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Title: THE IMPACT OF MUSIC ON POSTOPERATIVE PAIN AND ANXIETY.
Creator: Allred, Kelly, Byers, Jacqueline, University of Central Florida
Abstract / Description: Objective: The objective of this study was to add to the body of knowledge about the impact of music on postoperative pain and anxiety. The specific purpose of this research study was to determine if listening to music and/or having a quiet rest period just prior to and just after the first ambulation on postoperative day 1 can reduce pain and/or anxiety, or impact mean arterial pressure, heart rate, respiratory rate, and/or oxygen saturation in patients following a total knee arthroplasty....
Show moreObjective: The objective of this study was to add to the body of knowledge about the impact of music on postoperative pain and anxiety. The specific purpose of this research study was to determine if listening to music and/or having a quiet rest period just prior to and just after the first ambulation on postoperative day 1 can reduce pain and/or anxiety, or impact mean arterial pressure, heart rate, respiratory rate, and/or oxygen saturation in patients following a total knee arthroplasty. Methods: An experimental repeated measures design was used. Setting: A postoperative orthopedic unit in a 300-bed community hospital in the southeastern United States. Sample: Fifty-six patients having a total knee arthroplasty, randomly assigned to either a music intervention group or a quiet rest group. Measures: A visual analog scale was used to measure pain and anxiety. Physiological measures, including blood pressure, heart rate, oxygen saturation, and respiratory rate, were also obtained. Results: A repeated measures analysis of variance between and within groups was conducted for pain and anxiety. Statistical findings between groups indicated the music group's decrease in pain or anxiety was not significantly different from the comparison rest group's decrease in pain (F = 1.120, p = .337) or anxiety (F = 1.566, p = .206) at any measurement point. However, statistical findings within groups indicated that when the groups were combined, the sample had a statistically significant decrease in pain (F = 6.699, p = .001) and anxiety (F = 4.08, p = .013) over time. Post hoc analyses showed the significant decrease in pain was from time 1 (just prior to the initiation of music or rest) to time 2 (just after 20 minutes of music or rest) (t(55) = 4.751, p = .000). Post hoc analyses showed the significant decrease in anxiety was from time 1 (just prior to the initiation of music or rest) to time 2 (just after 20 minutes of music or rest) (t(55) = 2.86, p = .006). Additionally, anxiety decreased significantly from time 3 (just after physical therapy) and time 4 (after second period of 20 minutes of music or rest period) (t(55) = 2.222, p = .030). Implications: Results of this research provides evidence to support the use of music and/or a quiet rest period to decrease pain and anxiety when initiated just before and just after ambulation on postoperative day 1 following a total joint arthroplasty of the knee. The interventions pose no risks, and have the benefits of improved pain reports and decreased anxiety. It potentially could be opioid sparing in some individuals, limiting the negative effects from opioids. Nurses can offer music as an intervention to decrease pain and anxiety in this patient population with confidence, knowing there is evidence to support its efficacy.
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Date Issued: 2007
Identifier: CFE0001634, ucf:47228
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0001634

Title: EVALUATING NEONATAL FACIAL PAIN EXPRESSION: IS THERE A PRIMAL FACE OF PAIN?.
Creator: Schiavenato, Martin, Byers, Jacqueline, University of Central Florida
Abstract / Description: Pain assessment continues to be poorly managed in the clinical arena. A review of the communication process in pain assessment is carried out and the hierarchical approach often recommended in the literature –with self-report as its "gold-standard," is criticized as limited and simplistic. A comprehensive approach to pain assessment is recommended and a model that conceptualizes pain assessment as a complex transaction with various patient and clinician dependant factors is proposed....
Show morePain assessment continues to be poorly managed in the clinical arena. A review of the communication process in pain assessment is carried out and the hierarchical approach often recommended in the literature –with self-report as its "gold-standard," is criticized as limited and simplistic. A comprehensive approach to pain assessment is recommended and a model that conceptualizes pain assessment as a complex transaction with various patient and clinician dependant factors is proposed. Attention is then focused on the pediatric patient whose pain assessment is often dependent on nonverbal communicative action. The clinical approaches to pain assessment in this population –mainly the use of behavioral/observational pain scales and facial pain scales, are explored. The primal face of pain (PFP) is identified and proposed theoretically as an important link in the function of facial pain scales. Finally, the existence of the PFP is investigated in a sample of 57 neonates across differences in sex and ethnic origin while controlling for potentially confounding factors. Facial expression to a painful stimulus is measured based on the Neonatal Facial Coding System (NFCS) and applying an innovative computer-based methodology. No statistically significant differences in facial expression were found in infant display thereby supporting the existence of the PFP.
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Date Issued: 2007
Identifier: CFE0001808, ucf:47373
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0001808

