In adult oncology patients at an infusion Center at Queens Hospital Center, does the implementation of a music therapy program compared to current practice, impact pain scores during chemotherapy over 8-10 weeks?
Please discuss your evidence-based intervention and the rationale behind choosing this option.
The evidence-based intervention for the proposed project is implementing therapeutic music to reduce pain scores among cancer patients. Pain is the most reported complaint among cancer patients and is inadequately controlled with current treatment modalities (Behzadmehr et al., 2020; Fernando et al., 2019; Yangoz & Ozer, 2019). Complementary and alternative medicine interventions are getting more popularity and acceptance among cancer patients (Behzadmehr et al., 2020; Fernando et al., 2019). The healing power of music has been well recognized in many cultures for several centuries and is used to cure the disorders of mind and body (Schnieider,2018; Spilioti et al., 2017). Music is beneficial, safe, and economical adjuvant treatment modality and is frequently used in palliative care (Bro et al., 2019; Li et al., 2020). Additionally, music is a universal language, which produces phenomena of music-induced analgesia ( Lu et al., 2019) and positively influences physical and emotional symptoms of cancer ( Bro et al., 2019). In other words, music distracts unpleasant symptoms, promotes expressing their inner feelings, and causes reduction of anxiety, depression, and pain (Antoich et al., 2020; Li et al., 2020; Sibanda et al., 2018; Spilioti et al., 2017). Furthermore, listening to favorite music reduces pain perception and feeling of well-being secondary to the release of dopamine and serotonin (Antoich et al., 2020; Sibanda et al., 2018; Wurjatmiko,2019). Music stimulates the limbic system to release endorphins and parasympathetic system activation and leads to relaxation of the body and natural analgesia (Antoich et al., 2020; Sibanda et al., 2018; Wurjatmiko,2019). Strong neuroscientific evidence of music-induced analgesia is revealed with the help of real-time functional magnetic imaging, which showed unique brain activation for subjects in pain while listening to music (Li et al., 2020). Also, the study (Li et al., 2020) found a very promising fact that subjects in pain listening to music also developed activation of descending pain pathway and dorsal gray matter of spinal cord, which causes diminished pain perception. In short, music is a beneficial, safe, and economical adjuvant treatment modality and is recommended in cancer pain management (Bro et al., 2019; Li et al., 2020; Wurjatmiko, 2019; Yangoz and Ozer, 2019).
There is robust research evidence to support the use of music as an adjunct non-pharmacological intervention. An extensive systematic review by Wurjatmiko (2019) and another systematic review and meta-analysis by Yangoz and Ozer (2019) revealed music reduces cancer pain. Both studies strongly support using passive listening of nonlyrical/ instrumental music from a CD player using earphones to reduce pain. The music selection in the reviewed studies was different ( Wurjatmiko, 2019; Yangoz and Ozer, 2019), and Wurjatmiko (2019) concluded from the reviewed evidence that using soft melodic music with a tempo of 60 to 80 beats per minute is therapeutic in reducing pain. Poulsen and Coto (2018) also found closely similar findings after an extensive literature search and formulated a music protocol that nurses could quickly adapt to manage pain. Even though nurses appreciate the benefits and scientific evidence of many multi-modal treatment modalities for cancer pain management, use is limited secondary to lack of resources, knowledge, and clinical care coordination (Erol et al., 2018; Rini et al., 2017). The DNP student is highly motivated to implement this evidence-based intervention to improve the pain scores of adult cancer patients at the practicum site.
Did you consider the needs of the project site? Did you feel the resources available at the site and the potential cost? What about buy-in from stakeholders for your chosen intervention?
The practicum site manages cancer pain with opioids and invasive procedures when appropriate. The DNP student identified gaps in cancer pain management after carefully evaluating the data extracted from medical records. Poorly controlled cancer pain adversely affects the patient outcome and subsequent poor quality of life. In addition, frequent emergency room visits and prolonged hospitalization negatively influence patient satisfaction scores and causes an incredible financial burden to the hospital. Stakeholders agree with implementing evidence-based interventions to improve cancer pain management and are extremely pleased with the proposed project. Currently, the practicum site provides resources such as conference rooms, computers, projectors, office space, and nursing staff. The DNP student is buying MP3 players, earphones, and office supplies. There are no funds or grants allotted for this project. Stakeholders are excited to know the project’s outcome and convey their interest in sustaining this evidence-based intervention.
Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or barriers you experienced this week.
This week, I spent most of my time doing literature analysis and preparing John Hopkin’s table. I also spend many hours discussing with stakeholders about the implementation plan and facing some challenges to get all the key stakeholders together. I am trying hard to put everything together and keep up with the flow.
Antioch, I., Furuta, T., Uchikawa, R., Okumura, M., Otogoto, J., Kondo, E., Sogawa, N., Ciobica, A., & Tomida, M. (2020).
favorite music mediates pain-related responses in the anterior cingulate cortex and skin pain thresholds
. Journal of Pain Research, Volume 13, 2729–2737. https://doi.org/10.2147/jpr.s276274 (Links to an external site.)
Behzadmehr, R., Dastyar, N., Moghadam, M., Abavisani, M., & Moradi, M. (2020). Complementary and alternative medicine interventions on cancer-related pain among breast cancer patients: A systematic review. Complementary Therapies in Medicine, 49, 102318. https://doi.org/10.1016/j.ctim.2020.102318 (Links to an external site.)
Bro, M., Jespersen, K., Hansen, J., Vuust, P., Abildgaard, N., Gram, J., & Johansen, C. (2017). Kind of blue: A systematic review and meta-analysis of music interventions in cancer treatment. Psycho-Oncology, 27(2), 386–400. https://doi.org/10.1002/pon.4470 (Links to an external site.)
