Background: Distraction techniques are often provided by nurses, parents or child life specialists and help in pain alleviation during procedures. The use of non pharmacological procedures to cope with pain behaviour is less costly and most of these procedures can be administered by a nurse. Hence, the aim of the present study was to assess and compare the analgesic effect of holding the child by a family member versus holding the child by a family member along with an animation distraction intervention on the level of pain perception during venipuncture in children up to seven years of age. Materials and Methods:Purposive sampling technique was used to select 70 children admitted in paediatric ward of Guru Gobind Singh Medical Hospital, Faridkot, 35 children in each group viz. Group 1(child held by family member during venipuncture) and Group 2 (child held by family member along with an animation distraction during venipuncture) and video clippings were made for each subject in both groups. Standardized FLACC pain scale was used to assess the level of pain during venipuncture by seeing the video clips of procedure in both groups.

Background: Patients in intensive care unit (ICU) experience intense anxiety during their treatment which might also affect their physiological parameters. Aim: Study aimed to assess the effectiveness of music therapy on ICU induced anxiety and physiological parameters among intensive care unit patients in a tertiary care hospital of India. Methodology/Design: An experimental research approach with two groups pre-test post-test control design was used. 70 intensive care unit patients were randomized into two groups, experimental and conventional care group (35 in each group). The experimental group received 20 min tailored music therapy in addition to standard treatment thrice a day for continuous three days. In contrast, only standard care was provided to the other group. The socio-demographic sheet, clinical profile sheet, Zung Self Rating Anxiety Scale (SAS) and physiological parameter sheet was used to measure study parameters. Results: Music therapy was highly effective (t = 15.136 (34) p=<0.001) in reducing anxiety among experimental group subjects after the intervention whereas no change is seen in conventional care group on fourth day of the intervention. Similarly, music therapy was significantly effective in stabilizing physiological parameters among experimental group subjects during post test as compared to conventional care group. Conclusion: Music therapy is a non-invasive, non-pharmaceutical and an efficient practice to abate the ICU induced anxiety among intensive care unit patients. It also possesses the ability to stabilize the main physiological parameters of intensive care unit patients. Study recommends the use of music therapy for ICU patients to stabilize their psychological and physiological parameter.

Background: Availability of mothers only milk (MOM) for preterm infants is a boon for their growth and development. Authors found that in our Special Newborn Care Unit (SNCU), the availability of MOM was very less with excessive use of formula feed. So, authors planned a quality improvement (QI) study to improve availability of MOM for preterms in level 3 SNCU catering to both in-born and out-born neonates.Methods: Authors aimed to improve availability of MOM to preterm infants admitted in SNCU from the current 10% to 80% at day 7 of admission over a period of 8 weeks. Authors included preterm and mother dyads with <34 weeks of gestation or having birth weight <1800 gm. and likely to stay in SNCU for at least a week. For this initiative a QI team was formed. Baseline data was collected for a period of 3 weeks and analysis was performed of various constrains in providing MOM to preterms was later an interventional package was implemented which included counselling to mothers, Kangaroo mother care (KMC), demonstration of milk expression techniques. Intervention phase was implemented for the period of 8 weeks followed by sustenance phase for 2 months.Results: Proportion of preterm infants on MOM increased from 10% to 81% during intervention phase at day 7 of admission and remained 66% during sustenance phase.Conclusion: QI initiative has the potential to bring a tremendous change in making mothers milk available to both inborn and out-born preterms. With existing resources simple interventions can increase availability of MOM to preterm infants.

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