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Improving the Comprehensive Care Offered to Hospitalized Patients with Cancer: A Massage Therapy Service Integration
Bambi Mathay, LMT
,
Leonard P. Zakim Center for Integrative Therapies, Dana-Farber Cancer Institute, Boston, MA
Eileen Molina, BSN, RN
,
Brigham and Women's Hospital, Boston, MA
Patricia Reilly, MSN, RN
,
Brigham and Women's Hospital, Boston, MA
Elizabeth Dean-Clower, MD, MPH
,
Leonard P. Zakim Center for Integrative Therapies, Dana-Farber Cancer Institute, Boston, MA
Carolyn Hayes, PhD, RN, NEA-BC
,
Leonard P. Zakim Center for Integrative Therapies, Dana-Farber Cancer Institute, Boston, MA
David S. Rosenthal, MD
,
Leonard P. Zakim Center for Integrative Therapies, Dana-Farber Cancer Institute, Boston, MA
INTRODUCTION: Patients with cancer endure many difficult symptoms while hospitalized. A 2005 study reported that >20% of cancer patients use massage therapy to manage symptoms like anxiety, pain, &fatigue. Incorporating massage into the comprehensive care for a hospitalized oncology patient may help ease the burden of these symptoms and improve the patient's hospital stay. We'll describe development of an in-patient massage program and discuss public health implications. METHODS: Clinical standards, feasibility, and benchmarking assessments were performed. Procedures for credentialing, documentation, infection control, referrals, and communication were developed. Clinical statistics and staff opinions were recorded. A retrospective review of data from a nursing survey was done. RESULTS: In just over a year, 111 massages were performed with 78 individual patients receiving massage. Massages were 30-60 minutes long and in the hospital bed. The massage therapist reported she used massage for many symptoms:backaches, limb pain, insomnia, &anxiety. 90% of nursing staff respondents reported this new service was very beneficial for their patients. All believed it had an important impact on their patients' quality of care or hospital stay, 90% reported a “large impact.” All nurse respondents reported being satisfied with it, 90% “extremely satisfied.” CONCLUSION: Development of this massage service for in-patients was successful. Analysis revealed that it may improve the comprehensive care offered to hospitalized patients with cancer and have a significant impact on their hospital stay. Whether massage is offered in a hospital or another public health setting as part of a comprehensive care plan, funding and communication are essential components of fully incorporating this important clinical service.
Learning Objectives: Discuss benefits of incorporating massage therapy into the hospital setting.
Describe challenges in integrating a new service into the hospital offerings.
Keywords: Cancer, Service Integration
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have many years experience in integrating complementary and alternative medicine into conventional medicine settings.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
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