Cybermedlife - Therapeutic Actions Therapeutic Holding

Using dance/movement therapy to augment the effectiveness of therapeutic holding with children.

Abstract Title: Using dance/movement therapy to augment the effectiveness of therapeutic holding with children. Abstract Source: J Child Adolesc Psychiatr Nurs. 2005 Jul-Sep;18(3):135-45. PMID: 16137271 Abstract Author(s): Heather Lundy, Patrick McGuffin Article Affiliation: MCP Hahnemann University Philadelphia,PA, USA. This email address is being protected from spambots. You need JavaScript enabled to view it. Abstract: PROBLEM: Therapeutic holding is a commonly used tool for the containment of aggressive behavior in children. Although often effective, the intervention has inherent physical and emotional safety risks. Can a body-based therapy be used to limit these risks? METHODS: Research was conducted incorporating dance/movement therapy techniques (D/MT) before and after therapeutic holding to investigate this question. Volunteer residential treatment center staff participated in a 4-hour D/MT-based training workshop integrating the techniques with the intervention. Children participated via self-report. FINDINGS: D/MT training increased adult awareness, sensitivity, perspective shifting ability, and confidence in the intervention while decreasing the necessity for physicality. CONCLUSION: Integrating D/MT therapy training with therapeutic holding decreased the threat of trauma to adult participants. Further research into the integration of D/MT techniques with safe holding procedures may prove helpful in the challenge of making restraints safer for both children and adults. Article Published Date : Jul 01, 2005
Therapeutic Actions Therapeutic Holding

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Management of hiccups in palliative care patients.

Related Articles Management of hiccups in palliative care patients. BMJ Support Palliat Care. 2018 Mar;8(1):1-6 Authors: Jeon YS, Kearney AM, Baker PG Abstract Persistent hiccups are a frustrating experience for palliative care patients, and can have a profound impact on their quality of life. This article provides an evidence-based approach overview of the causes and treatment of this not infrequently debilitating condition for such patients, with a management algorithm. In situations where no readily reversible cause is identified, or where simple physical manoeuvres, such as breath holding have failed, a systematic approach is required. Hiccups can be broadly divided into central and peripheral types. These respond differently to pharmacological intervention. The drug of choice for central causes of persistent hiccups is baclofen, with metoclopramide recommended as the first choice for peripheral causes. Midazolam may be useful in cases of terminal illness. Interventional procedures such as vagal or phrenic nerve block or stimulation should be considered in patients who are refractory to medications. The management of persistent hiccups still presents an ongoing clinical challenge however, requiring further research on pathophysiology and treatment strategies. Multinational randomised controlled trials to evaluate and compare both current and new medications or procedures to better manage this difficult condition are suggested as a means of reaching this goal. PMID: 28705925 [PubMed - indexed for MEDLINE]