Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, 2023 Lesley University
Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner
Expressive Therapies Capstone Theses
Those undergoing neurorehabilitation after stroke and traumatic brain injury report a diminished sense of overall wellness. This paper examines the conceivable benefits of introducing expressive arts therapies, which is the therapeutic use and combination of the visual arts, movement, drama, music, writing and other intermodal creative processes, into physical therapy and neurorehabilitation treatment planning. Expressive arts therapies have the capacity to engage with an individual’s physical, emotional, social and spiritual states concurrently. They simultaneously offer the ability to promote an increased sense of well-being, address mind-body disconnects, and process trauma non-verbally.
The sections of this narrative literature review focus ...
Utilizing Primary Care To Engage Patients On Opioids In A Psychological Intervention For Chronic Pain, 2022 Wayne State University
Utilizing Primary Care To Engage Patients On Opioids In A Psychological Intervention For Chronic Pain, Sikander Chohan, Lyuba Gavrilova Bs, Leah Hect, Kristi Autio, Erin Tobin, Brian K. Ahmedani, Lisa R. Miller-Matero
Medical Student Research Symposium
Introduction: Chronic pain is commonly encountered in primary care. It is often treated with opioids, which can cause overdose and death. Psychological interventions are an effective alternative, yet difficulty engaging patients with opioid prescriptions has led to their underutilization. Offering these interventions in primary care settings may alleviate this barrier.
Objective: Determine whether opioid prescriptions are related to patients engaging in a brief psychological intervention for chronic pain management in primary care.
Study Design: Secondary analysis of a pilot randomized clinical trial (RCT) of a 5-session psychological intervention for chronic pain. Patients with chronic pain (N= 220) were approached to ...
Implementation Of A Self-Management Program For Hispanic Patients With Chronic Non-Cancer Pain, 2022 Sacred Heart University
Implementation Of A Self-Management Program For Hispanic Patients With Chronic Non-Cancer Pain, Genesis M. Ladinez Velez
Background: Chronic non-cancer pain (CNCP) is a major public health issue that affects over 100 million Americans. From January 2019 to September 2021, the number patients seen at a Federally Qualified Health Center (FQHC) was 41, 974 of these 40.12% were Hispanic. Of the total patient population at this FQHC, 904 patients had preexisting opioids prescriptions for CNCP. The Hispanic population represents 41.15% of the preexisting prescriptions. Nonopioid alternatives to manage CNCP have been shown to decrease pain and improve functioning similarly to opioids.
Purpose: To implement a CNCP SMP at a FQHC in the Northeast. This quality ...
Pain Assessment Policy Update And Nursing Education On Best Practices For Pain Assessment: A Quality Improvement Project, 2022 Sacred Heart University
Pain Assessment Policy Update And Nursing Education On Best Practices For Pain Assessment: A Quality Improvement Project, Jennifer Zhang
Significance and Background: Chronic pain assessment should focus on patients' functional status, quality of life (QOL), and pain control. A tool to assess pain intensity and biopsychosocial impacts of pain for patients with chronic pain was needed in a Federally Qualified Health Center (FQHC). The Defense and Veterans Pain Rating Scale (DVPRS) incorporates a numeric rating scale with four functional questions on pain interference on ADLs. DVPRS design stimulates communication between patients and providers about their pain, its impact on function, and state of mind. Treatments are focused on making the pain tolerable and optimizing patient function while avoiding unwanted ...
The Occupational Therapy Approach To Pain Treatment: A Pain Curriculum, 2022 University of Nevada, Las Vegas
The Occupational Therapy Approach To Pain Treatment: A Pain Curriculum, Rosalee Howell
UNLV Theses, Dissertations, Professional Papers, and Capstones
It is within the scope of the occupational therapy profession to treat patients experiencing pain. The holistic approach used to assess and treat patients to improve functional performance is vital in treating pain. The focus is to decrease the detrimental impact of pain on the patient’s mental health, enhancing their ability to function in social and vocational roles. However, education is not adequately addressed in occupational therapy programs and is vital in preparing clinicians to meet the patient’s needs effectively.
This Doctoral Capstone was developed to highlight the importance and the benefit of education in preparing clinicians to ...
