The Role of Nonpharmacological Approaches to Pain Management

Stroud, Clare; Norris, Sheena M. Posey; Bain, Lisa J.

doi:10.17226/25406

Cited by 7 publications

(4 citation statements)

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“…Lacking or restrictive policies decrease the opportunities for use of NPPM in the clinical setting, and also limit the trust staff and women place in these methods 12 , 14 , 22 - 26 , 28 , 30 . It is important that policies surrounding pain management are flexible and incorporate patient experiences because of the subjective nature of pain and unpredictability of pain progression 38 , 39 . Effective policy generation will minimize barriers and promote the use of NPPM methods 39 .…”

Section: Discussionmentioning

confidence: 99%

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The barriers to offering non-pharmacological pain management as an initial option for laboring women: A review of the literature

Ingram¹,

Brady²,

Peacock³

2022

Eur J Midwifery

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INTRODUCTION Many women use pharmacological or non-pharmacological pain management (NPPM) during childbirth, however, evidence shows the usage rates of pharmacological pain management are increasing. The shift towards a biomedical approach to birth care opposes the enduring midwifery philosophy of trusting the woman and her body. Identifying midwives’ beliefs and attitudes towards perceived and actual barriers to offering NPPM as an initial option will provide insight into the factors that affect this. METHODS This review of the literature sought to understand midwives’ beliefs and attitudes towards the barriers to offering NPPM as an initial option for laboring women. Peer-reviewed journals were searched for primary research that met the inclusion criteria and explored midwives’ beliefs and attitudes towards the barriers to offering NPPM as an initial option for laboring women. Included studies were evaluated for quality according to the Critical Appraisal Skills Programme (CASP) checklists. RESULTS Thirteen qualitative studies met the inclusion criteria and four main themes of barriers to midwives offering NPPM emerged: health system-related, health facility-related, health practitioner-related, and health consumer-related barriers. CONCLUSIONS The review of the literature highlighted there are barriers that prevent or delay the initial utilization of non-pharmacological methods of pain management in labor by midwives. These findings can be used as a platform to inform further research into this topic.

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Section: Discussionmentioning

confidence: 99%

“…It is important that policies surrounding pain management are flexible and incorporate patient experiences because of the subjective nature of pain and unpredictability of pain progression 38 , 39 . Effective policy generation will minimize barriers and promote the use of NPPM methods 39 .…”

Section: Discussionmentioning

confidence: 99%

The barriers to offering non-pharmacological pain management as an initial option for laboring women: A review of the literature

Ingram¹,

Brady²,

Peacock³

2022

Eur J Midwifery

View full text Add to dashboard Cite

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“…However, successful pain management extends beyond pharmacological interventions [14]. Many patients also experience pain in conjunction with heightened levels of stress, anxiety, and disruptions in their sleep patterns.…”

Section: Personalized Comprehensive Pain Management Strategies For En...mentioning

confidence: 99%

The Potential of Lifestyle Medicine: Strategies to Optimize Health and Well-Being in Oncology Care with Dr. Amy Comander

Chorya,

Coloma,

Cortiana

et al. 2023

Cancers

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The field of lifestyle medicine in cancer care and survivorship is undergoing significant transformation, presenting both challenges and opportunities. This collection of insights and reflections by an esteemed speaker aims to address critical facets of this evolving landscape and the intersection of healthcare, lifestyle, and cancer. With a focus on optimizing the health of cancer survivors, the speaker emphasizes the correlation between general population health and strategies for mitigating cancer risk. Evidence-based resources have a key role in their comprehensive insights into lifestyle changes’ role in cancer prevention and survivorship. Lifestyle interventions also have a promising role in mitigating the late effects in the pediatric context. Therefore, encouraging the early adoption of healthy practices in childhood cancer survivors emerges as a pivotal strategy. Furthermore, challenges in enhancing education and access to lifestyle medicine are addressed. This highlights the importance of patient-centered communication, motivational interviewing, and personalized guidance in facilitating lifestyle changes with patients. Finally, the role of nutritionists in advising breast cancer patients to consider calorie restriction to lower IGF-1 levels is explored. This collection underscores the multifaceted nature of lifestyle medicine in cancer care, highlighting challenges, opportunities, and the transformative power of passion and curiosity in shaping healthcare careers.

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“…A potential solution to address these practice barriers and improve guideline adherence for low back pain care is to incorporate psychologically informed practice skills into professional training. The 2011 Institute of Medicine's (now the National Academy of Medicine) report on pain highlighted the deficit of pain education in professional training programs and called for the inclusion of standardized pain information across health professions [13]. More recently, a 2019 National Academy of Medicine report highlighted the importance of nonpharmacological approaches to pain management and stated that clinicians still receive inadequate pre and post licensure training about non-pharmacological pain treatments, including those that are psychologically informed [14].…”

Section: Introductionmentioning

confidence: 99%

Introduction of a psychologically informed educational intervention for pre-licensure physical therapists in a classroom setting

2020

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Background There is an increasing need for physical therapists to address psychosocial aspects of musculoskeletal pain. Psychologically informed practice is one way to deliver this type of care through the integration of biopsychosocial interventions into patient management. An important component of psychologically informed practice is patient centered communication. However, there is little research on how to effectively implement patient centered communication into pre-licensure training for physical therapists. Methods Thirty Doctor of Physical Therapy (DPT) students took part in an educational intervention that consisted of one 4-h didactic teaching session and three 1-h experiential learning sessions. Prior to the first session, students performed an examination of a standardized patient with chronic low back pain and were assessed on psychologically informed physical therapy (PIPT) adherent behaviors via a rating scale. Students also completed the Pain Attitudes and Beliefs Scale (PABS-PT). After the last experiential session, students evaluated another standardized patient and were reassessed on PIPT adherent behaviors. Students retook the PABS-PT and qualitative data was also collected. Results After the educational intervention, students had positive changes in their pain attitudes and belief scores indicating a stronger orientation toward a psychosocial approach to patient care (p < 0.05). Additionally, after the intervention, students showed improvements in their adherence to using PIPT behaviors in their simulated patient interactions (p < 0.05). Qualitatively, students reported a high acceptability of the educational intervention with common themes indicating improved confidence with treating and communicating with complex patients. Conclusion Students had attitudes and beliefs shift towards a more psychosocial orientation and demonstrated improved PIPT behaviors in simulated patient interactions after a brief educational intervention. Future research should investigate best practices for implementation of psychologically informed physical therapy for licensed clinicians.

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The Role of Nonpharmacological Approaches to Pain Management

Cited by 7 publications

References 0 publications

The barriers to offering non-pharmacological pain management as an initial option for laboring women: A review of the literature

The barriers to offering non-pharmacological pain management as an initial option for laboring women: A review of the literature

The Potential of Lifestyle Medicine: Strategies to Optimize Health and Well-Being in Oncology Care with Dr. Amy Comander

Introduction of a psychologically informed educational intervention for pre-licensure physical therapists in a classroom setting

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