Title: FACTORS THAT INFLUENCE IMPLEMENTATION OF PAIN MANAGEMENT STRATEGIES IN THE NEONATAL INTENSIVE CARE UNIT.
Creator: Martinez, Geraldine, Allred, Kelly, University of Central Florida
Abstract / Description: In the United States, 10% to 15% of newborns are admitted to the neonatal intensive care unit (NICU). Painful procedures are unavoidable during NICU care; the neonate experiences approximately 12 painful procedures per day. Inconsistent and/or inappropriate pain management in the NICU remains a problem. The purpose of this study is to identify the prevalent factors that influence the implementation of pain management strategies among nurses who work in a NICU setting in a Central Florida...
Show moreIn the United States, 10% to 15% of newborns are admitted to the neonatal intensive care unit (NICU). Painful procedures are unavoidable during NICU care; the neonate experiences approximately 12 painful procedures per day. Inconsistent and/or inappropriate pain management in the NICU remains a problem. The purpose of this study is to identify the prevalent factors that influence the implementation of pain management strategies among nurses who work in a NICU setting in a Central Florida hospital. This study was conducted using a voluntary and anonymous electronic survey. The survey was divided into two sections; the first section designed to describe the sample, and the second section containing a Likert-type scale that assessed the nurses' general pain knowledge, knowledge of pain assessment, and awareness of accepted pain management strategies. The survey was adapted from previously published research. Results indicate pain was more likely to be addressed when nurses collaborated closely with the attending physician. The majority of nurses were aware of current protocols for pain management on the unit but not all nurses agreed those protocols were adequate. Results also indicated pain assessment education is being provided in the NICU and the nurses feel confident in their skills to assess pain, however, not all nurses agreed that pain is being well managed in their unit. There appears to be a gap between the nurse's knowledge/skill to assess pain and implementation of strategies to decrease pain. Although it is the nurse's responsibility to prevent and treat newborn pain in the NICU, not all nurses agreed that newborn pain is well managed in their unit and some believe pain to be an unavoidable experience in the NICU. Nurse-physician collaboration is key to evidence based newborn pain management.
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Date Issued: 2014
Identifier: CFH0004609, ucf:45271
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004609

Title: AN EVALUATION OF AQUATIC THERAPY AS A TREATMENT FOR LOWER BACK PAIN.
Creator: Olson, Daniel, Hanney, William, University of Central Florida
Abstract / Description: Lower back pain (LBP) is a medical condition that will affect most of us at some point in our lives. Several medical causes have been identified for LBP, yet the large majority of LBP patients do not receive a specific diagnosis. These patients use up a large majority of health care resources, and accumulate billions of dollars in medical costs in countries throughout the globe. In recent years, an increasing focus has been placed on the idea that aquatic therapy may be an effective therapy...
Show moreLower back pain (LBP) is a medical condition that will affect most of us at some point in our lives. Several medical causes have been identified for LBP, yet the large majority of LBP patients do not receive a specific diagnosis. These patients use up a large majority of health care resources, and accumulate billions of dollars in medical costs in countries throughout the globe. In recent years, an increasing focus has been placed on the idea that aquatic therapy may be an effective therapy for LBP patients. Exercise therapy has already proven itself as an effective means for treating LBP. Thus, combined with the unique properties of water, experts believe that aquatic therapy is the future of LBP treatment. This thesis aims to explore the efficacy of aquatic therapy as a treatment for LBP. Through the analysis of controlled peer-reviewed studies, scholarly information databases, and historical data on LBP treatment, this thesis evaluates the relationship between aquatic therapy and LBP in its entirety. Scientific properties of water have shown its many uses in rehabilitative therapy treatments. Water, in theory, is able to manipulate the exercise environment to allow for more substantial progress to be made. In studies where aquatic therapy was tested versus no treatment, aquatic therapy proved to be a more efficient and effective option. Still, when placed against other therapies, aquatic therapy did not always prove more effective. While the analyzed studies support the idea that aquatic therapy is an effective treatment for LBP, further research is needed to determine how aquatic therapy holds up against other forms of treatment.
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Date Issued: 2011
Identifier: CFH0003776, ucf:44749
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0003776

Title: AEROBIC EXERCISE AS A MEANS OF REDUCING LOW BACK PAIN: A SYSTEMATIC REVIEW.
Creator: Privett , Theresa, Schellhase , Kristen, University of Central Florida
Abstract / Description: Background: Low back pain (LBP) is considered the leading cause of inactivity and lost employment time. It can be extremely difficult to treat as most conventional therapies have poor success rates. People with LBP need to be made more aware of the diverse and economical treatments available in order to save on expenses and diminish stress. Patients and healthcare professionals have many choices when deciding on the best plan of care; however, it is often difficult to determine which option...
Show moreBackground: Low back pain (LBP) is considered the leading cause of inactivity and lost employment time. It can be extremely difficult to treat as most conventional therapies have poor success rates. People with LBP need to be made more aware of the diverse and economical treatments available in order to save on expenses and diminish stress. Patients and healthcare professionals have many choices when deciding on the best plan of care; however, it is often difficult to determine which option is best. Objectives: The purpose of this systematic review was to determine if aerobic exercises play a role in reducing pain in the low back. Methods: A computerized electronic search was performed using CINAHL, Medline, and Cochrane Central Register of Controlled Trials with key words including low back pain or lumbar pain combined with aerobic and exercise. Inclusion criteria consisted of studies that were randomized controlled trials or controlled clinical trials, peer reviewed, published in the English language, identified low back pain as the primary concern, and identified aerobic exercises as one of the treatment options. Results: The initial search of the database revealed a total of 40 studies. Hand searching of the references had also revealed an additional 7. Of those 47 studies, 13 were selected as potentially meeting the inclusion criteria. Ultimately, 10 studies were retained for the final results of the systematic review. Conclusion: The evaluations provided evidence to suggest that aerobic exercise has positive effects on subjects with LBP. Aerobic exercise encourages strength, flexibility, and muscular endurance. This outcome has also shown to promote levels of activity, leaving the subject feeling better both physically and mentally.
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Date Issued: 2012
Identifier: CFH0004174, ucf:44847
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004174

