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Anxiety Non-pharmacologic Management

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161. Effectiveness of Music Therapy on Blood Pressure and Anxiety Among Patients Undergoing Haemodialysis

in which patients are being reported to face psychosocial and physiological problems such as anxiety, stress and hypertension etc. To relieve these problems, music therapy has been widely used as a non-pharmacological intervention with the aim to assess the effectiveness of music therapy on blood pressure and anxiety among haemodialysis patients. Methods:- current study using true experimental pre-test post-test design was conducted among 60 haemodialysis patients which were randomly allocated (...) Effectiveness of Music Therapy on Blood Pressure and Anxiety Among Patients Undergoing Haemodialysis Effectiveness of Music Therapy on Blood Pressure and Anxiety Among Patients Undergoing Haemodialysis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2017 Clinical Trials

162. Effects of Virtual Reality on Pre-Operative Anxiety and Induction of Anesthesia in Children and Adolescents

to alleviate preoperative anxiety. However, there are many side-effects that are not always preventable. Reports of 3.8% of patients having paradoxical effects from midazolam have been documented, and delayed emergence is possible in surgeries of short duration. In addition, midazolam can also result in critical events perioperatively, such as airway obstruction and worsened nausea and vomiting. Non-pharmacological interventions could help avoid these complications, however, current studies do not show (...) virtual environment (VE) was easy to use, had good stereo sound effects, and was immersive and interactive. They also found that patients experienced low levels of fatigue, headache, eyestrain, and nausea when using the VR device. No studies have involved VR in setting of anesthesia induction period and a non-pharmacological intervention for preoperative anxiety. A pilot study conducted by Wiederhold et al, tested 6 chronic pain patients using a head-mounted VR device. All six study participants

2017 Clinical Trials

163. Current concepts in management of pain in children in the emergency department. (Abstract)

-pharmacological interventions, as adjuncts to pharmacological management for acute anxiety and pain, are described by age and development. We discuss the pharmacological management of acute pain and anxiety, reviewing invasive and non-invasive routes of administration, pharmacology, and adverse effects. Copyright © 2016 Elsevier Ltd. All rights reserved. (...) Current concepts in management of pain in children in the emergency department. Pain is common in children presenting to emergency departments with episodic illnesses, acute injuries, and exacerbation of chronic disorders. We review recognition and assessment of pain in infants and children and discuss the manifestations of pain in children with chronic illness, recurrent pain syndromes, and cognitive impairment, including the difficulties of pain management in these patients. Non

2015 Lancet

164. Review: collaborative care improves depression and anxiety symptoms in adults

included; Diagnostic and Statistical Manual (DSM), International Classification of Diseases (ICD) or Research Diagnostic Criteria). Collaborative care had to include a structured management plan (using guidelines or protocols and including pharmacological or non-pharmacological interventions, … Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price (...) Review: collaborative care improves depression and anxiety symptoms in adults Review: collaborative care improves depression and anxiety symptoms in adults | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts

2013 Evidence-Based Mental Health

165. A mechanistic approach to pain management: Applying the biopsychosocial model to physical therapy

therapy treatments, interdisciplinary care, and pain syndromes published by the IASP Press. Dr. Sluka’s translational research laboratory focuses on the neurobiology of musculoskeletal pain as well as the mechanisms and effectiveness of non-pharmacological pain treatments commonly used by physical therapists. She has published over 200 peer-reviewed manuscripts and has received numerous awards including the Marian Williams Award for Research in Physical Therapy and the Catherine Worthingham Fellow (...) A mechanistic approach to pain management: Applying the biopsychosocial model to physical therapy A mechanistic approach to pain management: Applying the biopsychosocial model to Physical Therapy practice Research into the role of the brain and mind in chronic pain A mechanistic approach to pain management: Applying the biopsychosocial model to physical therapy September 7, 2018 by “Physicians and patients usually harbor a concept of pain that involves a linkage between body damage and the pain

2018 Body in Mind blog

166. Mind-body interventions during pregnancy for preventing or treating women's anxiety. (Abstract)

Mind-body interventions during pregnancy for preventing or treating women's anxiety. Anxiety during pregnancy is a common problem. Anxiety and stress could have consequences on the course of the pregnancy and the later development of the child. Anxiety responds well to treatments such as cognitive behavioral therapy and/or medication. Non-pharmacological interventions such as mind-body interventions, known to decrease anxiety in several clinical situations, might be offered for treating (...) . Autogenic training might be effective for decreasing women's anxiety before delivering.Mind-body interventions might benefit women's anxiety during pregnancy. Based on individual studies, there is some but no strong evidence for the effectiveness of mind-body interventions for the management of anxiety during pregnancy. The main limitations of the studies were the lack of blinding and insufficient details on the methods used for randomization.

