Play Before Pain Meds!

The National Pharmaceutical Council and the Joint Commission on Accreditation of Healthcare Organizations reports on nonpharmacologic diversion therapies similar to those provided by AccendoWave. In December 2001, the National Pharmaceutical Council as part of a collaboration project with the Joint Commission on Accreditation of Healthcare Organizations developed a monograph titled Pain: Current Understanding of Assessment, Management, and Treatments.  Section III of said monograph is Types of Treatment.  Paragraph B of Section III is titled Nonpharmacologic Treatments for Pain.  That paragraph states “ Nonpharmacologic strategies should supplement, but not replace, the use of medications.  In addition to supplementing the pain-relieving effects of analgesics, nonpharmacologic approaches offer other advantages.  For Example they can improve mood, reduce anxiety, increase a patient’s sense of control, strengthen coping abilities, assist with sleep, relax muscles and improve the quality of life.” AccendoWave combines several of the Psychological Methods Used to Manage Pain as outlined in Table 30 of said monograph. AccendoWave provides: Cognitive-behavioral therapy (CBT): CBT combines cognitive therapy techniques (e.g. attention diversion with behavioral techniques (e.g. relaxation and assertiveness training).  CBT helps patients alter their perceptions or labeling of pain, increases sense of control and decreases maladaptive behaviors.   CBT is especially helpful with chronic pain, but can also be useful in acute pain.   Relaxation with imagery: One of the most widely used nonpharmacologic treatments for pain that can increase focus on feelings of well-being as well as diminish tension, anxiety, depression, and pain-related inactivity.  Relaxation imagery is especially helpful with postoperative pain, chronic headache, cancer pain, arthritis pain, and labor pain.   Distraction: Includes repeating reaffirming phrases and playing games to distract attention in patients with chronic noncancer pain.   The goal is for the patient to actively occupy his or her attention with and activity other than pain.   Distraction is used in patients with multiple acute and chronic types of pain.   Biofeedback: Patient learns to take voluntary control over physiological body activities by receiving input about those activities.  Directed at teaching a patient how to take control of body responses via mental...

Read More