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Guided Imagery

Guided Imagery . By: Margaret Gerulski, Diane Kumar, & Brea Yang Ferris State University Fall 2011. (google.com, n.d .). Introduction. What is the impact of guided imagery as a nursing intervention in the management of acute and chronic pain?. (google.com, n.d .). Definition.

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Guided Imagery

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  1. Guided Imagery By: Margaret Gerulski, Diane Kumar, & Brea Yang Ferris State University Fall 2011 (google.com, n.d.)

  2. Introduction What is the impact of guided imagery as a nursing intervention in the management of acute and chronic pain? (google.com, n.d.)

  3. Definition • “Guided imagery is a technique that utilizes stories or narratives to influence the images and patterns that the mind creates” (Hart, 2008, p. 295). • “Thought process that invokes and uses the senses of vision, hearing, smell, taste, movement, position, and touch” (Young & Koopsen, 2011, p. 76). (google.com, n.d.)

  4. Background • Used in ancient times • Cultural and religious uses • Variety of uses • Mind / Body connection (google.com, n.d.) “Pain is inevitable; suffering is optional” --Hindu Spiritual-- (Bresler, 2010)

  5. Effects of Guided Imagery on Outcomes of Pain, Functional Status, and Self-efficacy in Persons Diagnosed with Fibromyalgia (Menzies, Taylor, and Bourguignon, 2006) • Objective: Effects of on pain levels, functional status, and self-efficacy in persons with fibromyalgia (FM) with Guided Imagery. • Method: Randomized Control Clinical Trial • Participants: 48 people were recruited from physicians’ offices &clinics in the University of Virginia Health System. • Intervention: 3 guided imagery audiotapes with average of 20 minute per audiotape for 2 weeks each • Measures: Pain, functional status, and self-efficacy • Outcomes: Improvement on functional status and self-efficacy, but not change in pain levels

  6. Purpose: determine how verbal descriptions pain changed after guided imagery Method: Mixed method, concurrent nested design, and use of verbal pain descriptors Participants: Computer randomized selection Interventions: Use of a guided imagery tape was used over a 4 day period Measures: 102 pain descriptors Outcomes: Improved pain verbal pain descriptions in the treatment group. Changes in the Meaning of Pain with the use of Guided Imagery (Lewandowski, Good, & Draucker, 2005)

  7. Guided Imagery as a Therapeutic Recreation Modality to Reduce Pain (Bonadies, V., 2010) • Purpose: Impact of guided imagery on chronic pain • Method: Use of visual analog scale • Participants: 1 participant at a 206 bed residential health care facility • Interventions: Guided imagery using a pain intensity scale • Measures: Verbalization of client of pain levels • Outcomes: Improved level of pain

  8. What is the impact of guided imagery as a nursing intervention in the management of pain and chronic pain? • Nursing Responsibility • Use in Chronic and Acute Pain • Use in Childbirth • Part of Holistic Nursing • Evidence-Based Nursing intervention (google.com, n.d.)

  9. Limitations in Research • Practicing imagery 15-20 minute daily will increase the success, therefore can be seen as a time consuming activity. • Limited time frames to evaluate effectiveness. • Research studies on alternative therapies is limited. • More studies on chronic pain than acute pain. • “Limitations of these studies were small sample size, lack of randomization, non-equality of treatment and control groups, and lack of control for opioid intake and imagery ability” (Lewandowski, et al., 2005) • Pain is subjective

  10. Limitations for use of Guided Imagery in Practice • Short hospital stays • Limited nursing time • Lack of education of nursing staff • For optimal effectiveness • Clients and families need to have knowledge • Willingness to participate • Continual practice

  11. Conclusion (Bresler, 2010)

  12. References Academy for Guided Imagery. Retrieved on 11/25/11 at http://www.academyfor guidedimagery.com/whatisguidedimagery/index.html Bonadies, V. (2010). Guided imagery as a therapeutic recreation modality to reduce pain. Annual in Therapeutic Recreation, 18, p. p. 164-174. Bresler, D. (2010). Raising pain tolerance using guided imagery. Practical Pain Management, July/August, 10(6), 25-31. Empowered Within. (n.d.) Retrieved November 20, 2011 from: http://www.empoweredwithin.com/main%20info/Historyof guidedimagery.html Google.com. (n.d.). All images retrieved November 20, 2011 from: www.google.com (guided_imagery.jpg). Hart, J. (2008). Guided imagery. Alternative and Complementary Therapies, 14 (6), pp. 295-299. doi: 10.1089/act.2008.14606. Koehn, M. L. (2000). Alternative and complementary therapies for labor and birth: An application of Kokcaba’s Theory of Holistic Comfort. Holistic Nursing Practice, 15(1), p.p. 66-77. Retrieved November 15, 2011 from: http://0-ovidsp.ovid.com.libcat.ferris.edu/ovidweb.cgi?T+JS20000100000-000009&LSLINK=80&D+ovft.

  13. References Koehn, M. L. (2000). Alternative and complementary therapies for labor and birth: An application of Kokcaba’s Theory of Holistic Comfort. Holistic Nursing Practice, 15(1), p.p. 66-77. Retrieved November 15, 2011 from: http://0-ovidsp.ovid.com.libcat.ferris.edu/ovidweb.cgi?T+JS20000100000-000009&LSLINK=80&D+ovft. Lewandowski, W. A. (2004). Patterning of pain and power with guided imagery. Nursing Science Quarterly, 17(3), p.p. 233-241. doi: 10.1177/0894318404266322. Lewandowski, W., Good, M., & Draucker, C. B. (2005). Changes in the meaning of pain with the use of guided imagery. Pain Management Nursing, 6(2), p.p. 58-67. Menzies, V., Taylor, A. G., Bourguignon, C. (2006). Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in person diagnosed with fibromyalgia. The Journal of Alternative and Complementary Medicine, 12 (1), pp. 23-30 Naparstek, B. (2007). Guided imagery: A best practice for pregnancy and childbirth. International Journal of Childbirth Education, 22(3), p. 4-8. National Pain Foundation. (n.d.). Retrieved November 15, 2011 from: http://www.nationalpainfoundation.org/articles/93/guided-imagery-and-pain-relief

  14. Thank You for Your Time THE END

  15. Group 5: Research Topic and Presentation: Grading Criteria and Comments Group 5: A wonderful presentation. The class discussion reflected the interest and your knowledge of the topic. Great teamwork to pull off such a solid presentation. Combined score of 96 is annotated bibs plus the presentation.

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