Barriers To The Use Of Palliative And Hospice Care Among The Latino Population, 2022 California State University, San Bernardino
Barriers To The Use Of Palliative And Hospice Care Among The Latino Population, Diana Ramirez
Electronic Theses, Projects, and Dissertations
Patients suffering from irreversible and terminal illnesses may benefit from the services provided by Palliative and Hospice Care to control any symptom burden and assist in navigating complex medical decisions. Many patients may express hesitation in accepting and enrolling to this service due to misconceptions. Language barriers may add an additional layer of complexity. This study explored the challenges Palliative Care providers encounter when introducing concept of hospice to Spanish-speaking patients their families for the first time. This study implemented qualitative research methods by using semi-structured one-on-one interviews. Ten members of an In-patient Palliative Care Team at a University Hospital ...
Critical Appraisal Bibliography, Scientific Abstract, And Matrix/Evidence Table, 2022 East Tennessee State University
Critical Appraisal Bibliography, Scientific Abstract, And Matrix/Evidence Table, Nicolas Fuller, Jerry Lunsford, Hayley Robinson
Epsilon Sigma at-Large Research Conference
Introduction and Background
As chronic and acute pain disorders continue to be diagnosed in the clinical setting, the number of patients searching for medical care in hopes of alleviating their symptoms is on the rise. Working in both medical and psychiatric facilities as a certified nursing assistant, I saw opioids frequently prescribed as a pharmacological treatment for individuals looking to lessen the pain associated with a multitude of pain related disorders. Working in long term care facilities, I watched individuals who had never struggled with substance use disorders develop clinical dependencies on narcotic medication due to the fact that they ...
Altop (Alternatives To Opiods) Newsletter, Spring 2022, 2022 Sacred Heart University
Altop (Alternatives To Opiods) Newsletter, Spring 2022, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing
News, Magazines and Reports
In this issue:
- Southwest Community Health Center Quality Improvement Staff (QIS)
- FNP-DNP Student's Quality Improvement Project
- Paul L. Jones Scholarship Recipients
- SHU Alumni Kimberly Testo's AANP National Year Award
- Preceptors' Workshop CEU Credits
The Genetics Of Pain: An Exploration Of Gene-By-Environment Interactions And Their Effects On Pain, 2022 The University of Western Ontario
The Genetics Of Pain: An Exploration Of Gene-By-Environment Interactions And Their Effects On Pain, Mohamad F. Fakhereddin
Electronic Thesis and Dissertation Repository
The findings presented in this dissertation are part of the bigger SYMBIOME project which aims to use the biopsychosocial model of pain to develop a prognostic clinical phenotype for people that experience musculoskeletal (MSK) trauma. Chapter 2 presents an exploratory analysis to assess the relationships between genetic polymorphisms and pain severity and interference. Early childhood trauma was also explored as a moderator between genetic polymorphisms and pain outcomes. For pain severity, major allele carriers (A/A and G/A) of FKBP5 rs9394314 reported significantly higher scores than minor allele carriers (G/G). Further, major allele carriers who had at least ...
Analysis Of Zero Balancing Case Studies Through An Occupational Therapy Lens, 2022 Eastern Illinois University
Analysis Of Zero Balancing Case Studies Through An Occupational Therapy Lens, Deanna Waggy Otr, Msa, Czb, Csla
The International Journal of Transformative Touch
Does Zero Balancing positively impact occupational performance? This is a question many Occupational Therapists (OTs) ask when discerning if Zero Balancing (ZB) is an evidence-based treatment modality. Case studies from the book Experiencing the Power of Zero Balancing: Case Studies of Journeys to Health and Wholeness (Quarry & King, 2016) were reviewed and compared to the Occupational Therapy domain of practice to show clear evidence that each case study had a positive impact on occupational performance. A comparison chart shows a direct link between the occupational categories and documented evidence of improved occupational performance through practitioner observation and client feedback following ...