Title: RECOGNIZING PAIN USING NOVEL SIMULATION TECHNOLOGY.
Creator: Grace, Justin C, Allred, Kelly, University of Central Florida
Abstract / Description: Effective pain management and time to treatment is essential in patient care. Despite scientific evidence supporting the need to treat pain and an emphasis on addressing pain as a priority, pain management continues to be an unresolved issue. As a member of the health care team, nurses are integral to optimal pain management. Currently, nursing schools have limited innovative or alternative methods for teaching pain assessment and management. Simulation in nursing education provides a unique...
Show moreEffective pain management and time to treatment is essential in patient care. Despite scientific evidence supporting the need to treat pain and an emphasis on addressing pain as a priority, pain management continues to be an unresolved issue. As a member of the health care team, nurses are integral to optimal pain management. Currently, nursing schools have limited innovative or alternative methods for teaching pain assessment and management. Simulation in nursing education provides a unique opportunity to expose students to realistic patient situations and allow them to learn and make mistakes without causing harm. However, modern low- and high-fidelity simulation technology is unable to display emotion, pain, or any facial expression. This limits training and education of conditions that may partially rely on the identification of symptoms based on the alteration of facial appearance, such as pain or stroke. This research explored student nurses� perception of new technology that displayed computer-generated faces, each expressing varying degrees of physical expressions of pain. A total of 15 nursing students participated in the study. Students were asked to interpret the level of pain in four sequential faces using a numeric rating scale of 0-10, with 0 indicating no pain, and 10 the most severe pain possible. After scoring the faces, students were asked to answer four open-ended questions addressing the technology. Results of the study indicate a majority of nursing students believe the technology should be implemented into nursing curriculum and interacting with the projected faces was more beneficial than traditional teaching methods. Eventually, the potential for increased identification of conditions requiring observation of subtle facial changes will be explored.
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Date Issued: 2016
Identifier: CFH2000002, ucf:45569
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000002

Title: PAIN MANAGEMENT IN PATIENTS WITH FIBROMYALGIA.
Creator: Fischer, Linsey, Allred, Kelly, University of Central Florida
Abstract / Description: Fibromyalgia is a chronic widespread pain disorder that can also cause fatigue, depression, sleep disturbances, and cognitive symptoms. Because the etiology of fibromyalgia is unknown, it is difficult to treat. Research shows that medication alone is insufficient to treat the symptoms of fibromyalgia and that complementary therapies are required to fully manage this disorder. The purpose of this research was to determine what complementary therapies patients with fibromyalgia were currently...
Show moreFibromyalgia is a chronic widespread pain disorder that can also cause fatigue, depression, sleep disturbances, and cognitive symptoms. Because the etiology of fibromyalgia is unknown, it is difficult to treat. Research shows that medication alone is insufficient to treat the symptoms of fibromyalgia and that complementary therapies are required to fully manage this disorder. The purpose of this research was to determine what complementary therapies patients with fibromyalgia were currently using. The sample for the survey was taken from fibromyalgia support groups throughout the state of Florida. A total of 15 people diagnosed with fibromyalgia participated in the survey. The most commonly used complementary therapies included diet and relaxation techniques. The therapies that were rarely or never used were hypnotherapy, Tai Chi, and Chi (Qi) Gong. These findings provide evidence to support client education concerning the use of complementary therapies for individuals with fibromyalgia. Research with larger samples is recommended to provide further evidence of the effectiveness of complementary therapies for this patient population.
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Date Issued: 2017
Identifier: CFH2000158, ucf:46002
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000158

