Acupressure is something that would be a great way to help people relieve anxiety in the Emergency Department. Its non-pharmacological approach would be perfect for my proposed practice change. This study was done as a randomized controlled trial with hemodialysis patientsto see what effects acupressure had on depression, anxiety, and stress (Nant Thin Thin Hmwe, Subramanian, P., Li Ping Tan, & Wan Kuan Chong., 2015). It was not done in an Emergency Department setting but like a hemodialysis patient we deal with patient’s that have many comorbidities, manyare chronic visitors which mean we see them multiple times a week and we have the sounds of machines beeping, call lights ringing and other patients yelling out all which were factors in this study. This study randomly assigned patients into two groups, an intervention group, and the control group. The intervention group received acupuncture 3 times a week when they visited their hemodialysis center and the other group got their regular treatments with no special interventions. Both groups were measured by using the following tools before and after the trial:Depression Anxiety Stress scale-21, and the General Health Questionnaire-28. The conclusion of the study showed great findings suggesting that acupressure may have a role in promoting a decrease in anxiety and stress. The study suggests that manual acupressure points have been shown to increase the production of serotonin and endorphin and regulate our cortisol levels, all of which make us feel happy and relieve stress. It is in the scope of practice of a nurse to easily learn and apply the non-pharmacological practice of acupressure to relieving anxiety and promote the comfort of patients.The fourth article Learning how to Smile. Improving physical and mental health through nurse education and creative practice (Ward, L., & Carter, M., 2020) is one that I did not think at first
C301 Task 112had anything to do with my proposed practice change. The more that I read it, it made me realizethat no it was not in the same setting, but the aspects of the project could be used in the Emergency Department to help with the anxiety that comes with physical and mental health. This qualitative study takes students and community members to put them in a focus group to discuss how rewarding opportunities of nurses educating and being creating can benefit the vulnerable and or marginalized people. In this study, they worked in a non-clinical community setting where the nurses would meet with the community and educate with activities that would help with their physical and mental illness. No medication involved. You ask how this prevents anxiety in the Emergency Department. If this kind of education and activities can work in the community, why can we not bring them into the Emergency Department to decrease anxiety?
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- Spring '18