Therapeutic Touch® in a geriatric Palliative Care Unit - A retrospective review

被引：15

作者：

Senderovich, Helen ^{[1
,2
,4
,5
]}

Ip, Mary Lou ^{[8
]}

Berall, Anna ^{[1
]}

Karuza, Jurgis ^{[1
,2
]}

Gordon, Michael ^{[1
,2
,5
]}

Binns, Malcolm ^{[1
,6
,7
]}

Wignarajah, Shaira ^{[1
]}

Grossman, Daphna ^{[1
,4
,5
]}

Dunal, Lynda ^{[1
,3
]}

机构：

[1] Baycrest, Toronto, ON, Canada

[2] Univ Toronto, Dept Med, Toronto, ON M5S 1A1, Canada

[3] Univ Toronto, Dept Occupat Sci & Occupat Therapy, Toronto, ON M5S 1A1, Canada

[4] Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada

[5] Univ Toronto, Div Palliat Care, Toronto, ON M5S 1A1, Canada

[6] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON M5S 1A1, Canada

[7] Univ Toronto, Rotman Res Inst, Toronto, ON M5S 1A1, Canada

[8] Yee Hong Ctr Geriatr Care, Toronto, ON, Canada

来源：

COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE | 2016年 / 24卷

关键词：

Therapy; Palliative; Complementary; Symptoms; Gerontology; PERFORMANCE SCALE;

D O I：

10.1016/j.ctcp.2016.06.002

中图分类号：

R [医药、卫生];

学科分类号：

10 ;

摘要：

Complementary therapies are increasingly used in palliative care as an adjunct to the standard management of symptoms to achieve an overall well-being for patients with malignant and non-malignant terminal illnesses. A Therapeutic Touch Program was introduced to a geriatric Palliative Care Unit (PCU) in October 2010 with two volunteer Therapeutic Touch Practitioners providing treatment. Objective: To conduct a retrospective review of Therapeutic Touch services provided to patients in an inpatient geriatric palliative care unit in order to understand their responses to Therapeutic Touch. Methods: A retrospective medical chart review was conducted on both patients who received Therapeutic Touch as well as a random selection of patients who did not receive Therapeutic Touch from October 2010 June 2013. Client characteristics and the Therapeutic Touch Practitioners' observations of the patients' response to treatment were collected and analyzed. Results: Patients who did not receive Therapeutic Touch tended to have lower admitting Palliative Performance Scale scores, shorter length of stay and were older. Based on a sample of responses provided by patients and observed by the Therapeutic Touch practitioner, the majority of patients receiving treatment achieved a state of relaxation or sleep. Conclusions: This retrospective chart review suggests that implementation of a TT program for an inpatient geriatric Palliative Care Unit is feasible, and appears to be safe, and well-tolerated. Moreover, patient responses, as recorded in the Therapeutic Touch practitioners' session notes, suggest beneficial effects of Therapeutic Touch for a significant number of participants with no evidence of negative sequelae. Therefore, the use of TT in this difficult setting appears to have potential value as an adjunct or complementary therapy to help patients relax. Crown Copyright (C) 2016 Published by Elsevier Ltd. All rights reserved.

引用

页码：134 / 138

页数：5

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