Title: PARTICIPANT'S PERCEPTION OF REALISM AND PEDIATRIC PAIN ASSESSMENT UTILIZING A VIRTUAL PATIENT: A PILOT STUDY.
Creator: Carson, Alexandra, Anderson, Mindi, University of Central Florida
Abstract / Description: The use of simulation in curriculum affords students with the opportunity to enhance clinical skills in a safe environment. However, certain aspects of patient assessment are difficult to reproduce in current simulators, such as changes in facial expressions. Facial expressions are of particular importance when assessing for the presence and severity of pain in the pediatric population. Inconsistencies found in accurate identification of pain suggest the necessity of improved pain assessment...
Show moreThe use of simulation in curriculum affords students with the opportunity to enhance clinical skills in a safe environment. However, certain aspects of patient assessment are difficult to reproduce in current simulators, such as changes in facial expressions. Facial expressions are of particular importance when assessing for the presence and severity of pain in the pediatric population. Inconsistencies found in accurate identification of pain suggest the necessity of improved pain assessment training. This study evaluated nursing student's perceptions of a virtual patient designed to realistically display varying levels of pain in the pediatric patient. Additional purposes of this study were to evaluate the student's ability to accurately rate pediatric pain using a virtual patient with and without other indicators of pain, explore the students experience learning pediatric pain in nursing school, and explore the use of simulation in curriculum to teach pain. A total of N=11 nursing students participated in this study. Students were presented with a series of virtual patient faces and asked to provide a pain rating from 0-10 utilizing a pediatric pain assessment tool, and to numerically list the facial features used to identify the pain rating they chose. A questionnaire was then completed which included questions regarding the realism of the virtual patient, pain and curriculum, and simulation. Results of the study showed students rated pain lower than the expected rating when presented with virtual patient faces only, and rated pain closer to the expected rating when presented with virtual patient faces and other indicators of pain such as vital signs and verbal cues. A noticeable range of reported pain rating levels existed for all virtual faces in which students rated the pain lower or higher than the true pain rating. The majority of students reported the virtual patient was moderately to extremely realistic, and 90.9% (n=10) reported they would like to have the technology implemented into a simulation scenario.
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Date Issued: 2016
Identifier: CFH2000085, ucf:45525
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000085

Title: EVALUATION OF COMPUTER-BASED SIMULATION FOR PAIN MANAGEMENT EDUCATION.
Creator: Gerardi, Nicole, Allred, Kelly, University of Central Florida
Abstract / Description: Effective pain management is an elusive concept in the acute care setting. Improving nurses' knowledge about optimal pain management is one way to improve the patient's pain experience. A computer-simulation game was developed as an alternative method of teaching the subject of pain management to nursing students. In the game, two patient scenarios are presented, one male and one female. Both patients present with acute pain and request help from the nurse. The player progresses through a...
Show moreEffective pain management is an elusive concept in the acute care setting. Improving nurses' knowledge about optimal pain management is one way to improve the patient's pain experience. A computer-simulation game was developed as an alternative method of teaching the subject of pain management to nursing students. In the game, two patient scenarios are presented, one male and one female. Both patients present with acute pain and request help from the nurse. The player progresses through a series of nine questions as the scenarios unfold, each with one best or correct answer. The purpose of this study was to evaluate the game's potential as a teaching method compared to traditional methods of teaching, such as a lecture. A total of 30 nursing students participated in the study. After playing through the game, each student was asked to complete a post-game survey consisting of 10 standard 5-point Likert scale items and five open-ended questions. The survey was used to evaluate the students' enjoyment of the game, educational benefits, preference compared to traditional teaching methods, and perceived potential to change nursing practice. Results of the survey show that the majority of nursing students enjoyed playing the game and found it captured their attention more than traditional teaching methods. Nine out of the ten Likert scale items received universal high scores. Nursing students were receptive to the computer-simulation game as a teaching method and found it preferable to traditional methods.
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Date Issued: 2013
Identifier: CFH0004347, ucf:44981
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004347

Title: YOGA AS A TREATMENT FOR LOW BACK PAIN: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS.
Creator: Diaz, Alison, Hanney, William, University of Central Florida
Abstract / Description: Background: Low back pain is very common and has a tremendous economic impact. With the prevalence and incidence of low back pain on the rise, individuals are turning to alternative treatments. Yoga is the most widely used complementary and alternative medicine treatment for low back pain and it is not fully certain how effective this method is for resolving the symptoms. Objectives: The purpose of this manuscript is to systematically review the current literature for randomized controlled...
Show moreBackground: Low back pain is very common and has a tremendous economic impact. With the prevalence and incidence of low back pain on the rise, individuals are turning to alternative treatments. Yoga is the most widely used complementary and alternative medicine treatment for low back pain and it is not fully certain how effective this method is for resolving the symptoms. Objectives: The purpose of this manuscript is to systematically review the current literature for randomized controlled trials that assess the outcomes of yoga intervention in individuals with low back pain. Methods: An electronic database search was performed to analyze studies. To be included in the review, the studies were required to be a randomized controlled trial, published in English, present in a peer reviewed journal, identify yoga as the primary treatment focus for low back pain in at least one group, and included participants with at least a 12 week history of low back pain. Results: A search of the databases revealed 177 articles, of which, 8 met the inclusion criteria. Conclusions: Yoga intervention appears to be effective in alleviating symptoms brought on by low back pain. Yoga was either demonstrated to significantly improve quality of life and reduce disability, stress, depression, and medication usage associated with low back pain in 6 of the 8 analyzed trials. More research is necessary to account for the lack of between-group differences in two trials.
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Date Issued: 2011
Identifier: CFH0004125, ucf:44882
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004125

