The Impact of Guided Imagery on Pain and Anxiety in Hospitalized Adults.

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The use and impact of guided imagery in the acute care setting is limited.The purpose of this quality improvement project was to evaluate the feasibility of a guided imagery intervention to change pain scores, anxiety scores, and opioid analgesia usage among hospitalized adults in an acute care setting.Quality improvement project using three measurements (baseline, 24 hours, and 48 hours).Acute care hospital.Adult inpatients referred to an APRN-led pain management service.The intervention was the use of a 30-minute guided imagery recording delivered via MP3 player which patients used twice daily.Limited changes were seen in pain scores, with no statistically significant results (p = .449). Statistically significant reductions were found in both anxiety scores (p < .001) and opioid analgesia usage (p = .043).Findings from this quality improvement project support the impact of guided imagery on anxiety and opioid analgesia use. Changes in pain scores were not demonstrated in this project. Additional research with a rigorous design is needed to determine cause and effect conclusions.The use of guided imagery as an adjunctive intervention for pain control may engage and empower the patient in self-care activities, which may have an impact on how care is perceived. Guided imagery is a low-cost, easily implemented approach that can be incorporated into patient care to reduce anxiety and, potentially, opioid analgesia use.

View the full article @ Pain management nursing : official journal of the American Society of Pain Management Nurses
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Authors: Linda Cole