Risk Factors Associated With Healthcare Utilization For Spine Pain, 2022 Boston University
Risk Factors Associated With Healthcare Utilization For Spine Pain, Diana M. Higgins, Ling Han, Robert D. Kerns, Mary A. Driscoll, Alicia A. Heapy, Melissa Skanderson, Anthony J. Lisi, Kristin M. Mattocks, Cynthia Brandt, Sally G. Haskell
Population and Quantitative Health Sciences Publications
OBJECTIVE: This study examined potential risk factors associated with healthcare utilization among patients with spine (i.e., neck and back) pain.
METHODS: A two-stage sampling approach examined spine pain episodes of care among veterans with a yearly outpatient visit for six consecutive years. Descriptive and bivariate statistics, followed by logistic regression analyses, examined baseline characteristics of veterans with new episodes of care who either continued or discontinued spine pain care. A multivariable logistic regression model examined correlates associated with seeking continued spine pain care.
RESULTS: Among 331,908 veterans without spine pain episodes of care during the two-year baseline observation ...
Perceived Instability, Pain, And Psychological Factors Predict Function And Disability In Individuals With Chronic Ankle Instability, Ashley M.B. Suttmiller, Julie M. Cavallario, Shelby E. Baez, Jessica C. Martinez, Ryan S. Mccann
Rehabilitation Sciences Faculty Publications
Chronic ankle instability (CAI) is associated with residual instability, pain, decreased function, and increased disablement. Injury-related fear has been associated with CAI, although its relationship to other impairments is unclear. The Fear-Avoidance Model is a theoretical framework hypothesizing a relationship between injury-related fear, chronic pain, pain catastrophizing, and disability. It has been useful in understanding fear's influence in other musculoskeletal conditions but has yet to be studied in those with CAI.
To explore relationships between instability, pain catastrophizing, injury-related fear, pain, ankle function, and global disability in individuals with CAI.
Anonymous online survey ...
Pain Interference Across Chronic Pain Populations: Variability And Associated Psychosocial Processes, 2022 University of Kentucky
Pain Interference Across Chronic Pain Populations: Variability And Associated Psychosocial Processes, Stephanie Judge
Theses and Dissertations--Psychology
Chronic pain is one of the most common health complaints, yet the limited effectiveness of existing treatment options suggests that chronic pain is still not fully understood. The goals of this study are to identify and organize well-established and emerging psychosocial factors associated with pain interference, clarify the nature of between- and within-diagnostic group differences in psychosocial and demographic factors associated with pain interference, and identify interactions among diagnostic and psychosocial factors associated with pain interference.
Community-dwelling participants (N = 284) completed a one-time survey which included demographic information, information about pain and diagnosis, and five existing measures that assess chronic ...
Effect Of Auricular Acupressure On Acute Pain In Nursing Home Residents With Mild Dementia: A Single-Blind, Randomized, Sham-Controlled Study, Jun Jun Zhang, Li Yu, Jun Hui Mei, Hong Xin Wang, Hai Xiang Gao, Ju Fang Fu, Ye Cheng, Lu Lu Gao, Lei Bu, Jian Qiang Yu, Carol Chunfeng Wang, Yu Xiang Li
Research outputs 2022 to 2026
Introduction. Acute pain is a prevalent problem for dementia residents in nursing homes. A variety of intervention strategies have been applied to address this problem. However, there remains an issue of inadequate pain control. This study aims to explore the analgesic efficacy of auricular acupressure (AA) for dementia residents with acute pain in nursing homes. Methods. A multicenter, single-blind, randomized, and sham-controlled clinical trial was performed in three nursing homes in Yinchuan, China. All of the 206 eligible patients with acute pain were randomly divided into two groups for real AA therapy or sham AA (at sham point stimulation) therapy ...
Sleeping With The Enemy: Examining The Relationship Between Sleep And Pain In Post-9/11 Veterans, 2021 Old Dominion University
Sleeping With The Enemy: Examining The Relationship Between Sleep And Pain In Post-9/11 Veterans, John L. Schwartz Jr.
Psychology Theses & Dissertations
United States veterans are a diverse group of individuals, yet as a result of their service, they share a unique set of customs, traditions, and values. Post-9/11 veterans are more likely to experience elevated levels of pain and poor sleep quality compared to their civilian counterparts; however, little is known about how beliefs related to veterans’ pain impact their sleep and how levels of pain acceptance influence the sleep-pain association. This study examined relationships between sleep and pain in a sample of 102 post-9/11 veterans. Results support associations between pain and sleep identified in other populations. Positive correlations ...
