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Oral Abstracts (Session 3 of 5)
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Moderator: Susan Dieter, RN, MS, CWCN, CWS (Presentation 34.1) Unanticipated benefit of ultrasonic MIST™ therapy on chronic wound pain John H. Samies, MD; Marie Gehling, RN, BSN, CWOCN, The Regional Medical Center of Orangeburg and Calhoun Counties, Orangeburg, SC Abstract: Reduction in pain scores has been identified as a valid quantitative measure of wound care effectiveness. Use of a self-reported numeric pain scale has been recognized as an accurate measure of wound pain. Pain reduction results in improved quality of life and potentially improved compliance with treatment. This presentation describes 6 consecutive patients with painful chronic nonhealing lower-extremity wounds from various causes, including ischemic vascular, sickle cell anemia, and venous stasis associated ulcerations. Treatment was performed according to manufacturer’s guidelines 3 times weekly with MIST ultrasound, recently approved by the US Food and Drug Administration (FDA) for cleansing and debriding of wounds. A retrospective analysis of patients’ self-reported pain using a standard visual analog scale was employed. No other modality was altered except withdrawal of whirlpool therapy prior to initiation of MIST. All patients recorded a diminution in pain shortly after beginning treatment. No patient recorded worsening pain. Pain improvement lasted for the duration of therapy, averaging 9 weeks. Several patients who were taking narcotic analgesics discontinued or reduced the use of narcotics within 2 weeks of beginning MIST ultrasound therapy. Pain fell an average of 56%. Further investigation is indicated on a larger sample to validate these observations. ™ Mist is a registered trademark of Celleration, Inc., Eden Prairie, Minn References 1. Krasner DL. Wound pain management: a hyperbaric perspective. In: Sheffield PJ, ed. Wound Care Practice. Flagstaff, Ariz: Best Publishing, 2004:577–587. 2. McCaffery M, Pasero C. Practical non-drug approaches to pain. In: McCaffery M, Passero C, eds. Pain: Clinical Manual. 2nd ed. St Louis, Mo: Mosby Inc, 1999:399–427. |
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