The Role of Holistic Nurses in Integrative Non-Pharmacological Pain Management

Authors

  • Kattiyaporn Konthiang McCormick Faculty of Nursing, Payap University
  • Acha Varee McCormick Faculty of Nursing, Payap University
  • Poramaporn Niramon McCormick Faculty of Nursing, Payap University

Keywords:

nursing role in holistic management, non-pharmacological treatment, integrative care

Abstract

Pain is an emotional and sensory experience that indicates discomfort due to tissue damage in the body or serves as a warning sign that danger is occurring to the body’s tissues. Effective pain management can respond to pain reduction, which is a role of nurses, taking into account the physical, mental, social, and spiritual aspects. This holistic care can be performed within the professional scope in pain relief activities, combining non-pharmacological methods with medication. By providing care, comfort, and encouragement, patients can feel reassured, which leads to confidence that they will be safe from pain. Pain has a direct impact on daily life, causing discomfort, suffering, and disturbances to mental well-being, as well as affecting the mobility of various parts of the body. Non-pharmacological pain management can integrate holistic care with conventional medicine, incorporating various alternative medicine methods, such as music therapy, meditation, aromatherapy, massage, and herbal remedies. This represents a challenging approach for nurses to manage pain holistically through independent roles. This academic article aims to present the role of holistic nursing in pain management, including the meaning and types of pain, pain assessment, non-pharmacological pain management using an integrative approach, the role of nurses in integrative pain management, and integrated pain management strategies, to provide information for non-pharmacological pain management.

Downloads

Download data is not yet available.

References

McGuire LL. Pain: The fifth vital sign. In Ignatavicius DD, Workman ML, Medical-surgical nursing: Patient-centered collaborative care. 6thed. (p.35-61) Saint Louis:Saunders Elsevier; 2010.

Kumar KH, & Elavarasi P. Definition of pain and classification of pain disorders. Journal of Advanced Clinical & Research Insights. 2016;3(3):87-90.

Ngamkham S, Krutchan N, Sawangchai J, Wattanakul B, Chidnaee S, & Keawchom R. Knowledge of pain assessment and management of Thai nurses. Journal of Nursing and Health Care. 2018;36(1):81-9. (in Thai)

Rossukhumalchat J, & Chenchob P. Development A Pain Management Guideline in Somdejphrajaotaksinmaharaj Hospital. Chiangrai Medical Journal. 2024;13(1):239–52. (in Thai)

Sombutyanuchit T, Binya N, & Sungkaew S. Surgical Pain Management in Songkhla Hospital: Problems in Nursing Practice, Patient’s Needs. The Southern College Network Journal of Nursing and Public Health. 2016;3(1):77–94. (in Thai)

Supranee S, & Wannapha P. Basic Nursing: Concepts and Practices. Banhkok:Jutthong Company Limited; 2020. (in Thai)

Pommala W, Khamsimbat N, Tunukoon S, Wongsaree C, & Yuenyong N. Pain Management Through Prayer. Pathumthani University. 2021;13(2):574-84. (in Thai)

Hatthakit U, & Chukumnerd P. Factors Related to Integration of Eastern Wisdom into Nursing Practice. Songklanagarind Journal of Nursing. 2015;35(Special Articles):1-14. (in Thai)

Chaiyasit Y. Application of Functional Health Patterns for Holistic Nursing with Evidence-based Practices. Journal of Nurses’ Association of Thailand, North-Eastern Division. 2013; 31(2):100–10. (in Thai)

Saeangchai J, Piyasut C, & Kaewkulpat S. Multimodal Pain Management: Goal setting for Postoperative Pain. Boromarajonani College of Nursing, Uttaradit Journal. 2019; 11(2):161–71. (in Thai)

Nawai A, & Phongphanngam S. Exploring the use and efficacy of complementary and alternative interventions for managing chronic pain in older adults: A Systematic review. Boromrajonani College of Nursing, Uttaradit Journal. 2019;11(1):1-25. (in Thai)

Nicholas MK. The biopsychosocial model of pain 40 years on: time for a reappraisal?. Pain. 2022;163(1):3-14.

Samaraee AA, Rhind G, Saleh U, & Bhattacharya V. Factor contributing to poor-operative abdominal pain management in adult patients. Surgeon. 2010;8(3):151-8.

Rikard SM, Strahan AE, Schmit KM, & GuyJr GP. Chronic pain among adults-United States, 2019-2021, Morbidity and mortality weekly report. 2023;72(15):379-85.

Macintyre PE, Scott DA, Schug SA, Visser EJ, & Walker SM. Acute Pain Management: Scientific Evidence 3rded. Australian and New Zealand College of Anaesthetists. 2014.

McCaffery M, & Pasero C. Pain Clinical Manual. St. Louis:Mosby; 1999.

Niruthisard S, Thasapradit P. Essential knowledge in pain management. Bangkok:Amarin Printing & Publishing; 2020. (in Thai)

The Royal College of Anesthesiologists of Thailand, Thai Association for the Study of Pain. Clinical Guidance for Acute Postoperative Pain Management. 2022;46(2):6-12. (in Thai)

Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, & Taylor D. Advancing the science of symptom management. Journal of Advanced Nursing. 2001;33(5):668-76.

Bunsanong T, Hirunchunha S, Nagsuwan P, Rattanapan K, & Jumpeepan W. Pain and Pain Management in Cesarean Section under General Anesthesia. Journal of The Royal Thai Army Nurses. 2021;22(2):393-401. (in Thai)

Tick H, Nielsen A, Pelletier KR, Bonakdar R, Simmons S, Glick R, Ratner E, Lemmon RL, Wayne P, & Zador V. Evidence-based integrative pain management for chronic pain: The role of comprehensive integrative medicine. Pain Medicine. 2018;19(12):2456-71.

