A Survey of Hospices' Use of Complementary Therapy

Running, Alice; Shreffler-Grant, Jean; Andrews, Wendy

doi:10.1097/01.njh.0000319177.25294.e5

Cited by 26 publications

(40 citation statements)

References 32 publications

(24 reference statements)

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“…3 Hospices who offer music therapy as a discretionary service report that it is a patient-preferred therapy compared to other complementary modalities. 4 Patients expect multiple benefits from music therapy, including emotional and spiritual support, support coping with pain, and an opportunity to express feelings. 5 Emotional distress, pain management, and attention to spiritual needs are critical to high quality end of life care.…”

Section: Introductionmentioning

confidence: 99%

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

Burns

Perkins

Tong

et al. 2015

Journal of Pain and Symptom Management

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Context: Music therapy is a common discretionary service offered within hospice; however, there are critical gaps in understanding the effects of music therapy on hospice quality indicators, such as family satisfaction with care. Objectives: The purpose of this study was to examine whether music therapy affected family perception of patients' symptoms and family satisfaction with hospice care. Methods: A retrospective, cross sectional analysis of electronic medical records from 10,534 cancer patients cared for between 2006-2010 by a large national hospice. Logistic regression was used to estimate the effect of music therapy using propensity scores to adjust for non-random assignment. Results: Overall, those receiving music therapy had higher odds of being female, having longer length of stay, and receiving more services other than music therapy, and lower odds of being married/partnered or receiving home care. Family satisfaction data were available for 1495 (14%) and were more likely available if the patient received music therapy (16% vs 12%, p<.01). There were no differences in patient pain, anxiety, or overall satisfaction with care between those receiving music therapy vs not. Patients who received music therapy were more likely to report discussions about spirituality (OR=1.59, p=.01), marginally less trouble breathing (OR = 0.77, p=.06), and marginally more likely to receive the right amount of spiritual support (OR = 1.59, p=.06). Conclusions: Music therapy was associated with perceptions of meaningful spiritual support and less trouble breathing. The results provide preliminary data for a prospective trial to optimize MT interventions for integration into clinical practice.

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Section: Introductionmentioning

confidence: 99%

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

Burns

Perkins

Tong

et al. 2015

Journal of Pain and Symptom Management

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“…[13] In studies conducted in other countries with the elderly, it has been shown that rates of complementary and alternative medicine use ere between 28% and 50%. [17,18] Massage is one of the commonly utilized techniques as complementary or alternative methods. According to a research in England, 70% of complementary therapies used in palliative care includes massage.…”

Section: Introductionmentioning

confidence: 99%

The effect of a hand massage on pain and depression in the older people living in a nursing home: pilot study

Erol¹,

Ertunc²,

Ozturk³

2014

Psi Hem Derg

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SUMMARY Objectives:This study was conducted to analyze the effect of a hand massage on pain and depression, blood pressure, pulse and respiration number in older people living in a nursing home. Methods:The research was carried out using pre-post tests in a single-group quasi-experimental design and took place over the period from February to May 2013 in Istanbul. The study was conducted with 20 elderly individuals. The data for the study were collected with the "Questionnaire Form ", "McGill-Melzack Pain Questionnaire, " and the "Geriatric Depression Scale. " The hand massages were administered by the researchers according to the Kolcaba Hand Massage Protocol; the massage was given three days a week during six weeks, a total of 18 sessions, in the individual's room. The Wilcoxon and Friedman Tests were used in the evaluation. Results:The age of the elderly individuals in the study was 79.00±6.24 years. After the 18 sessions of hand massaging in the study, pain levels of the subjects (p<0.001) and their depression scores (p<0.01) displayed a significant decrease. In systolic blood pressure taken before, immediately after, and 30 minutes after, the massage exhibited a significant decrease after the first, third and sixth weeks in all of the readings (p<0.001). Diastolic blood pressure values, pulse and respiration rates taken before, immediately after, and 30 minutes after, the massage exhibited significant decreases after the third and sixth weeks (p<0.001). Conclusion:It was concluded that hand massage is effective in reducing pain and depression scores in the elderly.

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“…In addition, people receiving palliative and EoL often use CAM to relieve pain, maintain comfort and quality of life and manage the spiritual aspects of dying to achieve a 'good death' [41,42]. CAM is also used to reduce restlessness, agitation and mental stress [43].…”

Section: Complementary and Alternative Therapiesmentioning

confidence: 99%

Palliative and end of life care for people with diabetes: a topical issue

Dunning¹,

Savage²,

Duggan³

et al. 2014

Diabetes Management

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Managing diabetes is challenging, especially in palliative and end-oflife situations. The prime focus is usually on safety, comfort and quality of life rather than on achieving 'tight' blood glucose control. Preventing hypo-and hyper-glycemia is an important aspect of comfort and quality of life. The care plan and blood glucose targets need to be personalized to suit the individual's health and functional status, medicine regimen, risk profile and life expectancy, and, importantly, developed with the individual and sometimes their family carers. Once developed, the care plan should be monitored and reviewed regularly to accommodate changing health status and ensure the person's documented wishes are current. Key care challenges include detecting symptoms of hypoand hyper-glycemia and determining their underlying causes so appropriate care can be initiated. Health professionals often find it difficult to decide on a management plan and when to withdraw treatment in rapidly changing circumstances, especially if the person has not documented their wishes. The paper addresses key palliative and end-of-life care issues relevant to Type 1, Type 2 and corticosteroid-induced diabetes. Practice points• Palliative and end-of-life care are important aspects of the diabetes disease trajectory; proactive end-of-life care planning could be incorporated into the annual diabetes complication screening process.• The key focus of palliative diabetes care is on undertaking appropriate assessments and monitoring that can guide care decisions, avoid unnecessary burden of care, and manage unpleasant symptoms to promote comfort and quality of life.• Care, including blood glucose ranges and HbA1c targets, should be individualized and adjusted to suit the individual's health and functional status, end-of-life stage, life expectancy, self-care ability and their end-of-life wishes.• Hypo-and hyper-glycemia cause distressing symptoms and stress and fear for people with diabetes on glucose-lowering medicines. Symptoms can be atypical and difficult to recognize for the individual and health professionals. Treatment might be delayed or not provided and the health professionals often under-rate the impact of hypo-and hyper-glycemia on the individual's mental and physical wellbeing.• Regular blood glucose monitoring helps identify hypo-and hyper-glycemia and enables appropriate treatment to be implemented promptly to reduce the metabolic and psychological impact.• The individual and their families should be involved in care decisions when possible, including proactively planning for end-of-life care.• It is important to support and educate family and other carers, including health professionals, during the individual's end-of-life journey and often during the bereavement period after death.For reprint orders, please contact: reprints@futuremedicine.com

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A Survey of Hospices' Use of Complementary Therapy

Cited by 26 publications

References 32 publications

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

Music Therapy Is Associated With Family Perception of More Spiritual Support and Decreased Breathing Problems in Cancer Patients Receiving Hospice Care

The effect of a hand massage on pain and depression in the older people living in a nursing home: pilot study

Palliative and end of life care for people with diabetes: a topical issue

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