2011 Cochrane

167. Management of obesity

, when used in the treatment of type 2 diabetes mellitus ? lithium ? sodium valproate ? sulphonylureas, including chlorpropamide, glibenclamide, glimepiride and glipizide ? thiazolidinediones, including pioglitazone ? tricyclic antidepressants, including amitriptyline. ?1 + 1 ++ 1 ++ 4 4 2 - 15 6 IDENTIFYING HIGH RISK GROUPS IN ADUlTS Adjunctive non-pharmacological weight management interventions are effective in reducing or attenuating antipsychotic induced weight gain when compared with treatment (...) in the community is around 3% compared with around 30% in patients seeking weight management services. Amongst those in weight loss programmes, BED was significantly more common in females (29.7%) compared with males (21.8%, p=0.02). 124,125 People with BED are heavier, are more likely to be overweight as a child, demonstrate weight cycling, and have higher levels of psychological comorbidity including anxiety, depression and personality disorders compared to those without BED. 126,127 A systematic review

2010 SIGN

168. Management of diabetes

, as are recommendations for the management of cardiovascular, kidney and foot diseases. Guidance for all people with diabetes to prevent visual impairment, and specific advice for pregnant women with diabetes is provided. A new section on the management of psychosocial issues, drawn partially from evidence originally contained in other sections, is now included. Finally, a section on the management of type 1 diabetes has been added. Implementation of these recommendations will encourage the provision and development (...) diabetes is recommended. ? In children this should include eating disorders, behavioural, emotional and family functioning problems. ? In adults this should include anxiety, depression and eating disorders. A Children and adults with type 1 and type 2 diabetes should be offered psychological interventions (including motivational interviewing, goal setting skills and CBT) to improve glycaemic control in the short and medium term.6 MANAGEMENT OF DIABETES 2.3 MANAGEMENT OF TYPE 1 DIABETES B An intensified

2010 SIGN

169. Diagnosis and management of psoriasis and psoriatic arthritis in adults

practitioner haDs Hospital Anxiety and Depression Scale haQ Health Assessment Questionnaire hcP healthcare professional hr hazard ratio htn hypertension iBD inflammatory bowel disease iM intramuscular irr incidence rate ratio Mi myocardial infarction aBBreViations48 Diagnosis anD ManageMent of Psoriasis anD Psoriatic arthritis in aDults MM malignant melanoma Mra minimal residual activity Mta multiple technology appraisal nBuVB narrow band ultraviolet B phototherapy nhs Qis NHS Quality Improvement Scotland (...) Diagnosis and management of psoriasis and psoriatic arthritis in adults Diagnosis and management of psoriasis and psoriatic arthritis in adults A national clinical guideline October 2010 121 Scottish Intercollegiate Guidelines Network Part of NHS Quality Improvement Scotland SIGN Help us to improve SIGN guidelines - click here to complete our survey KEY TO EVIDENCE STATEMENTS AND GRADES OF RECOMMENDATIONS LEVELS OF EVIDENCE 1 ++ High quality meta-analyses, systematic reviews of RCTs, or RCTs

2010 SIGN

170. Management of Pulmonary Arterial Hypertension

and will be reviewed in 2015 or sooner if new evidence becomes available. These guidelines provide: a) A description of Pulmonary Arterial Hypertension (PAH) which reflects the devastating nature of PAH that have crucial bearing on the patient’s management b) A description of the basic pathophysiology of PAH c) A brief discussion on the Dana Point Classification (2008) and WHO Functional Class Classification d) Guidance on the recognition of clinical features and diagnostic approach of PAH. e) An algorithm (...) Society of Cardiology (ESC) These guidelines were presented to the Technical Advisory Committee for Clinical Practice Guidelines, and the Health Technology Assessment and Clinical Practice Guidelines Council, Ministry of Health Malaysia for review and approval. OBJECTIVES GENERAL OBJECTIVES To provide evidence-based guidance in the diagnosis and management of PAH in adults and pediatric patients. SPECIFIC OBJECTIVES ? To guide early diagnosis of PAH in adults and pediatric patients so as to enable

2011 Ministry of Health, Malaysia

171. General Palliative Care Guidelines for the Management of Pain at the End of Life in Adult Patients

dimensions to be addressed on an individual basis 3,4 this document focuses on pain assessment and pharmacological approaches for adult patients at the end of life. It will make reference to non- pharmacological approaches or interventions and direct the reader to seek appropriate specialist advice when required. a short 2 page summary captures some of the key points and provides a user friendly visual aid to support community and hospital-based practitioners in practical issues of managing pain (...) In CognItIve IMP aIrMent 59 PaIn assessMent and ManageMent In 61 learnIng dIsabIlItIes aPPendIx 1 PaIn assessMent Chart 63 aPPendIx 2 hosPItal anxIety & dePressIon sCale 65 aPPendIx 3 nICe ClInICal guIdelInes For 66 neuroP athIC PaIn aPPendIx 4 PatIent InForMatIon leaFlet oPIoIds 68 aPPendIx 5 audIt assessMent tool 73 aPPendIx 6 draFt suMMary Poster 74 aPPendIx 7 sPeCIalIst PallIatIve Care ContaCt 82 InForMatIon aPPendIx 8 MeMbershIP oF PaIn guIdelInes 84 workstrand aPPendIx 9 abbrevIatIons 86 reFerenCes

