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Women’s Center for Mind-Body Health
Hospital Research (Emergency Room) |
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The focus of this research database is on how stress affects women's health, and options for treatment using mind-body therapies. To obtain full summaries of the articles, see "How to Get Abstracts" below .
Emergency Room
General
8832340 JA Stress hormones in accident patients studied before admission to hospital After significant trauma, growth hormone levels significantly increased within minutes, and beta endorphin and prolactin were elevated proportionately with severity of injury. Cortisol was inversely correlated with injury severity, possibly reflecting impaired release from the adrenal cortex after very severe injury. Levels were not different for patients with head trauma or not. 1996 J Accid Emerg Med 13;4:243-7 Hetz, W., Kamp, H. D., Zimmermann, U., von Bohlen, A., Wildt, L., and Schuettler, J.
10692188 JA Use of alternative therapies among emergency department patients In a sampling of NY ER patients, 56% had tried alternative therapies, 87% of whom believed that they were effective. Most frequent were massage (31%), chiropractic (30%), herbs (24%), meditation (19%) and acupuncture (15%). 70% had not informed their physicians. [Note overall 13% mostly undisclosed herb use in an ER setting.] 2000 Ann Emerg Med 35;3:226-8 Gulla, J. and Singer, A. J.
Psychology
11919313 JA Should family members be present during cardiopulmonary resuscitation? Commentary on and review of studies about allowing family members to be present at critical times. Most relatives want this option, which, among other things, facilitates their grieving process. Most doctors and nurses are against this option, citing risk that family members may interfere, medico-legal conflicts, and increased stress to hospital staff. A successful program, with a support person for the family member, is described. 2002 N Engl J Med 346;13:1019-21 Tsai, E.
9814254 JA Do families want to be present during CPR? A retrospective survey Retrospectively, 80% of family members wished they had been given the option to be present at CPR of their relative. 1998 J Emerg Nurs 24;5:400-5 Meyers, T. A., Eichhorn, D. J., and Guzzetta, C. E.
11555797 JA Patient expectations for pain medication delivery ER patients in pain felt that a mean of 23 minutes was reasonable to wait for pain medication, whereas the mean wait in this Salt Lake City ER was 78 minutes. 2001 Am J Emerg Med 19;5:399-402 Fosnocht, D. E., Swanson, E. R., and Bossart, P.
11881699 JA Nurse comforting strategies: perceptions of emergency department patients Nurse comforting strategies that patients appreciated in the ER were: immediate and competent technical/physical care, positive talk, vigilance, attending to physical discomfort, and including and attending to family. 2000 Clin Nurs Res 9;4:441-59 Hawley, M. P.
11274665 JA Deliberate self-harm patients who leave the accident and emergency department without a psychiatric assessment: a neglected population at risk of suicide 58.9% of a British ER's deliberate self-harm patients were not given a psychiatric assessment prior to discharge. Non-assessed patients were more likely to have had a past history of the same, to have been seen between 5 and 9 pm, and to have exhibited difficult behavior in the ER. During the following year, 37.5% of non-assessed vs. 18.2% of assessed patients had a subsequent episode of self-harm, including completed suicide. 2001 J Psychosom Res 50;2:87-93 Hickey, L., Hawton, K., Fagg, J., and Weitzel, H.
Abuse issues
11924662 JA Simple intervention to improve detection of child abuse in emergency departments Addition of a simple flow sheet to injured preschool children's charts increased documentation of eight indicators of abuse, including compatibility of history with injury and consistency of history, from 2% to 70%. [Could not something similar be done for suspected domestic abuse?] 2002 BMJ 324;7340:780 Benger, J. R. and Pearce, V.
12046235 JA Do sex assault victims receive adequate care? If not, you risk fines, violations Article discusses problems than can occur in a sexual assault exam, such as failure to collect evidence, inadequate care and delayed care. Insuring privacy and sensitive communication are very important. 2002 ED Manag 14;6:61-4, suppl 1
10516845 R,T Review of psychological issues in victims of domestic violence seen in emergency settings Discusses for ER personnel possible presentations of abused women besides actual injury--stress-related physical conditions, substance abuse, depression, anxiety disorders, dissociative disorder and PTSD. Several case histories are given, with appropriate support responses suggested. 1999 Emerg Med Clin North Am 17;3:657-77, vii Frank, J. B. and Rodowski, M. F.
9517685 JA Nonbattering presentations to the ED of women in physically abusive relationships Of 4501 women seen in 10 hospital-based ERs, 5.9% were in an abusive relationship and seen for battering injuries, and 5.9% were in an abusive relationship with other diagnoses. These other diagnoses were most often urinary tract infections, neck pain, vaginitis, foot wound, suicide attempt and finger fracture, but were not seen often enough to be predictive. 1998 Am J Emerg Med 16;2:128-31 Muelleman, R. L., Lenaghan, P. A., and Pakieser, R. A.
