Evidence-Based Practice Poster Session (Posters #1-#10)
10 - Aromatherapy Post-operative Nausea and Vomiting
Description: • Clinical Problem/Significance- Find an alternative to the traditional medications that treat Nausea, Vomiting and anxiety. • Background- Each year thousands of people experience nausea, vomiting (NV), and anxiety before and after surgery. Anti-emetics and anti-anxiety medications have been the traditional method to aid in alleviating NV and anxiety. However, there may be an alternative that is more cost effective, lasts longer than intravenous medications, and is a less invasive measure to aid in addressing anxiety and NV.• Clinical Question: Is aromatherapy an effective alternative to address NV and anxiety in the perioperative setting?• Description of Evidenced-Based Protocol- Patient was assessed for anxiety or nausea. If the patient reported either symptom, they were assessed for allergies. If no allergies conflicted with the aromatherapy, then it was be applied to the gown for the patient to breathe in. The aromatherapy is a personal application that came on a self- adhesive backing that could be placed directly on the patient’s gown. The essential oil is in a wick-soaked applicator that is placed in a plastic carrier. Once the product is ready to be used, the nurse opens the plastic cover by tearing along a scored line. The product is then exposed to the air where it can be diffused for the patient to inhale lasting up to 12 hours.• Implementation of Evidenced-Based Protocol- Nurses in the preoperative, intraoperative and postoperative settings applied the aromatherapy as indicated, then reassessed the patient’s nausea, vomiting, and/or anxiety to determine if any additional intravenous medications are needed.• Results – Nurses reported through patient reports and direct nursing observation, 64 out of 69 patients found the aromatherapy was effective and did not need any additional medications.• Conclusions/Discussion- Based on these results, aromatherapy was found to be an effective alternative to the traditional intravenous medications for NV and anxiety. The aromatherapy is fiscally responsible and works for up to 12 hours reducing the need for other costly anti emetic medication that have a short half-life and would require repeat doses. Aromatherapy also helps decrease costs by controlling the NV during and after surgery decreasing recovery time and improving throughput for same day surgery patients.• Peri operative Nursing Implications- Benefits to using aromatherapy including having the medication on board prior to surgery. By eliminating the need to give other medications, the nursing staff will have more time to perform other high-quality care actions necessary for their patients. This will also benefit staff in PACU. Costs will be decreased by improving throughput times and decrease the need for intravenous medications that would need to be administered multiple times.