Poster Presentation
Wednesday, 19 July 2006
9:30 AM - 10:00 AM
Wednesday, 19 July 2006
2:30 PM - 3:00 PM
Magic T.V.: Nurse-Facilitated Use of Light-Assisted Minimally Guided Imagery in the Pediatric Emergency Department
Frances Civilette Downs, RN, MSN, Graduate School of Nursing, Barry University, Miami, FL, USA
| Learning Objective #1: describe the term "imagery" as used as an adjunctive therapy.
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| Learning Objective #2: state two possible benefits of utilizing light-assisted minimally guided imagery in the pediatric emrgency department. |
School age patients presenting to the emergency department with lacerations and conditions requiring minor procedures experience fear, pain and heightened levels of anxiety. Acute pain and anxiety management during procedures can be a challenge for staff as well as the patient’s family member. Inadequate pain control and associated anxiety may lead to adverse clinical and developmental outcomes in young children. The term “imagery” defined by Menzies and Gill, as a “mental function, a lived experience that is a dynamic, quasi-real, psycho-physiological process” (Menzies & Gill 2004). Nurse’s incorporation of the complementary therapy of “Magic TV” or light assisted minimally guided imagery may decrease the need for pharmacologic or physical restraint interventions, and promote resiliency for pediatric patients presenting to the emergency department with heightened anxiety and pain. Utilizing the theoretical framework of environmental interaction described in Enabling America (Brandt & Pope eds. 1997), employment of “Magic TV” provides the school age child a means of re-gaining control within a temporarily restricted environment. Nursing staff and family members are easily trained in the process of light assisted minimally guided imagery. The technique requires a lamp equipped with an ordinary 40 to 60 watt incandescent light bulb held at least 24 inches from the patient’s closed eyes during the minor procedure. The child is instructed to close their eyes, and tell the staff and present family member which favorite image “see” on the “Magic TV “. Visualization provides a distraction away from anxiety provoking stimuli and affords the child a means of self-selecting a comforting focus. The light source may stimulate visual receptors, aiding the child in creative visualization. Light also plays a role in mediating neurotransmitters dopamine and serotonin. Pain assessment scales are collected pre and post procedure, and compared to a control group receiving standard care.
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