Navigation Links
Visualizing a safe place reduces procedural pain
Date:4/5/2014

Stavanger, Norway 5 April 2014: Visualising a safe place reduces operative pain, according to research presented today at EuroHeartCare 2014. Nurses guided patients into a trance and found it helped patients cope with pain and anxiety during ablation of atrial fibrillation (AF).

EuroHeartCare is the official annual meeting of the Council on Cardiovascular Nursing and Allied Professions (CCNAP) of the European Society of Cardiology (ESC). This year's meeting is organised jointly with the Norwegian Society of Cardiovascular Nurses. It is held 4-5 April in Stavanger, Norway.

Marianne Wetendorff Nrgaard, lead author and a clinical nurse specialist at Copenhagen University Hospital, Rigshospitalet, Denmark, said: "We ask patients to describe a comfortable safe place they want to be during the procedure. People have chosen a summer house, the beach, or the woods. During the procedure the nurse asks the patient to focus on their safe place and how it looks, smells and sounds."

She added: "When the patient expresses pain, the nurse helps the patient visualise an alternative scenario to the invasive procedure. For example, if the patient says 'my chest is burning', the nurse may say 'imagine that it's a cold day and there is ice on your chest'. Patients tell us that being in this trance like state with safe images makes the procedure a pleasant experience and it feels shorter."

Mrs Nrgaard continued: "Visualisation has the potential to reduce pain and anxiety in numerous procedures. Many patients could even avoid having general anaesthesia, which carries risks."

In the first clinical study of visualisation during ablation of AF, the researchers compared outcomes between 76 patients who used visualisation and 71 patients who received conventional care.1 All patients were awake during the 2-4 hour treatment and received local anaesthesia plus painkillers when they signalled the nurse using a push button. During the procedure patients scored their pain and anxiety levels every 15 minutes and after specific painful experiences.

The researchers found that patients who used visualisation during the procedure were in pain less often and asked for fewer painkillers. When the patients perceived pain, there were no differences between groups in the perception of pain intensity and no differences in anxiety levels.

Mrs Nrgaard said: "Patients who used visualisation expressed pain fewer numbers of times and asked for less painkillers. Their perceived pain intensity may have been the same because we interrupted their visualisation at regular intervals to record pain and anxiety levels. If they had been allowed to stay in their trance like state during the entire procedure, their perceived pain intensity may have also reduced."

The current investigation explored in more detail the experiences of 14 patients who had used visualisation during the clinical study. Qualitative interviews were conducted and subjected to inductive content analysis.

Mrs Nrgaard said: "Patients told us that visualising their own safe place during the procedure made them feel involved and helped them cope with pain and anxiety. Before the intervention patients were anxious and afraid of being on the operating table for a long time but afterwards they said visualisation had made it seem short and that it was a positive and pleasant experience."

She added: "We know that patients want to be in control when they come into hospital and into the operating room. But patients who used visualisation during their invasive procedure said they felt it allowed them to let go of the control because they felt secure and had something else to focus on."

Mrs Nrgaard continued: "Some countries, for example the US and in southern Europe, use general anaesthesia during ablation of AF which can be risky during such a long procedure and is expensive. Some of these patients could use local anaesthesia and visualisation instead, plus painkillers as needed. Extra nurses are not needed in the operating room, you just need to train the ones who are already there."

Mrs Nrgaard concluded: "Patients go through painful procedures every day in different departments of the hospital. Visualisation has the potential to reduce the amount of pain patients experience during numerous invasive procedures. We offer visualisation to all our AF ablation patients and those who return for another procedure request it. We also use visualisation during other cardiac procedures because it works so well."


'/>"/>

Contact: ESC Press Office
press@escardio.org
33-628-843-113
European Society of Cardiology
Source:Eurekalert

Related medicine news :

1. Cone beam CT proves better for visualizing some causes of hearing loss at half the radiation dose
2. No Added Cancer Risk From Hip Replacement Materials: Study
3. From herd immunity and complacency to group panic: How vaccine scares unfold
4. 2 repressor genes identified as essential for placental development
5. Joint-Replacement Failure Rate Higher for Smokers: Studies
6. Less Invasive Heart Valve Replacement Works for Elderly: Study
7. A place to play: Researcher designs schoolyard for children with autism
8. New study shows that workplace inspections save lives, dont destroy jobs
9. When is it ethical to prescribe placebos?
10. Patients taking certolizumab pegol are twice as likely to achievE ACR20 compared to placebo
11. Obesity, Diabetes May Raise Complications After Joint Replacement
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... ... in intellectual property (IP) to its specialty academic programs. , Answering to the ... college’s existing certificate programs in health law, and environmental and land use law. ...
(Date:5/26/2016)... ... May 26, 2016 , ... Cardiac arrhythmia ... negative impact on long-term patient survival, reports a team of UPMC researchers in ... week in the Journal of Thoracic and Cardiovascular Surgery, provide critical information that ...
(Date:5/26/2016)... Farmingdale, NY (PRWEB) , ... May 26, 2016 ... ... and Hereditary Retinal Degeneration” for the Foundation Fighting Blindness, Long Island Chapter on ... free to the public. , Dr. Maisel, founder of Retina Group of ...
(Date:5/26/2016)... ... May 26, 2016 , ... Leadership ... solutions, today announced the organization has earned its ISO 13485 certification, indicating the ... compliant with all rules and policies associated with ISO quality standard 13485. ...
(Date:5/26/2016)... ... May 26, 2016 , ... Nike ... of activities from daily practices, arts & crafts, discussions, and games all geared ... and Christy Evans have combined backgrounds in kids’ yoga, collegiate sport yoga instruction, ...
Breaking Medicine News(10 mins):
(Date:5/26/2016)... TARE (Transarterial Radio-embolization) Using ... and Overall Decreased Use of Hospital Resource ... specialist healthcare company, has today announced the publication ... of ISPOR (International Society for Pharmacoeconomics and Outcomes ... using yttrium-90 glass microspheres is associated with cost ...
(Date:5/26/2016)... Massachusetts , May 26, 2016 ... (NGS) has matured into an essential life science tool ... and development applications. BCC Research reveals in its new ... a second growth phase, one powered by a range ... fields.      (Logo: http://photos.prnewswire.com/prnh/20140723/694805 ) ...
(Date:5/25/2016)... According to a new market ... 4D), by Therapeutic Area (Oncology, Cosmeceutical/Plastic Surgery), by Application ... Manufacturers, Hospitals/ Clinics) - Forecast to 2021", published by ... for the forecast period of 2016 to 2021. This ... 2021 from USD 117.3 Million in 2016, at a ...
Breaking Medicine Technology: