Music Therapy On Postoperative Pain

Music therapy has proven beneficial to patients with cancer most notably the psychological and physical end-results. More than one million people in the United States get cancer each year (cancer.org). Most have heard or know of someone who has had cancer and the stories of the chemo radiation therapy that goes along with it. Imagine the emotions that one feels when diagnosed with cancer. The patient is ultimately suffering from the whole ordeal physically and emotionally. Music interventions are employed to “alleviate symptoms and treatment side effects in cancer patients” (Cochrane review).

Purpose: The purpose of this speech is to persuade my audience that music can be used to help with stress as well as pain.  I want my audience to see that the use of music in everyday life is good for the mind, body and soul.  My central idea is that music is what can be used in the medical field as therapy use for pain, stress relief and in everyone’s everyday life.

The effect of music on postoperative pain and anxiety was studied on an orthopedic unit in a central Florida hospital (Allred, Byers, & Sole, 2010). The authors clearly identified the problem many total knee arthroplasty patients experience after surgery is moderate to severe postoperative pain and increased anxiety. Throughout the introduction of the study, it was stressed the importance and need for this research to be conducted. The authors discussed the effects of inadequately treated pain and how health care professionals, including nursing, should make it a priority in a patient’s treatment plan (Allred et al., 2010). Several references were provided supporting the issue

Music therapy is not a new idea. In fact, it’s been used in thousands of civilizations throughout history. The Incan nation thought that a soul was connected to the gods through music and it determined the health, success, and future of every living thing (Stobart et al, 26). But most every nation, from Africa, to Asia, to Europe, has had a history of music being used as a healing tool. There is evidence of music therapy leading to an increase in emotional functions and motor control skills (Warner et al, 15).

Due to the extensive procedures surrounding treatment, patients often experience a variety of physical and psychological symptoms and side effects that negatively impact their quality of life and ability to cope with and manage an illness. Providing a choice of music during a receptive music therapy session may not only distract the patient from negative affective states, but also may provide a sense of autonomy and control over a patient 's immediate environment. The purpose of the essay was to determine whether receptive music therapy can improve two general dimensions of emotional experience and pain in a single session for patients. The guiding research question was: Will participants experience improved positive affect following a music therapy session? In my opinion ,I think the answer is yes. music therapy definitely have a positive effect on patients.

Reducing pain among terminally ill persons is a nursing phenomenon of great importance. In this evidence based paper, terminally ill refers to patients with cancer that have six months or less to live and patients that are in hospice or undergoing palliative care. Pain, weakness, decreased intake of food and fluid, and altered breathing patterns are some physical symptoms often experienced by the terminally ill (Leow, Drury & Poon, 2010). Treating pain in the terminally ill is very important and challenging for nurses. Therefore, it is important for nurses to use both pharmacologic and nonpharmacological methods to reduce patient pain. Music therapy is one specific non pharmacological intervention nurses can use to manage pain in the terminally ill. The purpose of this paper is to write an empirically based literature review related to the effects music therapy has on reducing pain in the terminally ill.

The following analysis will observe various methods of CAM pain reduction, highlighting two major CAM therapies of interest: music therapy, animal therapy. In addition, the following analysis will discuss how different demographics react to such therapies, with gender, age, ethnicity, and education level playing a role in relation to a patient’s willingness to be open to CAM. Lastly this analysis will discuss the drawbacks of CAM therapies in the medical community today, emphasising a lack of discussion between provider and patient, and the general lack of clinical education surrounding CAM therapies within the medical community.

Therapeutic use of music is also extremely effective at reducing the everyday aches and pains that humans experience. Slow and methodical music slows the brain waves and helps the muscles in our body to relax, reducing muscle pain (Coleman). A significant amount of today’s population also experiences depression in some shape way or form and music therapy has been proven to be one of the most successful ways to help patients cope with depression. “Individual music therapy combined with standard care is extremely effective for lowering [depression] among working age people,” says Professor Christian Gold at the University of British Columbia (Paddock). “Music therapy is so effective because it allows patients to express their feelings in a safe way,” mentions Elizabeth Fawcett (MT-BC) (Peach). Hospital patients experienced consistently shorter and more pleasant stays when undergoing music therapy along with traditional treatment (Meyer).

Despite recent advances in information regarding perioperative care, postoperative pain continues to go undermanaged. Postoperative pain is the pain patients experience after a surgical procedure. According to Gan, 80% of all people who undergo surgeries experience postoperative pain, and 75% of them rate their pain at a moderate, severe, or extreme level (as cited by Cooney, 2016). Furthermore, inadequately managed pain can lead to patient dissatisfaction, decreased patient outcomes, and overall higher cost of care (Penprase, Brunetto, Dahmani, Forthoffer & Kapoor, 2015). In order to provide higher quality pain management,

For this example, we develop the question: In a pre-procedure setting, does listening to music help reduce the level of anxiety for adult patients undergoing a stressful procedure? The question falls into the clinical therapy category because it seeks to answer the question about the effectiveness of music. To find best practice, we search literature databases for recent experimental or quasi-experimental studies that are appropriate to the question (LoBiondo-Wood & Haber, 2014-a). The following articles show examples of research that examine the relationship between music and anxiety. Kim, Evangelista, and Park (2015) conducted an integrative review and meta-analysis that finds music intervention has a positive effect on reducing anxiety for patients on hemodialysis. Mohammadi, Mirhagher, Torabi, Mirsane, and Moradi (2014) conducted and randomized quasi-experimental study that shows a significant decrease in physiological parameters and anxiety levels in the trial group when compared to the control group. Thompson, Moe, and Lewis (2014) conducted a quasi-experimental study that finds a significant decrease in anxiety for patients who listen to music before surgery. It shows that the higher the level of anxiety, the greater the benefit from the

B1. PICO Question: For a 35-year-old male patient with history of drug abuse who is experiencing severe post-operative pain, how effective is music therapy as a non-pharmacological adjunct to pain management compared to not using adjunct therapy?

The management of postoperative pain has received much interest nowadays. The intensity of postoperative pain depends on many factors such as type and duration of the surgery, type of anesthesia and analgesia used, and the patient’s mental and emotional status (11).

Pain, increased weakness, decreased intake of food and fluid, altered breathing patterns are some physical symptoms often experienced by the terminally ill (Kouch, 2006 as cited in Leow, Drury & Poon, 2010). Treating pain in the terminally ill is very important and challenging for nurses. Therefore, it is important to use both pharmacologic and nonpharmacological methods to reduce pain. The ability of nurses to use music therapy as a nonpharmacological method to manage pain in the terminally ill is a phenomenon of great importance to nursing. Terminally ill in this literature refers to patients with cancer that have six months or less to live and patients that are hospice or are undergoing palliative care. This literature revealed that using a multivariate analysis of covariance (MANCOVA), significantly less posttest pain was reported in the music versus the control group. Cancer patients that listened to soft music in addition to using analgesics experienced increased compared to those using analgesics alone (Huang, Good, & Zauszniewski, 2010). Furthermore, statistical difference was noticed between the groups for mood level and oxygen saturation during live saxophone performance (Burrai, Micheluzzi, & Bugani, 2014). In addition, this research indicated that music may have a more positive effect on females and elderly than younger and more educated males (Chan, Chung, Chung, & Lee, 2008). The

Music during surgery was first introduced in the early 20th century as a complementary therapy with anaesthesia (Light, Love, Benson, & Trier Morch, 1954). They argued that music distracted the patient from the fear of surgery and complemented analgesia effect with the use of nitrous oxide, which ultimately effected, the pain suffered by the patients..

Alternative methods of healing have been utilized by non-western medicine for generations. The use of acupuncture to heal everything from seasickness to muscle soreness is well documented and widely used. Physical therapy is often a precursor to surgery and many times will prevent the need to undergo a more invasive procedure. A lesser-known form of alternative healing but becoming more popular is music therapy. In the late 18th century, scientists began to investigate the effects of music on the human body; however, using music as a healing medium dates back to ancient times. There are many forms and techniques of music therapy that aid a variety of disabilities having to do with communication, behavioral issues, the autism spectrum,