Incorporating Complementary Alternative Methods in the Management of Chronic Pain into a Primary Care Practice in New York

Sher, Vladimir

Publication:
Incorporating Complementary Alternative Methods in the Management of Chronic Pain into a Primary Care Practice in New York

dc.contributor.advisor	Annette B. Wysocki, Ph.D., RN, FAAN
dc.contributor.advisor	Annette B. Wysocki, Ph.D., RN, FAAN
dc.contributor.advisor	n/a
dc.contributor.author	Sher, Vladimir
dc.contributor.department	University of Massachusetts Amherst
dc.contributor.department	Doctor of Nursing Practice
dc.contributor.department	Family Nurse Practioner
dc.date	2024-01-22T14:22:14.000
dc.date.accessioned	2024-04-26T19:34:40Z
dc.date.available	2024-04-26T19:34:40Z
dc.date.issued	2019-01-01
dc.date.submitted	May
dc.description.abstract	Background: Pain is a physical, emotional, and psychological symptom that causes discomfort and leads to physiological consequences that can damage tissue, alter neurological pathways, and cause severe psychological distress. The combined use of complementary and alternative medicine (CAM) therapies can reduce pain and lead to an improvement in patient health. Purpose: The purpose of this quality improvement project/evidence-based practice intervention was to review concepts related to pain and analyze the current use of music and massage CAM therapies in a primary care setting. Methods: The Gate Control Theory was used in this project describing pain as "a category of experiences signifying a multitude of different and unique experiences, having different causes, and characterized by different qualities varying along a number of sensory and affective dimensions.” Patients in an outpatient New York City clinic were asked to assess their pain levels after the use of CAM therapies. Patients received music and/or massage therapy two times a week, every two weeks for 12 weeks and pain was categorized using self-assessment tools. Patients were instructed to complete a pre- and post-procedure evaluation at two weeks intervals throughout the 12-week evaluation to document their pain levels. Results: The results show that patients using music and/or massage therapy in combination with medications for pain management had reduced pain. Conclusions: Based on the final 12 weeks pre/post assessment, all 14 participants reported better sleeping patterns, moods, and reduced pain after the two therapies. Further, music therapy participants showed a relatively better mood outcome over massage participants because they could choose positive music. Keywords: pain, complementary and alternative medicine, hypnosis, massage, music
dc.identifier.doi	https://doi.org/10.7275/14385206
dc.identifier.uri	https://hdl.handle.net/20.500.14394/37888
dc.relation.url	https://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1203&context=nursing_dnp_capstone&unstamped=1
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/
dc.source.issue	1
dc.source.issue	n/a
dc.source.status	published
dc.subject	alternative.pain.management
dc.subject	Nursing
dc.title	Incorporating Complementary Alternative Methods in the Management of Chronic Pain into a Primary Care Practice in New York
dc.type	open
dc.type	article
digcom.contributor.author	isAuthorOfPublication\|email:vladimirsher@gmail.com\|institution:University of Massachusetts Amherst\|Sher, Vladimir
digcom.identifier	nursing_dnp_capstone/186
digcom.identifier.contextkey	14385206
digcom.identifier.submissionpath	nursing_dnp_capstone/186
dspace.entity.type	Publication