2011 Regulation and Quality Improvement Authority

172. 2011 update to NHFA and CSANZ guidelines for the prevention, detection and management of chronic heart failure in Australia

of symptoms in CHF 8 Table 4.2 Recommendations for diagnostic investigation of CHF 13 Table 5.1 Recommendations for discussion with patients with CHF 16 Table 6.1 Recommendations for non-pharmacological management of CHF 23 Table 7.1 Therapies for other cardiovascular conditions shown to reduce CHF incidence 25 Table 7.2 Recommendations for preventing CHF and treating asymptomatic LV dysfunction 25 Table 7.3 Recommendations for pharmacological treatment of symptomatic CHF 29 Table 8.1 Recommendations (...) of these guidelines Healthy heart Death Cardiac remodelling Acute cardiac event Stable Predisposing risk factors Clinically unstable Stable Clinically unstable Symptomatic CHF End-stage/Refractory CHF 6 Non-pharmacological management 7 Pharmacological therapy 8 Devices 9 Surgery 10 Acute exacerbations of CHF 11 HFPSF 12 Treatment of associated disorders 13 Post-discharge management programs Relevant section 2 Comment on de? nition 3 Aetiology Appendix III: Epidemiology and public health signi? cance Appendix III

2011 Clinical Practice Guidelines Portal

173. Guidelines for the prevention, detection and management of chronic heart failure (updated October 2011)

for diagnostic investigation of CHF 13 Table 5.1 Recommendations for discussion with patients with CHF 16 Table 6.1 Recommendations for non-pharmacological management of CHF 23 Table 7.1 Therapies for other cardiovascular conditions shown to reduce CHF incidence 25 Table 7.2 Recommendations for preventing CHF and treating asymptomatic LV dysfunction 25 Table 7.3 Recommendations for pharmacological treatment of symptomatic CHF 29 Table 8.1 Recommendations for device-based treatment of symptomatic CHF 38 Table (...) of these guidelines Healthy heart Death Cardiac remodelling Acute cardiac event Stable Predisposing risk factors Clinically unstable Stable Clinically unstable Symptomatic CHF End-stage/Refractory CHF 6 Non-pharmacological management 7 Pharmacological therapy 8 Devices 9 Surgery 10 Acute exacerbations of CHF 11 HFPSF 12 Treatment of associated disorders 13 Post-discharge management programs Relevant section 2 Comment on de? nition 3 Aetiology Appendix III: Epidemiology and public health signi? cance Appendix III

2011 Clinical Practice Guidelines Portal

174. Treating interstitial cystitis: pharmacologic and non-pharmacologic options

Treating interstitial cystitis: pharmacologic and non-pharmacologic options The AFP Community Blog: Treating interstitial cystitis: pharmacologic and non-pharmacologic options | Monday, January 26, 2015 - Jennifer Middleton, MD, MPH An in the United States have interstitial cystitis (IC), a syndrome that can cause a variety of bothersome and uncomfortable urinary tract symptoms. The January 15 issue of AFP ; although researchers have yet to identify an effective long-term pharmacologic (...) -line treatments, advising patient education, "self-care practices," "behavioral modification," and "stress management practices" as first-line treatments. In line with those recommendations is a recent study that found a high rate of co-morbid mood symptoms in patients with IC. ; correlation does not necessarily equal causation, of course, and it's unclear if these symptoms co-exist with IC, predate IC, or come as a result of the frustrating symptoms of IC. Regardless, the for co-morbid depression

2015 The AFP Community Blog

175. Virtual Reality Distraction for Procedural Pain Management in Children With Burn Injuries: a Randomized Controlled Trial

. Indeed, children with burn injuries still experience severe pain intensity during procedures despite the fact that doses of analgesics used with this population has almost doubled in the last twenty years. Current guidelines on pediatric procedural pain management recommend the combination of non-pharmacological and pharmacological interventions to enhance pain management and decrease the numerous side effects of analgesics. Distraction has been identified among the most effective non-pharmacological (...) Prototype Other: Standard Pharmacological Treatment Not Applicable Detailed Description: BACKGROUND: Preliminary data from the pilot study showed that the virtual reality prototype installed around the tank in the hydrotherapy room is a feasible and acceptable method of distraction that doesn't interfere with the work of healthcare professionals and could be used as a non-pharmacological method for pain management. A clinical trial is needed to assess the effectiveness of this intervention