Title: Effectiveness of an Interdisciplinary Chronic Arthritis Pain Group Intervention in an Outpatient Healthcare Setting.
Creator: De Pesa, Natasha, Cassisi, Jeffrey, Negy, Charles, Joseph, Dana, University of Central Florida
Abstract / Description: Rheumatoid arthritis (RA) is a chronic autoimmune disease that often results in inflammation, pain, fatigue, functional impairment, and psychosocial difficulties. The current study examines the effectiveness, feasibility, and sustainability of an interdisciplinary chronic pain intervention for patients with RA. Wearable fitness trackers were incorporated into the intervention and objectively measured participant physical activity. A total of 44 participants received the intervention and...
Show moreRheumatoid arthritis (RA) is a chronic autoimmune disease that often results in inflammation, pain, fatigue, functional impairment, and psychosocial difficulties. The current study examines the effectiveness, feasibility, and sustainability of an interdisciplinary chronic pain intervention for patients with RA. Wearable fitness trackers were incorporated into the intervention and objectively measured participant physical activity. A total of 44 participants received the intervention and completed outcome measures. Results supported improvements across multiple domains at the end of treatment and at 4-week follow-up compared to treatment baseline. Mixed multilevel repeated measures modeling revealed significant overall improvements in many primary (i.e., self-efficacy for managing chronic disease, pain intensity, pain interference, depression, and health-related quality of life), secondary (i.e., physical functioning, overall quality of life, and chronic pain acceptance), and in an objective measure of physical activity (i.e., average steps per day). Effect sizes were generally small to medium and were similar to or better than those reported in meta-analyses. Patients with comorbid fibromyalgia syndrome recorded significantly worse scores across measures, but showed steady improvement throughout the intervention. Mixed-method analysis suggested that patients were interested in and satisfied with the intervention. Implications for optimization and long-term sustainability are discussed.
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Date Issued: 2016
Identifier: CFE0006451, ucf:51437
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0006451

Title: PELVIC FLOOR MUSCLE TRAINING IN MANAGEMENT OF POSTPARTUM PELVIC FLOOR DYSFUNCTIONS: A LITERATURE REVIEW.
Creator: Tanner, Rebecca S, Rothschild, Carey, University of Central Florida
Abstract / Description: Women can face a wide range of pelvic floor dysfunctions following pregnancy, ranging from urinary incontinence to pelvic pain. Unfortunately, these problems are not routinely checked for in postpartum check-ups and women do not always bring it to the physician's attention. Strengthening of the pelvic floor muscles may be able to help women prevent these disorders and improve these women's lifestyles. The purpose of this thesis was to review and analyze different trials to determine if...
Show moreWomen can face a wide range of pelvic floor dysfunctions following pregnancy, ranging from urinary incontinence to pelvic pain. Unfortunately, these problems are not routinely checked for in postpartum check-ups and women do not always bring it to the physician's attention. Strengthening of the pelvic floor muscles may be able to help women prevent these disorders and improve these women's lifestyles. The purpose of this thesis was to review and analyze different trials to determine if different pelvic floor dysfunctions (urinary incontinence, sexual dysfunction, and pelvic girdle pain) can be treated using pelvic floor muscle training in the postpartum. After reviewing the literature, it was determined that Pelvic floor muscle training may be effective in treating Urinary incontinence, but there is a lack of research to state that it helps treat sexual dysfunction and pelvic pain. Pelvic floor muscle training is a conservative non-invasive treatment and very simple for women to do on their own, therefore more research should be performed to see if this can be a simple fix to a plethora of problems women face in the postpartum.
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Date Issued: 2016
Identifier: CFH2000110, ucf:46052
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000110

Title: NONCARDIAC CHEST PAIN: THE USE OF HIGH RESOLUTION MANOMETRY AS A DIAGNOSTIC TOOL.
Creator: Hilal, Iman, Blackwell, Christopher, Decker, Jonathan, Quagliata, Joseph, University of Central Florida
Abstract / Description: Chest pain is one of the most common symptoms responsible for emergency department and primary care office visits in the United States. Chest pain can be noncardiac and may be attributed to multiple causes. Esophageal disorders including reflux, motility and functional conditions, affect a large proportion of patients with NCCP and lead to significant morbidity. The use of HRM has changed the diagnostic approach to esophageal motility disorders. It is the most specific and sensitive test for...
Show moreChest pain is one of the most common symptoms responsible for emergency department and primary care office visits in the United States. Chest pain can be noncardiac and may be attributed to multiple causes. Esophageal disorders including reflux, motility and functional conditions, affect a large proportion of patients with NCCP and lead to significant morbidity. The use of HRM has changed the diagnostic approach to esophageal motility disorders. It is the most specific and sensitive test for diagnosing motor disorders and a promising procedure in detecting dysmotility disorders in patients with NCCP. Despite the increased sensitivity of HRM, the main indications for esophageal manometry exclude NCCP.This study assessed the percentage of undiagnosed esophageal motility disorders in patients with NCCP referred for high resolution manometry. Differences in HRM findings in patients with NCCP versus patients meeting AGA recommendations for the clinical use of esophageal manometry were also compared. A retrospective descriptive design was utilized. Two hundred-nineteen patient charts were reviewed. One hundred sixty-eight (77%) patients underwent HRM and met AGA recommendations for esophageal manometry; 51 (23%) patients underwent the procedure after receiving a NCCP diagnosis.Findings showed that 116 (69%) patients in the AGA group had abnormal findings while 52 (31%) did not. In the NCCP group 34 (67%) had abnormal findings compared to 17 (33%) who did not. To compare normal and abnormal HRM findings in patients with NCCP versus those meeting AGA criteria, Chi-Square analysis was performed between the groups. The results were not statistically significant (p = 0.10).There were no significant differences in the results of HRM in both groups indicating the findings on HRM are the same despite the indication for the procedure. The findings support the use of HRM as a diagnostic tool in patients with chest pain after cardiac workup and endoscopic evaluation. This indicates a possible need to update the AGA indications for esophageal manometry and increase the awareness among healthcare providers regarding the use of HRM in patients with chest pain. Implication for future research is also discussed
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Date Issued: 2012
Identifier: CFE0004545, ucf:49256
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004545

