Complementary and Integrative Therapies for Persistent Pain Management in Older Adults: A Review

Bruckenthal, Patricia; Marino, Marie Ann; Snelling, Lisa

doi:10.3928/00989134-20161110-08

Cited by 14 publications

(14 citation statements)

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“…It affects emotions, touches lives and connects people regardless of culture or race, allowing it to be used in a variety of settings, particularly in end-of life care and chronic illnesses (McClean, Bunt & Daykin, 2012). Bruckental, Marino & Snelling (2016) described guided imagery as a technique that can be used to teach patients how to replace negative thoughts with positive ones through suggestions and visualization. It also empowers them in order to be able to take care of themselves.…”

Section: Expressions Of Spiritualitymentioning

confidence: 99%

Effects of Spirituality on Patients' Health Outcomes

Charles¹

2018

Preprint

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Spirituality is a concept that is recently getting increased attention. Often misunderstood or confused with other concepts such as religion or culture, it has a broader meaning and transcends culture, religion, and geographic boundaries. The importance of spirituality in patient care remains controversial amongst providers. An integrative review of the literature was conducted to examine the impact of spirituality on health outcomes. Literature was searched over a 20 year period using CINAHL and PUBMED. The framework that guided this project was Martha Rogers’s Theory of Unitary Human Being that focuses on the interaction between individuals and their environment. In the method section, terms often confused with spirituality were described. Ten articles that described the effects of spirituality on health outcomes and that met the inclusion and exclusion criteria were analyzed. The included literature was critiqued using the Polit and Beck appraisal tool and presented in tables, then a cross-analysis of these articles was conducted and described. The literature supported that there are numerous positive outcomes, physical or psychological associated with spirituality. The implications and recommendations for advanced practice were also discussed.

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Section: Expressions Of Spiritualitymentioning

confidence: 99%

Effects of Spirituality on Patients' Health Outcomes

Charles¹

2018

Preprint

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“…Reviews of the literature on the effectiveness of non-pharmacological interventions for managing pain in older adults have previously been conducted. The authors of these reviews have presented a general picture of how pain in older adults can be managed using appropriate pain assessments, analgesics, and non-pharmacological interventions [25–30]. However, the studies that were included in these reviews were not specifically targeted at community-dwelling older adults [26, 29, 30].…”

Section: Introductionmentioning

confidence: 99%

“…However, the studies that were included in these reviews were not specifically targeted at community-dwelling older adults [26, 29, 30]. Thus, the reviews lack sufficient information to evaluate and compare the effectiveness of the interventions in reducing pain intensity [25, 29]. Also, they did not discuss the suitability and sustainability of the interventions.…”

Section: Introductionmentioning

confidence: 99%

“…An appraisal of the quality of the included articles was not performed, and there may also have been some bias in the selection of these articles. Thus, it is difficult to determine the quality of these literature reviews [25–27, 29]. The authors of the reviews did not adopt guidelines for conducting the literature reviews and presenting the findings [25–30].…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness, suitability, and sustainability of non-pharmacological methods of managing pain in community-dwelling older adults: a systematic review

et al. 2019

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BackgroundPain is common in older adults. To maintain their quality of life and promote healthy ageing in the community, it is important to lower their pain levels. Pharmacological pain management has been shown to be effective in older adults. However, as drugs can have various side effects, non-pharmacological pain management is preferred for community-dwelling older adults. This systematic review evaluates the effectiveness, suitability, and sustainability of non-pharmacological pain management interventions for community-dwelling older adults.MethodsFive databases, namely, CINHAL, Journals@Ovid, Medline, PsycInfo, and PubMed, were searched for articles. The criteria for inclusion were: full-text articles published in English from 2005 to February 2019 on randomized controlled trials, with chronic non-cancer pain as the primary outcome, in which pain was rated by intensity, using non-pharmacological interventions, and with participants over 65 years old, community-dwelling, and mentally competent. A quality appraisal using the Jadad Scale was conducted on the included articles.ResultsTen articles were included. The mean age of the older adults was from 66.75 to 76. The interventions covered were acupressure, acupuncture, guided imagery, qigong, periosteal stimulation, and Tai Chi. The pain intensities of the participants decreased after the implementation of the intervention. The net changes in pain intensity ranged from − 3.13 to − 0.65 on a zero to ten numeric rating scale, in which zero indicates no pain and ten represents the worst pain.ConclusionsNon-pharmacological methods of managing pain were effective in lowering pain levels in community-dwelling older adults, and can be promoted widely in the community.

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“…"Complementary and Integrative Therapies for Persistent Pain Management in Older Adults: A Review" (Bruckenthal, Marino, & Snelling, 2016) focuses on evidence for effective nondrug pain treatments with recommendations for positioning in the treatment plan and increased emphasis on these treatments. Bruckenthal et al (2016) emphasize holistic care that incorporates complementary and alternative therapies in the context of patient-centered self-management approaches for older adults.…”

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confidence: 99%