Lindquist R, Tracy MF, & Snyder M. Complementary and Alternative Therapies in Nursing. 8thed. New York:Springer Publishing Company; 2018.

Sangtongrungcharoen P, & Ngamkham S. Pain Management in Labor Based on the Neuromatrix Theory. Journal of Nurses Association of Thailand Northern Office. 2019; 25(2):1-12. (in Thai)

Leaungsomnapa Y, & Ngamkham S. Attention to pain. The Journal of Prapokklao Hospital Clinical Medical Education Center. 2013; 30(1):83-93. (in Thai)

Phakdeechanuan K, Lanwong T, & Chukumnerd P. Integration of Eastern Wisdom into Nursing Practice among Nursing Students. Songklanagarind Journal of Nursing. 2022; 42(2):34–47. (in Thai)

Kumfu S, Thammachai A, Parasin N, Poncumhak P, Srithawong A, Apanta WT, Seeharach K, & Manoi P. A Comparison Study between the Effects of Thai Herbal Steam and Conventional Steam on Pain Scale, Back and Leg Flexibility in Person with Low Back Pain. Srinagarind Medical Journal. 2018;33(1):64-70. (in Thai)

Intarakaew C. Music Therapy and Ritual Sounds as Deep Healing Music. Journal of Fine and Applied Arts, Khon Kaen University. 2022; 14(2):300–18. (in Thai)

Chiaramonte D, Morrison B, & D’adamo C. The integrative approach to pain management. In: BenzonH, Rathmell J, Wu C, Turk D, Argoff C, Hurley R, editors. Practical Management of Pain. 6 thed. Philadelphia:Elsevier; 2022.

Notification of the Local Healers Committee on the Characteristics, Types, or Methods of Thai Traditional Medical Wisdom. Royal Gazette. 2019;136(222):24-9. (in Thai)

Bulaj G, Kious BM, Groom L, Radaideh M, Borckardt JJ, Mendez I, et al. Music-enhanced analgesia and antiseizure activities in animal models of pain and epilepsy. Front Neurol. 2019;10:(1).:1-10.

Kühlmann AYR, de Rooij A, Kroese LF, van Dijk M, Hunink MGM, & Jeekel J. Meta-analysis evaluating music interventions for anxiety and pain in surgery. British Journal of Surgery. 2018;105(7):773-83.

Boonbai S. Music Therapy. Journal of Humanities and Social Sciences Uttaradit Rajabhat University. 2017;4(1):1-6. (in Thai)

Satipasert W, & Yeekian C. The Effects of Music on Pain of Patients Receiving Colonoscopy without Sedation. Thai red cross nursing journal. 2022;15(1):50–63. (in Thai)

Khongpraphan C, Mueagmo P, & Sarnmani K. The effects of meditation SKT1, 8 on postoperative pain after abdominal hysterectomy or ovarion surgery at Gynecological unit of Phrae hospital. Phrae Medical Journal and Clinical Sciences. 2023;31(1):86–98. (in Thai)

Somphet S, & Noonart T. Effects of Training with a Simple Relaxation Music and Meditation Program on the Level of Anxiety of Pregnant Women while Waiting for a Cesarean Section. Thai Journal of Public Health and Health Education. 2024;4(2):1-15. (in Thai)

Anantayot P. The Effect of Cold Gel Pack Application on Pain Reduction and Patient Satisfaction After Nascal Cavity and Sinus Surgery. Thammasat University Hospital Journal Online. 2021;6(3):48-51. (in Thai)

Thepphabutra A, & Subbalekha K. Satisfaction of Oral Surgical Patients with Cold Compression Using Temperature-maintaining Gel. Thai Red Cross Nursing Journal. 2016;9(2):119-31. (in Thai)

Pongwachararak S, & Chokevivat V. The Concept of Stress Management in Thai Traditional Medicine. Journal of Thai Traditional & Alternative Medicine. 2019;17(2):239–52. (in Thai)

Bernard P, Romain AJ, Caudroit J, Chevance G, Carayol M, Gourlan M, Needham Dancause K, & Moullec G. Cognitive behavior therapy combined with exercise for adults with chronic diseases: Systematic review and meta-analysis. Health Psychol. 2018;37(5): 433-50.

Mookdamuang A, & Yuenyung N. Guideline for Creating Music for Occupational Therapy. Journal of Fine and Applied Arts. Chulalongkorn University. 2023;10(1): 166-79. (in Thai)

Jaipakdee K, Nateetanasombat K, & Punthasee P. The effect of postoperative pain management program by using aromatherapy and music therapy in postoperative patients with open reduction internal fixation of leg. Journal of Charoenkrung Pracharak Hospital. 2020;2(2): 54-68. (in Thai)

Sirikamonsathian B, & Skuntaniyom A. Effects of Self-Massage on Pain Among Elders in Rimklong Lorlae Community, Khannayao District. Songklanagarind Journal of Nursing. 2018;38(3):92-101. (in Thai)

Suakitiikul T, Pongcharoen B, Itharat A, Ruangnoo S, Kanokkangsadal P, & Lertdamrongdej T. Effectiveness and Safety of Sahastara Extract Cream for Knee Pain in Patients with Primary Osteoarthritis: a Pilot Study. Thai Journal of Pharmacy Practice. 2020;12(4): 1219-27. (in Thai)

Downloads

Published

11-12-2024

How to Cite

1.
Konthiang K, Varee A, Niramon P. The Role of Holistic Nurses in Integrative Non-Pharmacological Pain Management. J Royal Thai Army Nurses [Internet]. 2024 Dec. 11 [cited 2024 Dec. 19];25(3):73-81. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/273689

Issue

Section

Academic articles