Title: EFFECTIVENESS OF NONPHARMACOLOGICAL TECHNIQUES FOR PROCEDURAL ANALGESIA IN THE NEONATAL INTENSIVE CARE UNIT.
Creator: Flaherty, Lauren, Allred, Kelly, University of Central Florida
Abstract / Description: The purpose of this thesis is to provide a critical analysis of research findings about nonpharmacological techniques used independently of pharmacological techniques to prevent or reduce procedural pain for infants in the neonatal intensive care unit (NICU). A synthesis of the current research related to nonpharmacological pain relief techniques for infants was conducted for this thesis. Nonpharmacological interventions reviewed in this study include: Kangaroo Care, swaddling, facilitated...
Show moreThe purpose of this thesis is to provide a critical analysis of research findings about nonpharmacological techniques used independently of pharmacological techniques to prevent or reduce procedural pain for infants in the neonatal intensive care unit (NICU). A synthesis of the current research related to nonpharmacological pain relief techniques for infants was conducted for this thesis. Nonpharmacological interventions reviewed in this study include: Kangaroo Care, swaddling, facilitated tucking, positioning, music, non-nutritive sucking and sucrose. An interdisciplinary review of the research was performed using the interdisciplinary databases Cumulative Index of Nursing and Allied Health, PubMED, and PsychINFO. Inclusion criteria for this thesis consists of research focused on preterm neonates (born < 37 weeks gestational age) in the neonatal intensive care unit, the use of nonpharmacological interventions for procedural analgesia, peer reviewed articles, and those written in the English language. This study excludes full term neonates due to the significant number of preterm neonates in the NICU. A total of 18 studies were included in this review. All interventions except for positioning show statistically significant evidence to support their use to reduce procedural pain in preterm neonates. Findings of this thesis may promote further studies and exploration into this field. In addition, this thesis establishes the role of the nurse in providing pain relief for infants in the NICU, as well as provide for enhancement of interdisciplinary care amongst other health care providers.
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Date Issued: 2011
Identifier: CFH0003777, ucf:44739
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0003777

Title: THE USE OF YOGA FOR CHRONIC PAIN MANAGEMENT IN THE PEDIATRIC POPULATION.
Creator: Huff, Annabeth, Burr, Joyce, University of Central Florida
Abstract / Description: Chronic pain has an adverse impact on the quality of life in children and adolescents. It can impair a child's physical, psychological, and social functioning, leading to lower satisfaction with life and poor self-image related to health status. Forty-five percent of children experience chronic pain related to either disease processes or idiopathic causes. Not all children who suffer from chronic pain respond to traditional therapies. The purpose of this literature review was evaluation of...
Show moreChronic pain has an adverse impact on the quality of life in children and adolescents. It can impair a child's physical, psychological, and social functioning, leading to lower satisfaction with life and poor self-image related to health status. Forty-five percent of children experience chronic pain related to either disease processes or idiopathic causes. Not all children who suffer from chronic pain respond to traditional therapies. The purpose of this literature review was evaluation of current research on the use of yoga as an integrative therapy for chronic pain management in the pediatric population. A database search of CINAHL, MEDLINE, and PsycINFO was conducted. Yoga has few side effects, is inexpensive, and can be practiced almost anywhere, regardless of physical ability or age. There is limited research on the use of yoga as an intervention within the pediatric population. Existing research supports the efficacy of yoga for chronic pain management.
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Date Issued: 2015
Identifier: CFH0004798, ucf:45332
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004798

