78 - The Use of Complementary Care to Reduce Preoperative Anxiety
Description: Background/Problem: Perioperative anxiety is a true phenomenon for the surgical patient. Will the use of complementary care as described by the AORN guidelines lower preoperative anxiety in the surgical patient? Literature Review: Carina Stanton 2015 writes: The use of complimentary care for the perioperative patient is a new tool used to reduce anxiety through the patient perioperative process. Patients with increased surgical anxiety may require an increase in anesthetics and opioids for pain relief which have had a direct correlation with overall recovery and outcomes. Attias, Keinan, Lital, Zahi, Bar’am 2016 et al. Write that following their research on the use of complementary and alternative medicine found that the use of different complementary and alternative modalities are effective in alleviating preoperative anxiety. Johnson, Rivard, Griffin, Koste, Alison Joswiak, et. al 2016 write: that the outcomes of their study the use of essential oils indicated that aroma therapy based on the research did help relief symptoms of pain, anxiety, and nausea for their patients Abstract: Perioperative anxiety is a true phenomenon for the surgical patient. Creating an avenue that will lower patient anxiety using complementary care techniques helps minimize the use of narcotic medication. The overall purpose of this focus investigation will confirm the use of a complementary care as described by AORN guidelines will lower preoperative anxiety in the surgical patient. Complementary care according to AORN Guidelines defines complementary care as the use of the following modalities: music therapy, hypnosis, massage, acupuncture, acupressure, aroma therapy, reiki, and guided imagery to minimize anxiety and pain for the perioperative patient (AORN guidelines 2019). Marin Health Medical Center perioperative services embarked on a nursing driven initiative focusing on the complementary care to decrease preoperative patient anxiety. The initiatives preliminary focus will examine the use of an Integrated Healing Arts (IHA) bundle to include essential oils and the ability of the IHA bundle to lower preoperative anxiety in the surgical/procedural patient. The IHA bundle as established by Marin Health Medical Center includes: caring presence, gentle touch, focused breathing and essential oils (EO). This paper will focus on surgical patients who received EO via inhalation as part of the IHA bundle. The research indicates that a nursing driven initiative did result positive patient outcomes. Based on the supportive data, patients who did agree to participate in the study using the IHA bundle along with a self- selected essential oil were able to lower their level of anxiety prior to surgery.