The Impact of Gentle Language on Pain Perception During Colposcopy

Dalton, Megin; Dangel, Alissa; Strohsnitter, William C.; Baecher-Lind, Laura

doi:10.1097/lgt.0000000000000013

Cited by 5 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 Gentle language has been shown to reduce pain during local anesthetic injection and venous blood sampling, 6,7 although not colposcopy. 8 Positive suggestion is similar to gentle language but goes further in terms of describing procedural steps in positive ways while bolstering patient coping skills. 1 An extension of these methods is to have a trained person sit with the patient to provide emotional support during the procedure.…”

Section: Biology Of Painmentioning

confidence: 95%

Pain Management for Gynecologic Procedures in the Office

Ireland¹,

Allen²

2016

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

show abstract

Section: Biology Of Painmentioning

confidence: 95%

Pain Management for Gynecologic Procedures in the Office

Ireland¹,

Allen²

2016

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

show abstract

“…Gentle language is another method to effectively decrease pain associated with surgical procedures: A randomized study in patients with cervical biopsies compared standard language to gentle, non-pain-based language. The results showed a pain score of 3.1 versus 2.9, which was not significantly different [17]. So far no successful strategy has been defined to help alleviate biopsy trauma for women visiting a colposcopy clinic.…”

mentioning

confidence: 76%

Cervical Strip Biopsy for High-Grade Cervical Intraepithelial Lesions: a Valid Alternative to Conventional Punch Technique

Schneider¹,

Wagner²,

Rakozy³

et al. 2015

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

Introduction: To evaluate, if targeted strip biopsies decrease trauma/pain perception while maintaining diagnostic accuracy in patients with the diagnosis of high-grade squamous intraepithelial lesions of the uterine cervix. Patients and Methods: Between July 1st and December 31st 2014 we performed colposcopically directed strip biopsies in 102 patients with colposcopic suspicion of high-grade squamous intraepithelial lesions of the uterine cervix. We used a 3?mm curette for harvesting tissue samples under VITOM? videocolposcopy. So far, 60 patients underwent additional loop excision. Histologic examination of strip biopsies and loop specimens included routine hematoxylin and eosin staining as well as immunohistochemical staining for p16, Ki 67 and stathmin-1. Results: 55 patients (53?%), were histologically diagnosed with cervical intraepithelial neoplasia grade 3 on strip biopsies. Adenocarcinoma in situ was diagnosed in 2 patients (2?%), cervical intraepithelial neoplasia grade 2 in 35 patients (34?%), and cervical intraepithelial neoplasia grade 1 in 10 patients (10?%). The agreement between histologic results of strip biopsy and loop specimen was highly significant: In all 60 strip biopsies diagnosed with high-grade squamous intraepithelial lesions this diagnosis was confirmed histologically during follow-up loop specimen excision (high-grade squamous intraepithelial lesions in 58 patients, invasive disease in 2 patients). The pain level experienced during strip biopsy was rated on average 0.25 on a scale from 0 to 10. No clinically significant bleeding was reported. Conclusion: Targeted strip biopsies with a 3?mm curette are a reliable procedure to diagnose high-grade squamous intraepithelial lesions of the uterine cervix and yield high patient satisfaction (Video 1).

show abstract

“…Gentle language avoids using negatively loaded statements while coaching a patient through a procedure (e.g., instead of telling the patient that an injection of local anesthesia may "sting and burn," say "we are numbing the cervix now to make you more comfortable during the procedure") [75]. While gentle language has not been formally studied in abortion care, it has been shown to reduce pain during local anesthetic injection and venous blood sampling [76,77], although not during colposcopy [78]. Positive suggestion is similar to gentle language but goes further in terms of describing procedural steps in positive ways while bolstering the patient's coping skills (e.g., "that sensation is your cervix gently opening so that the pregnancy can be safely and easily removed" during dilation of the cervix) [2].…”

Section: Are Oral Opioids Effective For Pain Control In Surgical Abormentioning

confidence: 99%

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

Allen

Singh

2018

Contraception

View full text Add to dashboard Cite

Satisfactory pain control for women undergoing surgical abortion is important for patient comfort and satisfaction. Clinicians ought to be aware of the safety and efficacy of different pain control regimens. This document will focus on nonpharmacologic modalities to reduce pain and pharmacologic interventions up to the level of minimal sedation. For surgical abortion without intravenous medications, a multimodal approach to pain control may combine a dedicated emotional-support person, visual or auditory distraction, administration of local anesthesia to the cervix with buffered lidocaine and a preoperative nonsteroidal anti-inflammatory drug. Oral opioids do not decrease procedural pain. Oral anxiolytics decrease anxiety but not the experience of pain. Further research is needed on alternative options to control pain short of moderate or deep sedation.

show abstract

The Impact of Gentle Language on Pain Perception During Colposcopy

Abstract: Although gentle language has been shown to effectively reduce pain associated with other procedures, it did not reduce the pain associated with colposcopy and biopsies in this study.

Cited by 5 publications

References 4 publications

Pain Management for Gynecologic Procedures in the Office

Pain Management for Gynecologic Procedures in the Office

Cervical Strip Biopsy for High-Grade Cervical Intraepithelial Lesions: a Valid Alternative to Conventional Punch Technique

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

Contact Info

Product

Resources

About