Erol, O., Unsar, S., Yacan, L., Pelin, M., Kurt, S., & Erdogan, B. (2018). Pain experiences of patients with advanced cancer: A qualitative descriptive study. European Journal of Oncology Nursing, 33, 28–34. https://doi.org/10.1016/j.ejon.2018.01.005 (Links to an external site.)
Fernando, G., Wanigabadu, L., Vidanagama, B., Samaranayaka, T., & Kamal Chandima Jeewandara, J. (2019). “adjunctive effects of a short session of music on pain, low mood and anxiety modulation among cancer patients” – a randomized crossover clinical trial. Indian Journal of Palliative Care, 25(3), 367. https://doi.org/10.4103/ijpc.ijpc_22_19 (Links to an external site.)
Li, Y., Xing, X., Shi, X., Yan, P., Chen, Y., Li, M., Zhang, W., Li, X., & Yang, K. (2020). The effectiveness of music therapy for patients with cancer: A systematic review and meta‐analysis. Journal of Advanced Nursing, 76(5), 1111–1123. https://doi.org/10.1111/jan.14313 (Links to an external site.)
Lu, X., Thompson, W., Zhang, L., & Hu, L. (2019).
music reduces pain unpleasantness: Evidence from an EEG study
. Journal of Pain Research, Volume 12, 3331–3342. https://doi.org/10.2147/jpr.s212080 (Links to an external site.)
Poulsen, M. J., & Coto, J. (2018). Nursing music protocol and postoperative pain. Pain Management Nursing, 19(2), 172–176. https://doi.org/10.1016/j.pmn.2017.09.003 (Links to an external site.)
Rini, C., Vu, M. B., Lerner, H., Bloom, C., Carda-Auten, J., Wood, W. A., Basch, E. M., Voorhees, P. M., Reeder-Hayes, K. E., & Keefe, F. J. (2017). A qualitative study of patient and provider perspectives on using web-based pain coping skills training to treat persistent cancer pain. Palliative and Supportive Care, 16(2), 155–169. https://doi.org/10.1017/s1478951517000086 (Links to an external site.)
Schneider, M. A. (2018). The effect of listening to music on postoperative pain in adult orthopedic patients. Journal of Holistic Nursing, 36(1), 23–32. https://doi.org/10.1177/0898010116677383 (Links to an external site.)
Sibanda, A., Carnes, D., Visentin, D., & Cleary, M. (2018). A systematic review of the use of music interventions to improve outcomes for patients undergoing hip or knee surgery. Journal of Advanced Nursing, 75(3), 502–516. https://doi.org/10.1111/jan.13860 (Links to an external site.)
Spilioti, E. D., Galanis, P. A., Konstantakopoulou, O. K., & Kalokairinou, A. G. (2017). The Effects of Music on Cancer Patients Submitted to Chemotherapy Treatment. International Journal of Caring Sciences, 10(3), 1465–1477. www.internationaljournalofcaringsciences.org
Wurjatmiko, A. (2019). The effects of music therapy intervention on the pain and anxiety levels of cancer patient: A systematic review. International Journal of Nursing Education, 11(4), 14. https://doi.org/10.5958/0974-9357.2019.00079.5 (Links to an external site.)
Yangöz, Ş., & Özer, Z. (2019). The effect of music intervention on patients with cancer‐related pain: A systematic review and meta‐analysis of randomized controlled trials. Journal of Advanced Nursing, 75(12), 3362–3373. https://doi.org/10.1111/jan.14184
I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
5 Star Essays strives for complete client satisfaction at all times. As a result, we never cut corners when it comes to the quality of our homework assistance.
At 5 Star Essays, Dissertations are some of the most complex papers that any student is required to write. They require understanding of the subject matter, analysis of existing information and interpretation to develop substantial arguments. Dissertation require significant expertise to ensure that the learner can attain the desired grades. Do these suggestions make you worry? 5staressays.org has all the answers you need. You do not have to struggle doing your dissertations. Hire our professional dissertational writers to get quality and original papers without plagiarism.
Admission Essay Help
Have you been eyeing spots in prestigious institutions? Worry no more. We are here to ensure that your admission papers are written in a professional manner that ensures you get the first chances to your preferred institutions. Through our experts in admission essays, 5staressays.org can develop papers that are professional and guarantee you entry into the institutions.
Research Paper Help
Research paper entail the use of qualitative and quantitative approaches to collect data, implementation of specific frameworks to interpret the data and use of analytical skills to address specific questions. This sounds difficult? 5staressays.org is there to ensure that you don’t strain in meeting these necessities of preparing your research. For answers to your research, get in touch with 5staressays.org.
Persuasive Essay Help
Do you have the right skills and expertise to argue a point persuasively? Writing persuasive essays requires the students to ensure that they argue points in a way that the reader buys into the ideas. This process requires special skills that are not common to all groups of learners. As such, 5staressays.org come in handy to bridge this gap and prepare the persuasive essay for you. The essays are quality, error free and original. Try us now for quality papers.
Application Essay help
Application essays should guarantee you a spot in your preferred institutions. They should be able to be able to provide the reader with an understanding of the writer. How do you begin writing an application essay? What are the contents of the essay? Worry no more this are elements that are covered by 5staressays.org professionals in application essay writers. Get your application essay done for you and you will not regret it.
Scholarship Essay Writing Help
Are you eyeing a scholarship but you are not sure you are in a position to write your essay? 5staressays.org will help you to achieve the desired sponsorship by preparing your scholarship essay at an affordable price. We prepare essays that have a good structure, are plagiarism free and quality. Try us now for quality scholarship essays.