Nursing Grand Rounds - The Effects of Touch on Pain and Anxiety During the Bone Marrow Biopsy Procedure

Thursday, May 23, 2024, 12:00 PM - Sunday, May 23, 2027, 1:00 PM

ANCC Nursing Contact Hours (0.75 hours), General Attendance (0.75 hours)

A bone marrow biopsy can be a stressful and painful procedure. To address this, the presenters conducted a clinical trial to evaluate using touch as a nursing intervention to minimize pain and anxiety during this procedure. This session will review the literature on using touch in nursing, discuss the clinical trial process, and share results. Nurses will gain an understanding of how to easily incorporate touch into their everyday practice.

Presenters
Anna Schaal, MSN, APRN
Nurse Practitioner, Hematology 
Dartmouth Hitchcock Medical Center

Kelly Dixon, LNA 
Outpatient Surgery Center
Dartmouth Hitchcock Medical Center

1. Discuss the use of touch as one way to enhance the patient experience during healthcare procedures.
2. Describe the clinical trial process.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 0.75 ANCC contact hour. 

All other learners may claim General Attendance credit. Consult your professional licensing board regarding the applicability and acceptance of General Attendance credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

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Bibliographic Sources

• Abdelaziz, S. H., & Mohammed, H. E. (2014). Effect of foot massage on postoperative pain and vital signs in breast cancer patient. Journal of Nursing Education and Practice, 4(8). doi:10.5430/jnep.v4n8p115
  
  
• Bourque AL, Sullivan ME, Winter MR. Reiki as a pain management adjunct in screening colonoscopy. Gastroenterol Nurs. 2012 Sep;35(5):308-12. doi: 10.1097/SGA.0b013e3182603436. PMID: 23018166.
  
  
• Ferrell-Torry, A. T., & Glick, O. J. (1993). The use of therapeutic massage as a nursing intervention to modify anxiety and the perception of cancer pain. Cancer Nursing. https://doi.org/10.1097/00002820-199304000-00002
  
  
• Hart, L. K., Freel, M. I., Haylock, P. J., & Lutgendorf, S. K. (2011). The use of healing touch in integrative oncology. Clinical Journal of Oncology Nursing, 15(5), 519–525. https://doi.org/10.1188/11.CJON.519-525
  
  
• Hjortholm, N., Jaddini, E., Halaburda, K.,& Snarski, E. (2013). Strategies     of pain reduction during the bone marrow biopsy. annals of  Hematology, 92, 145-149. 
  
  
• Lutgendorf, S. K., Mullen-Houser, E., Russell, D., DeGeest, K., Jacobson, G., Hart, L., Lubaroff, D. M. (2010). Preservation of immune function in cervical cancer patients during chemoradiation using a novel integrative approach. Brain, Behavior, and Immunity, 24(8), 1231–1240. https://doi.org/10.1016/j.bbi.2010.06.014
  
  
• Robinson, J. G., & Smith, C. L. (2016). Therapeutic Massage During Chemotherapy and/or Biotherapy Infusions: Patient Perceptions of Pain, Fatigue, Nausea, Anxiety, and Satisfaction. Clinical Journal of Oncology Nursing, 20(2), E34–E40. https://doi.org/10.1188/16.CJON.E34-E40
  
  
• Rosenbaum, M. S., & van de Velde, J. (2016). The effects of yoga, massage, and reiki on patient well-being at a cancer resource center. Clinical Journal of Oncology Nursing, 20(3), E77–E81. https://doi.org/10.1188/16.CJON.E77-E81
  
  
• Snow A, Dorfman D, Warbet R, Cammarata M, Eisenman S, Zilberfein F, Isola L, Navada S. A randomized trial of hypnosis for relief of pain and anxiety in adult cancer patients undergoing bone marrow procedures. J Psychosoc Oncol. 2012;30(3):281-93. doi:   
  
  
• Ucuzal, M., & Kanan, N. (2014). Foot massage: Effectiveness on postoperative pain in breast surgery patients. Pain Management Nursing, 15, 458–465.
  
  

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
CE Office
Dartmouth Health
[email protected]

Mitigation of Relevant Financial Relationships

Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.