  
Social Institution ◽  
Pain Scale ◽  
Simulation Approach ◽  
Health Counseling ◽  
Systemic Inflammatory Disease ◽  
Before And After ◽  
Service Activity

Rheumatoid arthritis is a chronic systemic inflammatory disease that attacks several joints, the synovium, which occurs in the inflammatory process that causes damage to the joints. The problem faced by partners is that most elderly people still do not understand rheumatism management properly such as a healthy diet, the importance of maintaining body weight to avoid obesity and have not understood traditional rheumatoid management with lemongrass therapy. This community service activity has been conducted at the Tresna Werdha Social Institution in Jambi City in December 2018. The method used a survey, lecture, discussion, demonstration / simulation approach. The results achieved are the implementation of health counseling in the elderly about rheumatoid management, demonstration of lemongrass therapy therapy and conducting pain scale measurements before and after therapy

scholarly journals ANALYSIS OF THE EFFECTIVENESS OF COUNSELING AND DIGITAL BOOKLET BY PHARMACIST ON ADHERENCE AND PAIN CONTROL OF CANCER PATIENTS AT DHARMAIS CANCER HOSPITAL

2021 ◽  
pp. 124-128
Author(s):  
RURYNTA FERLY SHAVIRA ◽  
RETNOSARI ANDRAJATI ◽  
RISANI ANDALASIA PUTRI
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Opioid Analgesics ◽  
Pain Scale ◽  
Pill Count ◽  
Adherence Level ◽  
Counseling Intervention ◽  
Cancer Hospital ◽  
Significant Difference ◽  
Quasi Experimental

Objective: This study aimed to compare the effectiveness of counseling and digital booklet on the level of treatment adherence through reduced pain scale, Morisky Medication Adherence Scale (MMAS-8) scores, and pill count scores in patients with cancer pain using opioid analgesics. Methods: The author conducted this study at Dharmais Cancer Hospital with a quasi-experimental design. The study sample consisted of 134 respondents who met the inclusion and exclusion criteria, underwent a counseling intervention, and received a digital booklet. The author divided the sample into two groups, the counseling group (n=67) and the digital booklet group (n=67). Adherence level was measured using MMAS-8 and pill count. The pain scale was measured using the Numerical Rating Scale. Those measurements were conducted before the intervention (pre-test) and after 2 weeks of provisioning counseling and receipt of the digital booklet (post-test). Results: The results showed that each counseling and digital booklet improve adherence (p<0.05) and decrease pain scale (p<0.05). There was a significant difference in changes in the level of adherence (p=0.027) between the two groups. However, there was no significant difference in changes in the pain scale (p=0.132) between the two groups. Conclusions: The analysis showed a significant difference (p<0.05) between adherence level and pain scale before and after intervention by both counseling and digital booklet. Nevertheless, adherent increasing and pain scale reduction by counseling is better than a digital booklet.

scholarly journals Evaluation of Pain Management after Surgery: An Observational Study

Medicina ◽  
2020 ◽  
Vol 56 (2) ◽  
pp. 65
Author(s):  
Regina Sierżantowicz ◽  
Jolanta Lewko ◽  
Dorota Bitiucka ◽  
Karolina Lewko ◽  
Bianka Misiak ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Perception ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Multimodal Analgesia ◽  
World Health ◽  
Endocrine Surgery ◽  
Who Analgesic Ladder ◽  
Frequent Use ◽  
Health Organization

Background and Objectives: Choosing a pain management strategy is essential for improving recovery after surgery. Effective pain management reduces the stress response, facilitates mobilization, and improves the quality of the postoperative period. The aim of the study was to assess the effectiveness of pain management in patients after surgery. Materials and Methods: The study included 216 patients operated on in the following surgical wards: the Department of Cardiosurgery and the Department of General and Endocrine Surgery. Patients were hospitalized on average for 6 ± 4.5 days. Patients were randomly selected for the study using a questionnaire technique with a numerical rating scale. Results: Immediately after surgery, pre-emptive analgesia, multimodal analgesia, and analgosedation were used significantly more frequently than other methods (p < 0.001). In the subsequent postoperative days, the method of administering drugs on demand was used most often. Patients with confirmed complications during postoperative wound healing required significantly more frequent use of drugs from Steps 2 and 3 of the World Health Organization (WHO) analgesic ladder compared with patients without complications. Conclusion: The mode of patient admission for surgery significantly affected the level of pain perception. Different pain management methods were used and not every method was effective.

Evaluation of targeted bupivacaine for reducing acute postoperative pain in cats undergoing routine ovariohysterectomy

2019 ◽  
Vol 22 (2) ◽  
pp. 91-99 ◽  
Author(s):  
James Mack Fudge ◽  
Bernie Page ◽  
Amy Mackrell ◽  
Inhyung Lee
Keyword(s):  
Postoperative Pain ◽  
Acute Pain ◽  
Rating Scale ◽  
High Volume ◽  
Pain Scale ◽  
Placebo Control ◽  
Controlled Clinical Trial ◽  
Colorado State University ◽  
Pain Scores ◽  
Pain Scales

Objectives This study sought to determine if bupivacaine targeted at specific, potentially painful sites could enhance postoperative analgesia in routine feline ovariohysterectomies. A secondary objective was to assess the utility of multiple acute pain scales for cats in a high-volume surgery setting. Methods Two hundred and twelve cats were included in a prospective, randomized, double-blinded, placebo-controlled clinical trial. Anesthesia included buprenorphine, ketamine, dexmedetomidine and isoflurane. A ventral midline ovariohysterectomy was performed and cats were administered bupivacaine (2 mg/kg), placebo control (0.9% saline) or sham control (observation only) intraoperatively at the ovarian suspensory ligaments and vessels, uterine body and incisional subcutaneous tissues. Two pain scales were used to assess cats postoperatively. Initially, a multidimensional composite pain scale (MCPS) and a 0–10 numeric pain rating scale (NRS) were used. Subsequently, the MCPS was replaced with a modified Colorado State University Feline Acute Pain Scale (mCSU). Pain scores for the test groups were compared using a one-way ANOVA and a Holm–Bonferroni post hoc analysis when a difference was found ( P <0.05). Results Pain for the bupivacaine group was lower than the control groups at 1 h post-recovery and discharge, attaining significance with higher body weights. The P values were 0.008 and 0.004 for 1 h post-recovery and discharge, respectively. Pain scores between evaluators for the MCPS and NRS correlated poorly with r values for 1 h post-recovery and discharge of −0.08 and 0.22, respectively. Additionally, the MCPS proved difficult to use and time consuming, especially for feral and fractious patients, and was replaced with the mCSU. Conclusions and relevance Targeted bupivacaine reduced early postoperative pain scores following routine feline ovariohysterectomies. The technique used was simple, requiring just over a minute to perform at minimal additional cost. The MCPS was not ideal for use in a high-volume spay setting.

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