Literature Review Chapter: Imagery Literature Review Guided Imagery and Pain

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¶ … Imagery Literature Review

Guided Imagery and Pain Management

Ferrell, Betty R., et al. "Pain management for elderly patients with cancer at home." CANCER-PHILADELPHIA- 74 (1994): 2139-2139.

The first study to be examined in this review was conducted by Ferrell and regards pain management techniques in elderly cancer patients who are living in a home environment. Here, the theory is that pain management is a great and noninvasive technique for managing severe levels of pain that cannot be cured through traditional methods. It can be seen as an alternative to overmedication, which can decrease the quality of the patient's live in his or her remaining days. Elderly patients have a particularly hard time recovering from more invasive pain management strategies, and thus this population serves to benefit the most from such pain management techniques. A structured pain evaluation and management program was instituted so that participants could reflect on how it impacts their overall levels of pain. Thus, the dependent variable here was the significance and severity of pain, while the independent variable was the presence of Guided imagery. Within the population of 66 elderly oncology patients, there was a plan to conduct three home visits and two follow up sessions, where educational programs depicting strategies of guided imagery aimed to help empower participants to use such strategies autonomously in order to help manage their pain when it was at its worse. The study used repeated measurement analysis and concluded with the concept that the quality of life of patients exposed to guided imagery did improve based on their ability to better manage their pain. Physical pain severity was reduced and psychological stress was also reduced. Thus, the researchers posited that guided imagery is a successful tool for working with elderly oncology patients in lieu of traditional therapies.

Menzies, V., Taylor, a.G., & Bourguignon, C. (2006). Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. Journal of Alternative & Complementary Medicine, 12(1), 23-30.

This study was conducted in 2006 in order to explore how guided imagery could help establish more successful methods of pain management within populations suffering from fibromyalgia, a type of nerve disorder that often causes chronic pain within those that it inflicts. Menzies et al. used a longitudinal study that focused on a randomized study population group within a controlled clinical trial that tested the control group who were exposed to usual care with an experimental group who introduced to some of the elements of guided imagery as a way to manage and cope with rising pain levels. The study used a theoretical framework that asserted the power of guided imagery as a way t manage chronic pain. In all, 48 people were included in the study; each recruited from their primary physician who helps them set pain management strategies so that they can continue to live their lives, even with the effects of fibromyalgia. In the context of the study, researchers assigned guided imagery techniques randomly to those 48 people. They control group received usual care methods. As such the dependent variable was the level of pain, while the independent variable was the presence of guided imagery. Those who were exposed to guided imagery therapy strategies witnessed a tape each day that used a series of guided imagery scripts over a period of six weeks. These tapes helped walk the subjects through the process of guided imagery and helped them visualize a less pain controlled life and body. The control group was assigned much more traditional techniques. Over the period of… [END OF PREVIEW]

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