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Pain Management - Non-Pharmacologic Measures

According Tamsuri (2006), in addition to pharmacological measures to cope with pain, there is also Nonpharmacologic measures to overcome the pain consists of several response actions, based on:

Physical / physical stimulation include:

Stimulation of skin
Massase skin gives the effect of decreasing anxiety and muscle tension. Stimulation of muscle massage is believed to stimulate large-diameter fibers, so as to be able to block or reduce pain impulses

Electric stimulation (TENS)
The workings of this system remains unclear, one is thinking this way can release endorphins, which can block pain stimulation. Can be done with massase, warm baths, compresses with ice bags and transcutaneous electrical nerve stimulation (TENS / transcutaneus electrical nerve stimulation). TENS is a stimulation of the skin using a mild electrical current delivered through external electrodes.

Acupuncture
Acupuncture is a treatment that has long been used to treat pain. Small needles are inserted on the skin, aiming to touch certain points, depending on the location of pain, which can block pain transmission to the brain.

Placebos
Placebo in Latin means, I want to please is a substance with no pharmacological activity in a form that is known by clients as "drugs" such as tablet, capsule, liquid injection and so on.


Cognitive behavioral interventions include:

Relaxation
Skeletal muscle relaxation is believed to reduce pain by relaxing the muscles that support keteganggan pain. Relaxation techniques may need to be taught bebrapa times to achieve optimum results. With the relaxation of the patient can change the perception of pain.

Biofeedback
Behavioral therapy is done by giving individuals information about the physiological pain responses and how to train the voluntary control of the response. This therapy is effective to overcome muscle tension and migraine, by placing electrodes on the temples.

Hypnotic
Help change the perception of pain through the influence of positive suggestion.

Distraction
Divert attention to pain, is effective for mild to moderate pain. Visual distraction (see the TV or the game ball), distraction audio (listening to music), distraction touch (massase, holding the toy), an intellectual distraction (assembling puzzles, playing chess)

Guided Imagination
Ask clients to imagine imagining things that are fun, this action requires an atmosphere and a quiet room as well as the concentration of clients. If a client experiencing anxiety, the action must be stopped. This action is performed when the client feels comfortable and not in acute pain.