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Masons on the Prairie!

.07 Murat - Murat Shrine

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Cincinnati Hospital<br />

R O N E L L I O T T<br />

Pain Management for Children in <strong>the</strong> Hospital<br />

At our Cincinnati hospital, we know that every day children<br />

with burns are being cared for with <strong>the</strong> latest advances<br />

in wound care. Dramatic headways have been achieved in<br />

wound healing with cultured skin and infecti<strong>on</strong> c<strong>on</strong>trol, helping<br />

to reduce <strong>the</strong> length of stay for children.<br />

With our Family Centered Care approach, <strong>the</strong> entire hospitalizati<strong>on</strong><br />

is designed to help both <strong>the</strong> child and parent<br />

through this painful ordeal. Surgery, dressing changes and<br />

<strong>the</strong>rapy sessi<strong>on</strong>s can cause discomfort, fear and anxiety in children.<br />

To help patients cope, <strong>the</strong> Pain Management Team came<br />

toge<strong>the</strong>r recognizing children need help with managing <strong>the</strong>ir<br />

pain. The group addressed all <strong>the</strong> issues and asked, “How do<br />

we minimize <strong>the</strong> trauma associated with pain and anxiety during<br />

hospitalizati<strong>on</strong> for a burn patient?”<br />

Prescribed pain medicati<strong>on</strong> is standard practice, but<br />

alternative <strong>the</strong>rapies have also proven to be very effective in<br />

c<strong>on</strong>trolling pain. Relaxati<strong>on</strong>, guided imagery and music <strong>the</strong>rapy<br />

are very helpful in reducing anxiety for children. The team<br />

put toge<strong>the</strong>r a library of instrumental tapes patients can choose<br />

from prior to surgery or a <strong>the</strong>rapy sessi<strong>on</strong>. Music, coupled with<br />

deep breathing and imagery, can have a very calming effect.<br />

Research in guided imagery shows that c<strong>on</strong>juring up<br />

opposite images of a painful feeling is also a highly effective<br />

way of distracting kids. If a child has an upset stomach, he<br />

might imagine a stormy ocean that he can calm by c<strong>on</strong>centrating<br />

<strong>on</strong> smoothing out <strong>the</strong> bumpy waves. A child with a<br />

headache can pretend to hear a loud noise or rock music, <strong>the</strong>n<br />

focus <strong>on</strong> turning it into a soft lullaby.<br />

For example, <strong>on</strong>e of our patients used this technique<br />

during a dressing change. She chose to imagine jumping from<br />

a dock into a lake to swim. As she jumped, she imagined<br />

scraping her back <strong>on</strong> <strong>the</strong> edge of <strong>the</strong> dock just as her d<strong>on</strong>or<br />

site was washed. She <strong>the</strong>n imagined <strong>the</strong> lake water cooling her<br />

back as she began to swim. She reported that refraining <strong>the</strong><br />

sensati<strong>on</strong> in this way made her hurt more manageable.<br />

Incorporating alternative <strong>the</strong>rapies to help our patients<br />

deal and cope with <strong>the</strong>ir hospitalizati<strong>on</strong> are additi<strong>on</strong>al ways<br />

we care for <strong>the</strong> total patient. Parental support, sensitive caregivers,<br />

and effective pain management tools provide <strong>the</strong> best<br />

treatment our patients deserve.<br />

Arab Patrol<br />

Jim M<strong>on</strong>roe<br />

The Patrol started its parade schedule at <strong>the</strong> Indiana<br />

State Fair <strong>on</strong> Sunday, August 12. We had a great turnout and<br />

many members of <strong>the</strong> Divan visited with us as we were staging<br />

before <strong>the</strong> parade got started. It was a great day and we<br />

had time to get a bite to eat at <strong>the</strong> VCM booth which had<br />

great food and great volunteers to work it. A lot of <strong>the</strong> Patrol<br />

members gave <strong>the</strong>ir time at <strong>the</strong> VCM also. Then <strong>the</strong> next<br />

week, many Patrol members participated at <strong>the</strong> Indiana<br />

Mas<strong>on</strong>ic Home Festival including Chester Bolt, Larry Trent,<br />

Rob Rebholtz, Mark Davis, Delbert Drumm<strong>on</strong>d, and Denny<br />

Dicken – just to menti<strong>on</strong> a few. The following week, it was<br />

off to Shelbyville for <strong>the</strong>ir parade which brought out many<br />

members. Am<strong>on</strong>g <strong>the</strong>m was Paul M<strong>on</strong>roe who has made a<br />

significant recovery after his stroke in May.<br />

The Patrol will be having a reverse raffle <strong>on</strong> November<br />

3 at <strong>the</strong> UAW Uni<strong>on</strong> Hall at 550 S. Audub<strong>on</strong> Rd., which is just<br />

north of <strong>the</strong> Harvester Bar. Ask any member of <strong>the</strong> Patrol for<br />

tickets as this will be a fun night of food and games of<br />

chance. As in <strong>the</strong> past, it will be a very entertaining evening<br />

for every<strong>on</strong>e who attends.<br />

Now <strong>on</strong> to a few members suffering health problems …<br />

our get-well wishes go out to Al Dicken and Jr. Sasser’s wife<br />

Kelly. Any<strong>on</strong>e interested in joining <strong>the</strong> Patrol, we meet <strong>the</strong><br />

first Friday of <strong>the</strong> m<strong>on</strong>th at 7:30 p.m. at <strong>the</strong> Murat.<br />

OCTOBER 2007 21

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