Pet Therapy for Pain and Anxiety Management

darling Therapy for Pain and Anxiety ManagementPain and Anxiety Management in Hospice consider longanimouss through caress TherapyArlena DavisPet therapy is a form of treatment used in hospitals, nursing homes and educational institutions. It involves guided dealings amid a trained tool, an individual and the animal trainer. Pet therapy offers diligent ofs the opportunity to improve their life through human-animal relations. The practice problem is to doctor the metier of using animals to aid humans cope better with health matters. For this proposal, the centre will be to determine the effectiveness of kiss therapy in the treatment of hospice patient ofs.Background and SignificanceThe focus of this research proposal will be on Hospice care planned care to provide medical services, spiritual and emotional support to individuals who are in the advanced stages of illness. It centers on comfort and copiousness of life rather than cure. Hunters and gatherers first used the pet therapy and the initial report was dvirtuoso in late 18th century at the York Retreat in Britain headed by William Tuke. Domesticated pets, marine creatures and farm animals are the most used. Several benefits are associated with pet therapy, lower blood pressure and slenderized depression. A issue problem of pet therapy is although scientists present the relationship between humans and companion animals as favorable, there is need for investigational studies to determine its effectiveness.In using pet therapy, it is primary(prenominal) that the rights of the people affected as those of their animal companions be respected. The patient can choose the pet of his choice to improve their health. The pets used are service animals and moldiness be allowed to accomp either a disabled person wherever they go. However, caution should be taken to avoid pets with a temperament as they tend to be a nuisance. Elderly people and people suffering from chronic illnesses are the most affec ted.Pet therapy has its complications and can be costly. Failure of this therapy can result in a hurtful and intolerable death for a patient in a short period. Pet therapy gives hospice patients and their families some hope of a quality life. If this design fails, the family members of the patient might suffer from depression. It might withal instill fear and uncertainty to patients downstairsgoing pet therapy. Pet therapy can be costly be rationality it entails hiring a certain and well-trained pet. In addition, hospice patients may need to be in a health facility.Review of LiteratureThe research proposal discusses the diverse studies conducted concerning pet therapy by conglomerate authors. It holds both theoretical reviews of data previously recorded and empirical studies in different places with patients of different age groups. The different study designs applied by the authors include systematic review of the evidence, Quasi-experimental investigations, review of quali tative studies, survey questionnaires, randomized control trial and pre-post quasi-experimental design.According to Stem (2011), pet therapy treatment enables patients in a hospice micturate short time relief from pain, stress and fretting. He however did not have an in-depth analysis due to lack of quality research data. The review was conducted on the comments 31of schoolmasters who used carnal Assisted therapy (AAT) for mental health care. Animal Assisted Therapy was beneficial (OCallaghan, 2008). The method provided qualitative, and the interpretation could have been biased. A convenience sample of 58 residents living in a facility was studied to determine the changes in the use of medication. A Decline in pain Medication use (Lust, Ryan-Haddad, Coover, Snell, 2007). AAT helped in rehabilitating schizophrenic patients (Kovcs, Kis, Rzsa, Rzsa, 2004). The findings were made after surveying the in mutually beneficial living skills of seven schizophrenic patients at a hospice.I n a different approach, pre-post quasi-experimental design was used on hospitalized patients with the aim of finding out the effects on not only their mood but also the cost incurred. Pet therapy improved mood in hospitalized patients and was cost effective (Coakley Mahoney, 2009). The patients in hospice care also include electric shaverren. In this research proposal, a review of the effectiveness of pet therapy on them is also done. AAT has benefits for the children in pain. The group having AAT had a significant loss in pain level relative to the control group (Braun, Stangler, Narveson, Pettingell, 2009).Survey questionnaires also serve as an excellent source of conducting research. In one such instance used to investigate the effectiveness of pet therapy, Companion animals reduced anxiety (Peacock, Chur-Hansen, Winefield, 2012). The conclusion was made after reviewing the responses of a sample of 70 hospitalized patients. Persons with neurological conditions also get assist ance through pet therapy to help improve their functioning. In one of the prospective studies, the researchers focused on the improvement in walking distance covered and the speed of the patient as well. Walking with a drag improved patient ambulation and patients responded positively to the experience (Rita, Brienne Joseph, 2007)However, the positive findings of using pet therapy do not reflect the opinions of all the researchers. Anxiety inventory did not fall down significantly but was low after Animal Assisted Therapy (Ekeberg Braastad, 2011). Also according to Bercovitz, Sengupta, Jones, Harris-kojetin, (2011), there are no differences in demographics, health, functional status between patients discharged from hospice or those who got complementary and alternative therapies CAT. They made this conclusion by reviewing the outcomes of complementary and alternative therapies.The different research methods applied by the researchers had their shortcomings. The most greens bein g lack of randomness in sample selection, biased interpretations due to use of either qualitative or quantitative information, the lack of evidence of the cause and effect and a limited sample size. The findings of some researcher proved quite unreliable, as they did not do follow-ups on their subjects. It is crucial to know how Animal Assisted Therapy works and which animals are best suited for this treatment.Research