Cognitive Behavioral Therapy Part 2: Focus On Chronic Pain And Depression, 2021 University of Massachusetts Medical School
Cognitive Behavioral Therapy Part 2: Focus On Chronic Pain And Depression, Elizabeth C. Dykhouse
PEER Liberia Project
This presentation is part of the PEER Liberia Behavioral Health Lecture Series. It provides an overview for physicians of Cognitive Behavioral Therapy for chronic pain and depression.
Shu Altop News Issue #4, Fall, 2021 Sacred Heart University
Shu Altop News Issue #4, Fall, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing
News, Magazines and Reports
Updates from the Davis & Henley College of Nursing Sacred Heart University Alternatives to Opioids for Pain Grant.
Alternatives to Opioids for Pain (ALTOP) is a HRSA funded project to help combat the opioid epidemic in Connecticut.
In this issue: • New Roles in Our Team • ANEW HRSA 2021-2022 Awardees • Southwest Community Health Center Chiropractic Care Services • Student Quality Improvement Project • Sacred Heart University Alumni Working at New Solutions Pain Management Clinic.
I Smoke To Cope With Pain: Patients' Perspectives On The Link Between Cigarette Smoking And Pain, Megan Lee, Jennifer Snow, Caroline Quon, Kim Selander, Eric Derycke, Mark Lawless, Mary Driscoll, Joseph W. Ditre, Kristin M. Mattocks, William C. Becker, Lori A. Bastian
Population and Quantitative Health Sciences Publications
BACKGROUND: For people with chronic pain, cigarette smoking is associated with greater pain intensity and impairment. Researchers have hypothesized a reciprocal relationship in which pain and smoking exacerbate each other, resulting in greater pain and increased smoking. This study aimed to qualitatively examine patient perspectives on this association.
METHODS: A retrospective thematic analysis of smoking cessation counseling notes for 136 veterans in the Pain and Smoking Study, a tailored smoking cessation trial, was conducted. A validated codebook was applied to each counseling note by four independent coders using Atlas.ti (Atlas.ti, Berlin, Germany). Coders participated in a consensus-forming exercise ...
Facilitators And Barriers To Post-Discharge Pain Assessment And Triage: A Qualitative Study Of Nurses' And Patients' Perspectives, Jinying Chen, Jessica G. Wijesundara, Angela Patterson, Sarah L. Cutrona, Sandra Aiello, David D. Mcmanus, M. Diane Mckee, Bo Wang, Thomas K. Houston
Population and Quantitative Health Sciences Publications
BACKGROUND: After hospital discharge, patients can experience symptoms prompting them to seek acute medical attention. Early evaluation of patients' post-discharge symptoms by healthcare providers may improve appropriate healthcare utilization and patient safety. Post-discharge follow-up phone calls, which are used for routine transitional care in U.S. hospitals, serve as an important channel for provider-patient communication about symptoms. This study aimed to assess the facilitators and barriers to evaluating and triaging pain symptoms in cardiovascular patients through follow-up phone calls after their discharge from a large healthcare system in Central Massachusetts. We also discuss strategies that may help address the identified ...
Pain And Smoking Study (Pass): A Comparative Effectiveness Trial Of Smoking Cessation Counseling For Veterans With Chronic Pain, Lori A. Bastian, Kristin M. Mattocks
Open Access Publications by UMass Chan Authors
Introduction: Smoking is associated with greater pain intensity and pain-related functional interference in people with chronic pain. Interventions that teach smokers with chronic pain how to apply adaptive coping strategies to promote both smoking cessation and pain self-management may be effective.
Methods: The Pain and Smoking Study (PASS) is a randomized clinical trial of a telephone-delivered, cognitive behavioral intervention among Veterans with chronic pain who smoke cigarettes. PASS participants are randomized to a standard telephone counseling intervention that includes five sessions focusing on motivational interviewing, craving and relapse management, rewards, and nicotine replacement therapy versus the same components with the ...