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HYPNOSIS for Pain and Anxiety.


An alternative tested in the procedure room.

A Prospective, randomized ran·dom·ize  
tr.v. ran·dom·ized, ran·dom·iz·ing, ran·dom·iz·es
To make random in arrangement, especially in order to control the variables in an experiment.
 trial described in the April 29, 2000, Lancet evaluated the effectiveness of hypnosis -- termed "nonpharmacologic analgesia analgesia /an·al·ge·sia/ (an?al-je´ze-ah)
1. absence of sensibility to pain.

2. the relief of pain without loss of consciousness.
" -- in easing pain and anxiety associated with undergoing minimally invasive surgical procedures Surgical procedures have long and possibly daunting names. The meaning of many surgical procedure names can often be understood if the name is broken into parts. For example in splenectomy, "ectomy" is a suffix meaning the removal of a part of the body. "Splene-" means spleen.  such as angiograms and angioplasties (which require catheterization catheterization

Threading of a flexible tube (catheter) through a channel in the body to inject drugs or a contrast medium, measure and record flow and pressures, inspect structures, take samples, diagnose disorders, or clear blockages.
 of arteries), nephrostomies (kidney drainage), and liver biopsies. The researchers randomly assigned 241 patients treated in a radiology unit at a university hospital to one of three groups: standard treatment, structured attention, and hypnosis (or self-hypnotic relaxation).

The standard treatment group received care typical for the hospital, i.e., nurses did their best to comfort patients. In both the structured attention and hypnosis groups, a specially trained member of the procedure room team attentively responded to patient comments and concerns, carefully avoiding statements or questions that could upset the patient (e.g., "How bad is your pain?" or "you'll feel a sting and burn now"). The hypnosis group also listened to a script during the procedure that instructed them to roll their eyes upwards and close them, breathe deeply, and concentrate on the sensation of floating. They then were talked through a process of focused imagery directing their attention away from pain and anxiety and toward a "safe and comfortable" place. All interactions were videotaped to make sure protocol was followed.

Patients rated their pain and anxiety before surgery and every 15 minutes during it, according to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 a standardized pain scale. They were given a button to alert the attending nurse whenever they wanted medication for pain or anxiety. In only a few cases did medical personnel override patient drug requests, such as when blood pressure fell below or exceeded desirable levels.

Results encouraging

The researchers- Elvira Lang, M.D., Director of Interventional Radiology interventional radiology Imaging A subspecialty of radiology that provides Diagnostic information–eg, CT-guided 'skinny' needle biopsies and dye injection for analysis of various lumina and tracts–eg, arteriography, cholangiography, antegrade  at Beth Israel Beth Israel, which means "House of Israel" in Hebrew, could refer for:
  • Beth Israel Deaconess Medical Center
  • Beth Israel Medical Center, New York City, New York
  • Temple Beth Israel
  • Congregation Beth Israel in West Hartford, Connecticut
 Deaconess dea·con·ess  
n.
1. A Protestant woman who assists the minister in various functions.

2. Used as a title prefixed to the surname of such a woman: Deaconess Brown.

Noun 1.
 Hospital, Boston, and colleagues-found several indications that hypnosis was more effective and safer than either of the controls. Procedures in the hypnosis group needed less time to complete than those in the attention group, and even less time than those in the standard group. Patients in the hypnosis group used less than half the amount of drugs as the standard treatment group and about the same as the attention group. After an hour of procedure time. pain and anxiety were lowest in the hypnosis group, in between in the attention group, and highest in the standard group, regardless of the amount of drugs given. And finally, in a surprising finding, only the hypnosis group remained "hemodynamically stable," meaning blood pressure and heart rate did not increase or decrease to levels that caused concern or required extra attention in the procedure room.

According to a separate analysis of the data, using hypnosis reduced the cost of I.V. sedation Sedation Definition

Sedation is the act of calming by administration of a sedative. A sedative is a medication that commonly induces the nervous system to calm.
Purpose

The process of sedation has two primary intentions.
 in the procedure room by $130 per patient. In addition, hypnosis cut procedure room time by 17 minutes, even though the self hypnotic relaxation technique Relaxation technique
A technique used to relieve stress. Exercise, biofeedback, hypnosis, and meditation are all effective relaxation tools. Relaxation techniques are used in cognitive-behavioral therapy to teach patients new ways of coping with stressful
 itself required 10 minutes to administer. In addition, hypnosis had a long-lasting effect on pain and anxiety; study researchers observed that even four hours after the start of the procedure, hypnotized patients were doing much better. And the longer the procedure lasted, the greater the difference was between the standard care and hypnosis groups.

This study did verity that hypnosis might be used for procedures that cause pain and anxiety such as angioplasties, colonoscopies, and MRI 1. (application) MRI - Magnetic Resonance Imaging.
2. MRI - Measurement Requirements and Interface.
. Self-hypnotic relaxation brings a safe and cost-saving protocol to the hospital procedure regimen.

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Publication:Subconsciously Speaking
Article Type:Brief Article
Geographic Code:1USA
Date:May 1, 2001
Words:593
Previous Article:FOUNDER'S MESSAGE.
Next Article:Walk In Balance.(hypnosis and healing)
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