ProblemIntroducing a pet into the life of a patient has been proven to distract the patient from pain, anxiety and reduces hypertension. Furthermore, it helps patients regain control of their accessible and communication skills (unity point, n.d.). The caregivers use this option to provide palliative care care aimed at reducing pain, suffering and annoyance in order to provide them with a better chance at living (1800hospice, n.d.).Control of pain and anxiety is the main aim of hospice care. The option is considered when one is no longer aggressive in treating illne ss and is ready to accept death. A caregivers responsibility is to offer the best therapy possible. The patients find it easier to move with the animals than with family members (Hospice of North Central Ohio, 2014).Study PurposeStudies have indicated that the presence of a pet in the facility help relieve patients pain and gives the staff morale to continue providing care to the patients. The act of petting has an automatic and subconscious relaxing and calming effect (Methodist wellness, 2014). Furthermore, the use of pets can help bridge the communication fling between the patient, the doctor and family (Matuszek, 2010).Theoretical Framework and Conceptual DefinitionsThe theory of comfort asserts that comfort exists in three main forms relief, ease and transcendence. When the comfort needs of the patient are met, he experiences comfort in the form of getting relief (March McCormack,2009). Ease facilitates the comfort of a patient through contentment by arraying any fears and anxiety from the patient. Transcendence facilitates the patient achieve a level of comfort by rising above any challenges during or after treatment.The theory posits that patient comfort occurs in four contexts physical, psycho-spiritual, socio-cultural and environmental (Kolcaba DiMarco, 2005). It emphasizes that patients are individuals, families, institutions and even communities that need healthcare services. The environment encompasses any aspects of the patient, family or institution that nurses may manipulate in order to provide comfort to patients.RationaleThe theory is a good fit for the study since it informs the need for nurses and patients relatives to pursue available methodologies to moderate pain and patient discomforts. The theory fosters courage and spirit of enthusiasm and positivity and reminds nurses not to give up (Lasiuk Ferguson, 2005). The independent uncertain is pet therapy to reduce pain while the dependent variable is end of life patient management.Th e independent and dependent variables are linked to the concepts since the choice of appropriate therapies is ideal to effective patient management especially in the end of life processes. In order to attain desirable relief for the patient, the nursing personnel formulates proper nursing care plans and continuously evaluates comfort levels of the patient to determine the need for change (Melnyk Overholt, 2010). The nurse may use objective or subjective measures to evaluate the levels of comfort for the patient. purpose assessments involve, making observations of the patient and the mend process. Subjective measures include seeking the patients comments.HypothesisHospice care patients and their families will chose pet therapy as a possible treatment option when end of life conversations are being debated at the time of diagnosis.Design and RationaleThe research design will be in the form of a cross-sectional survey of pain and anxiety management in hospice care through pet therap y. It will be used to determine the success of this treatment and to predict its usefulness in future. The rationale of using the cross-sectional approach is because this proposal will focus on one variable the effectiveness of pet therapy for hospice care using data collected in different institutions during the same period.Population and SampleThe appropriate population for this proposal is the patients under hospice care. The sample will be chosen randomly which will include patients in hospitals, nursing homes and those in hospice care institution. Since the number of patients is large, the sample size for this study will be 60 patients involving people of different ages and suffering from different illnesses.Human Subjects ProtectionIn conducting this study, the ethical practice of human subject aegis will be adhered to. The research will be based on objectivity and the data collected from the patients will only be used for the research. The relevant authorities of such as fam ily and institution directors will be consulted for permission.Operational DefinitionThe independent variable for this research proposal is the use of pet therapy to reduce pain and anxiety in hospice patients. Pet therapy is a program, which involves creating a relationship between a patient and animal to help improve their health condition. The dependent variable is the end of life patient management this is provided through hospice care to patients who are in the late years of their life.Measurement DiscussionIn ascertain the success of use of pet therapy in managing pain and anxiety among hospice patients, both qualitative and quantitative measurements will be done. The key factors to be considered will be the amount of time spent with the pet, the blood pressure of individuals before and after pet therapy. The state of depression shall also be monitored as well as the amount of intake of pain relievers.SummaryPet therapy for hospice care patients has proven very helpful remedy during the end of life stage. The animals provide companionship and genius calmness in the patients life. In depth, research should be done to determine the animals that best suit the treatment and to establish how the treatment occurs. For this proposal, the focus will be to determine the effectiveness of pet therapy in the treatment of hospice patients.References1800hospice. (n.d.). Hospice Terms 1-800-HOSPICE.1800hospice.com. Retrieved 17 July 2014, from http//www.1800hospice.com/understanding-homecare/hospice-terms/Bercovitz, A., Sengupta, M., Jones, A., Harris-kojetin, L. D. (2011). Complementary and Alternative Therapies in Hospice The National Home and Hospice compassionate Survey United States , 2007. National Health Statistics Reports, 33, 1-20.Braun, C., Stangler, T., Narveson, J., Pettingell, S. (2009). 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