11977868 JA Providing crisis counselors on-site to victims of domestic violence in the emergency department: a report of a local pilot project Description of a program to have ER domestic violence patients immediately meet with a crisis counselor in the ER to assist with police reports, protection orders, and referrals to shelters and/or support groups. 2002 S D J Med 55;4:147-9 Harris, M. H. and Weber, M.
11015066 JA Seen but not heard: battered women's perceptions of the ED experience Battered women seen in the ER felt lonely, afraid of their partner, and concerned for their children. Disclosing the abuse was difficult due to fear, embarrassment, and lack of resources. Women were satisfied with the treatment of physical injuries, but dissatisfied with how the issue of abuse was managed--they wanted ER staff to display compassion, provide referrals, and offer options. 2000 J Emerg Nurs 26;5:464-70 Yam, M.
11830729 JA Efficacy of a 2-year-old sexual assault nurse examiner program in a Canadian hospital The introduction of a sexual assault nurse examiner program in Toronto led to shorter assessment times for the victims and less interruptions than for those patients seen by physicians. 2002 J Emerg Nurs 28;1:18-23 Stermac, L. E. and Stirpe, T. S.
10504107 CT Prevention of post-rape psychopathology: preliminary findings of a controlled acute rape treatment study Psychological distress at the time of a post rape exam is strongly related to PTSD 6 weeks later. A hospital based video was successful in reducing anxiety during the forensic exam. This 17 minute video discussed the details of the exam, showing a model successfully and calmly completing the procedure, and presented useful information for victims on how to prevent future depression, panic, etc. 1999 J Anxiety Disord 13;4:359-70 Resnick, H., Acierno, R., Holmes, M., Kilpatrick, D. G., and Jager, N.
Gender and Cardiac Disease
11174900 R,T Gender differences and the outcome of interventions for acute coronary syndromes Gender differences in presentation of acute coronary problems--women are underdiagnosed. 2000 Cardiol Rev 8;4:240-7 Feldman, T. and Silver, R.
8901726 JA Influence of sex on the use of cardiac procedures in patients presenting to the emergency department. A prospective multicenter study Women presenting with acute heart attack received the same care and procedures as men, but women with angina symptoms were significantly less likely to receive catheterization or revascularization procedures. 1996 Circulation 94;9 Suppl:II93-8 Maynard, C., Beshansky, J. R., Griffith, J. L., and Selker, H. P.
11804764 JA Mass media interventions to reduce help-seeking delay in people with symptoms of acute myocardial infarction: time for a new approach? Mass median campaigns to reduce delay in seeking care for heart attacks needs to target high risk audiences, promote dialogue, address denial, and provide gender specific education. 2002 Patient Educ Couns 46;1:1-9 Caldwell, M. A. and Miaskowski, C.
11846341 JA From heart attacks to melanoma: do common sense models of somatization influence symptom interpretation for female victims? In hypothetical scenarios of heart attack, gallstones and melanoma, laypeople consistently felt interventions were less important for women than men, showing a gender-based stereotyping of somatization in women. 2002 Health Psychol 21;1:25-32 Martin, R. and Lemos, K.
Mind-Body Therapies
9836812 R,T Using guided imagery in the emergency department Suggestions for creating a guided imagery tape to be used in the ER -- not with patients having hallucinations or with PTSD. 1998 J Emerg Nurs 24;6:518-22 Hatler, C. W.
6728748 JA Hypnosis in the treatment of acute pain in the emergency department setting Examples of use of hypnosis for acute pain in the ER. 1984 Postgrad Med J 60;702:263-6 Deltito, J. A.
10767888 R,T The use of hypnosis in emergency medicine The use of hypnosis in the ER with specific suggestions for burns, surgery, pain, pediatrics, psych and ob. 2000 Emerg Med Clin North Am 18;2:327-38, x Peebles-Kleiger, M. J.
3739965 JA Emergency room hypnosis for the burned patient Importance of decreasing inflammation in the first two hours after a burn, with step by step hypnotic induction for staying “cool and comfortable”. Cites earlier practitioners, who felt this procedure attenuated burn depth. 1986 Am J Clin Hypn 29;1:7-12 Ewin, D. M.
11761868 CT Effect of cutaneous stimulation on pain reduction in emergency department patients Cutaneous stimulation significantly reduced pain perception, heart rate and blood pressure readings. The most effective site was contralateral to the pain. 2001 Accid Emerg Nurs 9;3:143-51 Kubsch, S. M., Neveau, T., and Vandertie, K.
2003660 RCT A randomized, controlled trial of the use of music during laceration repair Pain scores were significantly reduced in patients listening to music during laceration repair, and 100% said they would use it again. 1991 Ann Emerg Med 20;4:348-50 Menegazzi, J. J., Paris, P. M., Kersteen, C. H., Flynn, B., and Trautman, D. E.
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