2016 Clinical Trials

176. Cognitive Behavioral Group Therapy for the Management of Menopause Symptoms in Mood Disorders

Sponsor: Danette Conklin, PhD Information provided by (Responsible Party): Danette Conklin, PhD, University Hospitals Cleveland Medical Center Study Details Study Description Go to Brief Summary: The general objective of this study is to advance insight into non-pharmacological treatments for maturing women that impact psychological health and wellbeing of women adapting to menopause, a natural but often challenging developmental milestone. Condition or disease Intervention/treatment Phase Bipolar (...) of a Manualized Cognitive Behavior Group Therapy Treatment for the Management of Menopause Symptoms in a Mood and Anxiety Disorder Population Actual Study Start Date : July 2016 Actual Primary Completion Date : October 2018 Actual Study Completion Date : October 2018 Resource links provided by the National Library of Medicine related topics: related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Cognitive Behavioral Group Therapy The six CBGT sessions are outlined in the manual

2016 Clinical Trials

177. Participatory Research for Fine-tuning of a 2.0 System to Optimise Home Management of Oral Cancer Therapies.

Not Applicable Detailed Description: This is a prospective, interventional, non pharmacological study for testing-validation of a new app for optimising home management of oral therapies for cancer treatment. All patients will be treated according to the local clinical practice. Enrolment period: 8 (training step) + 12 (validation step) months. Total duration of the study: 36 months. This is a multicenter study. Objective of the study is to assess the capability of a newly developed interactive health care (...) : NCT02921724 Recruitment Status : Recruiting First Posted : October 3, 2016 Last Update Posted : November 9, 2018 See Sponsor: Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori Collaborator: Kessler Foundation Information provided by (Responsible Party): Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori Study Details Study Description Go to Brief Summary: This is a prospective testing-validation, interventional, non-pharmacological study on a new app for oral anticancer

2016 Clinical Trials

178. External Cold and Vibration Stimulation (Buzzy®) for Procedural Pain Management in Children Undergoing Needle-Related Procedures

Department (ED). Needle-related procedures are the most important source of pain and anxiety and children. Since it is impossible to completely eliminate the pain and anxiety experienced by children during painful procedures, use of non-pharmacological and/or pharmacological interventions might be beneficial. Most methods used for relief of procedural pain and anxiety for children require time or extra staff, which represent barriers to their implantation in the ED. An easy-to-use and rapid non (...) -pharmacological intervention could overcome these constraints and optimize procedural pain and anxiety relief in children undergoing a needle-related procedure. The primary objective of this study is to determine if a device combining cold and vibration (Buzzy®) is non-inferior (no worse) than a topical anesthetic cream (lidocaine liposomal 4%) for procedural pain management in children undergoing needle-related procedures in the ED. Investigators strongly believe that the use of the Buzzy® device in the ED

2015 Clinical Trials

179. Management of the respiratory distress symptom cluster in lung cancer: a randomised controlled feasibility trial. Full Text available with Trip Pro

Management of the respiratory distress symptom cluster in lung cancer: a randomised controlled feasibility trial. Breathlessness, cough and fatigue are distressing symptoms for patients with lung cancer. There is evidence that these three symptoms form a discreet symptom cluster. This study aimed to feasibly test a new non-pharmacological intervention for the management of the Respiratory Distress Symptom Cluster (breathlessness-cough-fatigue) in lung cancer.This was a multi-centre, randomised (...) , Hospital Anxiety and Depression scale, Lung Cancer Symptom Scale and the EQ-5D-3L, collected at baseline, week 4 and week 12.One hundred seven patients were randomised over 8 months; however, six were removed from further analysis due to protocol violations (intervention group n = 50 and control group n = 51). Of the ineligible patients (n = 608), 29 % reported either not experiencing two or more symptoms or not being 'bothered' by at least two symptoms. There was 29 % drop-out by week 4, and by week

2015 Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer Controlled trial quality: uncertain

180. Observational Study Linking Genetic Variants With Clinical Outcomes in Pain Management

to medications or non-pharmacological treatments and improvements in pain, functional ratings, or patient satisfaction. Concomitantly, this study will use the collected genetic and clinical data to create a data registry in order to examine novel correlations and associations between single nucleotide polymorphisms and longitudinal datasets. The results of this study will elucidate potential predictive variables of chronic pain development and/or treatment that will assist in making better healthcare (...) information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Subjects will be adult patients seeking treatment at the Pain Clinic at the University of Southern California, Keck School of Medicine, in Los Angeles. Patients will have a chronic pain diagnosis and are receiving routine medical visits for their care. Treatment includes pharmacological, non-pharmacological

2015 Clinical Trials

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