Guided Imagery in Pain Management Josha Harvey Guided

Guided Imagery in Pain Management Josha Harvey

Guided Imagery � Has been defined by Barrows and Jacobs as “the imaginative capacity of the mind to affect one’s physical, emotional, and spiritual state” (Young & Koopsen, 2011). � Related to hypnosis (Young & Koopsen, 2011).

Research Question � What is the impact of guided imagery as a nursing intervention in the management of pain and chronic pain?

Guided Imagery in children with sickle cell disease � 20 children, ages 6 -11 years old � Quasi-experimental interrupted design � Diaries to record pain perception and guided imagery sessions (Dobson & Byrne, 2014)

Sickle cell pain cont. � Reported average of 5. 6 pain episodes per month before guided imagery and 2. 5 pain episodes after � More children used no pain medications during post-intervention month than during month before guided imagery � Only medication used was ibuprofen (Dobson & Byrne, 2014)

Guided Imagery in patients with cancer pain � Population: 26 hospitalized patients ranging from 18 -72 yrs. � Method: two day crossover design followed by post interview � Technique: 15 minute recording (Kwekkeboom, et. Al, 2008)

Cancer pain cont. � Pain relief found in two thirds of participants (62%). � Three participants reported guided imagery not working for them (Kwekkeboom, et. Al, 2008)

Guided Imagery in osteoarthritis pain � Population: 30 women, greater than 55 yrs. � Method: two-group longitudinal randomizedassignment experimental design � Intervention technique: 12 minute audio tape twice a day for four months (Baird, et. Al, 2010)

Osteoarthritis pain cont. � Decreased pain of 2. 33 on 0 -20 scale � Decrease in analgesics taken per day by 1. 54 from baseline (Baird, et. al, 2010).

Limitations � Why might guided imagery work for some and not others? � Patient perception

Implementing in practice � Guided imagery training for staff � Advocate to include in treatment plan (Dobson & Byrne, 2014)

Implementing in practice cont. � On site training resources � Document in medical record (Dobson & Byrne, 2014)

Conclusion � Using guided imagery on the mental health unit by incorporating it into group therapy � Guided imagery in future positions

References � � Baird, C. L. , Murawski, M. M. , & Wu, J. (2010). Efficacy of guided imagery with relaxation for osteoarthritis symptoms and medication intake. Pain Management Nursing, 11(1), 56 -65. doi: 10. 1016/j. pmn. 2009. 04. 002. Dobson, C. E. & Byrne, M. W. (2014). Original research: Using guided imagery to manage pain in young children with sickle cell disease. American Journal of Nursing, 114(4), 26 -36. Doi: 10. 1097/01. NAJ. 0000445680. 06812. 6 a Kwekkeboom, K. L, Hau, H. , Wanta, B. , & Bumpus, M. (2008). Patients’ perceptions of the effectiveness of guided imagery and progressive muscle relaxation techniques used for cancer pain. Complementary Therapies in Clinical Practice, 14(3), 185 -194. Doi: 10. 1016/j. ctcp. 2008. 04. 002. Young, C. & Koopsen, C. (2011). Spirituality, health, and healing (2 ne ed. ). Sudbury, MA: Jones and Bartlett Publishers.