Title: HEALING HANDS: REVIEWING THE POTENTIAL APPLICATIONS OF ENERGY THERAPIES TO REDIRECT PAIN DURING LABOR AND CHILDBIRTH.
Creator: Dinh, Cecelia, Burr, Joyce, University of Central Florida
Abstract / Description: The birth experience is a highly subjective phenomenon that leaves a lasting impression for mothers and their families and friends. Although the passage of a child from the mother's womb into the world is typically joyous, the experience is not always as positive. Negative physical and psychological factors may greatly impact a woman's impression of the childbirth experience. Among childbearing women, the two main concerns of childbirth are pain and safe management. Similarly among healthcare...
Show moreThe birth experience is a highly subjective phenomenon that leaves a lasting impression for mothers and their families and friends. Although the passage of a child from the mother's womb into the world is typically joyous, the experience is not always as positive. Negative physical and psychological factors may greatly impact a woman's impression of the childbirth experience. Among childbearing women, the two main concerns of childbirth are pain and safe management. Similarly among healthcare providers, management of labor pain is one of the main goals of maternity care. Pain is a highly subjective phenomenon that is expected during the birth experience. Pharmacologic interventions have significantly reduced pain perception, but have left many women dissatisfied with the overall birth experience due to their potential adverse effects. Energy therapies have been studied for their role in creating a positive birth experience in relation to pain. This literature review examines the empirical evidence and makes suggestions for research and practice regarding energy therapies during labor and childbirth published between 1986 and 2012. Energy therapies, specifically Reiki, Therapeutic touch (TT), and Healing touch (HT) were examined in regards to pain perception and the childbirth process. Although pharmacologic interventions have been successful in reducing some childbirth concerns, the addition of complementary therapies such as Reiki, TT, and/or HT provides a holistic approach to pain management during labor and childbirth.
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Date Issued: 2012
Identifier: CFH0004246, ucf:44962
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004246

Title: NURSING MANAGEMENT AND MIRROR THERAPY FOR PHANTOM LIMB PAIN.
Creator: Henry, Bridget, Allred, Kelly, University of Central Florida
Abstract / Description: Phantom limb pain may occur after the accidental removal or surgical amputation of a limb. Phantom limb pain is the experience of pain in the limb that is no longer present. The clinical management of phantom limb pain is essential in the overall reduction of patient rehabilitation and poor patient outcomes. A patient�s degree of phantom limb pain is influenced by their personal response to loss and pain and can have devastating effects to a person�s social performance, occupational role,...
Show morePhantom limb pain may occur after the accidental removal or surgical amputation of a limb. Phantom limb pain is the experience of pain in the limb that is no longer present. The clinical management of phantom limb pain is essential in the overall reduction of patient rehabilitation and poor patient outcomes. A patient�s degree of phantom limb pain is influenced by their personal response to loss and pain and can have devastating effects to a person�s social performance, occupational role, family role, relationships, and involvement in activities or hobbies. Like most chronic pain, phantom limb pain decreases the quality of life. Not all amputees who suffer from chronic pain respond to traditional therapies. The purpose of this integrated review of the literature was to explore current research and determine the efficacy of mirror therapy in the treatment of Phantom limb pain in amputees. A database search of CINAHL, PubMed (MEDLINE), and OneSearch was conducted. Mirror therapy had no reported side effects, was inexpensive, and was capable of being practiced at home and at the bedside. Relevant findings in the literature revealed a significant decrease in phantom limb pain when using mirror therapy for more than 4 weeks. Although limited research on the use of mirror therapy as an intervention for amputees, existing research supports the efficacy of mirror therapy for the management of phantom limb pain. Nurses and healthcare providers need education on mirror therapy to advocate for their patients to ensure the best possible outcome and reduction of phantom limb pain. Further research on mirror therapy is needed.
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Date Issued: 2016
Identifier: CFH2000028, ucf:45606
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000028

Title: THE PRESENCE OF PAIN RELATED CYTOKINES AND CHEMOKINES IN SCHWANNOMAS AND THEIR POTENTIAL ASSOCIATION WITH CHRONIC PAIN IN SCHWANNOMATOSIS.
Creator: Nagamoto, Jackson D, Fernandez-Valle, Cristina, University of Central Florida
Abstract / Description: Schwannomatosis (SWN) is a genetic disorder that predisposes affected individuals to develop multiple Schwannomas anywhere in the peripheral nervous system. This can be due to a mutation in the LZTR1 or SMARCB1 genes on chromosome 22. SWN has the defining clinical symptom of chronic pain and a lack of vestibular schwannomas, which sets it apart from other, related disorders such as Neurofibromatosis Type II (NF2). Currently, it is unknown what causes the chronic pain of SWN patients but it is...
Show moreSchwannomatosis (SWN) is a genetic disorder that predisposes affected individuals to develop multiple Schwannomas anywhere in the peripheral nervous system. This can be due to a mutation in the LZTR1 or SMARCB1 genes on chromosome 22. SWN has the defining clinical symptom of chronic pain and a lack of vestibular schwannomas, which sets it apart from other, related disorders such as Neurofibromatosis Type II (NF2). Currently, it is unknown what causes the chronic pain of SWN patients but it is hypothesized that cytokines may have promote the neuropathic pain experienced by patients. This study investigates the presence of the chemokine CCL2 and the cytokine IL6 in human SWN schwannomas and non-SWN schwannomas to determine if there is a difference in the presence of these cytokines between the two tumor types. It was demonstrated that all of the SWN schwannomas expressed both CCL2 and IL6 whereas the non-SWN schwannomas expressed only one or the other protein if either. These results indicate that the presence of these cytokines within the SWN schwannomas is different from non-SWN schwannomas and could be a potential contributing factor in the occurrence of neuropathic pain experienced by SWN which is part of the differential diagnosis for NF2 and SWN.
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Date Issued: 2019
Identifier: CFH2000525, ucf:45627
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000525

