5.1c Nonpharmacological Pain Management

Question 1

Relaxation without medication

Answer 1

• Music
• Meditation
• Aromatherapy
• Hypnosis
• Acupressure
• Acupuncture
• Distraction
• Counterpressure
• Massage
• Warm Bath
• Water therapy
• Patterned Breathing
• Hot/Cold Pack
• Movement
• Positioning

Question 2

Effleurage

Answer 2

• Form of massaging

- Circular stroking movement with palm of hand

Question 3

TENS Electrode

Answer 3

• Electrodes on side of patients thoracic and sacral spine

- Continuous low-intensity electrical impulses from battery operated device

Question 4

Intradermal Water Block

Answer 4

• Injection of sterile water into 4 locations of lower back to relieve pain

Question 5

Relaxation and Breathing Techniques

Answer 5

• Teach patients sooner rather than later

- implementing them during process of labor is ineffective

Question 6

Focusing/Relaxation Techniques

Answer 6

• Reduces tension and stress
• Imagery - Focus on pleasant scene
• Teach partner to palpate woman to detect tense and contracted muscles. Use support and feedback to facilitate woman’s relaxation
• Herbal tea to maintain fluid balance and relaxation

Question 7

Breathing Techniuqes

Answer 7

• Conscious breathing to draw focus away from contractions
  WARNING
• Be aware of symptoms of respiratory alkalosis (hyperventilation)
• Lightheadedness
• Dizziness
• Tingling in fingers
• Numbness around mouth
  TREATMENT
• Breathe into paper bag held tightly around mouth/nose

Question 8

Online Childbirth Education Classes

Answer 8

• Childbirth education decreasing in recent years
• Increasing number of people who choose online due to cost and convenience
• Valuable but not always accurate