Title: COMPLEMENTARY AND INTEGRATIVE THERAPIES FOR THE TREATMENT OF FIBROMYALGIA.
Creator: Hushla, Jennifer, Burr, Joyce, Forlaw, Loretta, University of Central Florida
Abstract / Description: Fibromyalgia syndrome (FMS) is a debilitating and chronic condition with an array of symptoms, the most distinguishable being widespread pain. FMS patients experience a marked decrease in quality of life related to intensity of symptoms. Current treatment options and pharmaceuticals do not provide adequate relief. This thesis examines integrative and complementary therapy options for symptom management and improvement of quality of life for FMS patients. A literature review was conducted of...
Show moreFibromyalgia syndrome (FMS) is a debilitating and chronic condition with an array of symptoms, the most distinguishable being widespread pain. FMS patients experience a marked decrease in quality of life related to intensity of symptoms. Current treatment options and pharmaceuticals do not provide adequate relief. This thesis examines integrative and complementary therapy options for symptom management and improvement of quality of life for FMS patients. A literature review was conducted of English current research using multiple databases. Findings indicate mindful movement therapies (MMT) such as yoga and tai chi, mindfulness, sensory-related relaxation techniques with guided imagery, and cognitive behavioral therapy (CBT) provided some relief and increased in perceived quality of life (QoL).
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Date Issued: 2018
Identifier: CFH2000367, ucf:45900
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000367

Title: AMERICAN REVOLUTIONARY THINKERS: UNJUST WARS, LIMITED GOVERNMENT AND NATURAL RIGHTS.
Creator: Spera, Adam, Coverston, Harry, University of Central Florida
Abstract / Description: The conceptual bases of this thesis include the philosophical constructs of Just War Theory, limited government, and natural rights as applied to foreign policy. Just War Theory was originally articulated by St. Augustine and represents the requirements a nation must satisfy to wage war justly. Building upon the basis of Just War Theory, I then split the discussion into two main categories. The first is a historical look at certain American thinkers and their reactions to what they saw as...
Show moreThe conceptual bases of this thesis include the philosophical constructs of Just War Theory, limited government, and natural rights as applied to foreign policy. Just War Theory was originally articulated by St. Augustine and represents the requirements a nation must satisfy to wage war justly. Building upon the basis of Just War Theory, I then split the discussion into two main categories. The first is a historical look at certain American thinkers and their reactions to what they saw as unjust wars based in their strong idealistic goals for humanity. The second is a critical examination of American foreign policy based upon the analytical model arising from these American thinkers. The thesis concludes with an examination of contemporary applications of this analysis with an examination of recent wars that have taken place in the Middle East and an assessment of their just or unjust nature. My historical research examines the arguments of Thomas Paine, Emma Goldman, Henry David Thoreau, and Martin Luther King, Jr. I will review each thinker to highlight their criticisms of the unjust wars in which America has been involved from the 18th Century to the 21st Century. A secondary goal of this research is to trace a pattern of idealistic thinking that is present in American Revolutionary thought. These ideals refer to notions of natural rights, social liberty, economic freedom, and the constant pursuit of justice. By using the established arguments put forth by these four American thinkers, I argue that another unjust war will only bring misery to America and any other nation involved. iii Finally, my contemporary research develops the CIA term "blowback" and its effect on American foreign policy. By applying the theory of blowback to the current military disputes in which the United States has been or could be involved, I attempt to persuade the reader to resist the notion of engaging in another war. Historically unjust wars have never improved the standard of living for the American citizen and have served to suppress the inherent natural rights of the human beings involved. In conclusion, I combine contemporary and historical arguments to highlight the continuing stream of injustice that exists in American foreign policy.
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Date Issued: 2012
Identifier: CFH0004196, ucf:44854
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004196

pain (7)	+ -
Pain (3)	+ -
chronic pain (3)	+ -
pain management (3)	+ -
NICU (2)	+ -

Yoga (2)	+ -
therapy (2)	+ -
Adult (1)	+ -
Aerobic exercises (1)	+ -
American (1)	+ -
Aquatic (1)	+ -
CCL2 (1)	+ -
Chronic Pain (1)	+ -
Cognition (1)	+ -
Cognitive Impairment (1)	+ -
Complementary (1)	+ -
Concomitance (1)	+ -
Cytokines (1)	+ -
Education (1)	+ -
FMS (1)	+ -
Fibromyalgia (1)	+ -
Games (1)	+ -
Geriatrics (1)	+ -
Goldman (1)	+ -
Guided Imagery (1)	+ -
High resolution manometry (1)	+ -
IL6 (1)	+ -
Immunohistochemistry (1)	+ -
Integrative (1)	+ -
Kangaroo Care (1)	+ -

Honors Collection (18)	+ -
ETD Collection (7)	+ -

English (24)	+ -
Engilsh (1)	+ -

University of Central Florida (25)	+ -
Allred, Kelly (7)	+ -
Burr, Joyce (3)	+ -
Byers, Jacqueline (2)	+ -
Fernandez-Valle, Cristina (2)	+ -

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