Wednesday, February 17, 2010

What more can we do to ease our patient's anxiety??


As health care workers, we see many patients that become anxious in the hospital. Whether it be related to a new diagnosis, a disease process, or prior to any procedure, patients may not be able to cope. Essential oils can be very effective in promoting relaxation in patients with anxiety. These highly concentrated oils have chemical properties that can help sooth and relax the body. In the ICU's, we have used single oils or a blend of oils including Sandalwood, Mandarin, Frankincense, Bergamot, and True Lavender. Oils higher in esters, such as Frankincense and True Lavender are known to have calming properties. Studies on True Lavendar have shown to produce sedating effects similar to diazepam, whereas Sandalwood had shown to have an action similar to chlorpromazine.

Patients are given two to three different oils to choose from. Not everyone may enjoy a floral smell like True Lavender. We try to involve the patient in picking out the most suitable oil for them. Essential oils for anxiety have been administered through direct/indirect inhalation and the M® technique. The use of touch by using the M® technique adds an extra calming effect to the oil during application. Again, (as mentioned in previous posts) this can be taught to family to aid in care of their loved ones. What is more calming then light touch by a family member?

Our patients who used aromatherapy in the ICU responded with a decrease in anxiety on a numeric rating scale, expressed a feeling of relaxation, and overall enjoyed the experience. Medications like Ativan and Xanax are commonly used for anxiety, but may have unwanted side effects. Essential oils are a safer way to reduce patient anxiety and also reduce the amount of medication needed to calm a patient. Also, the use of essential oils can be a complimentary option to consider adding to your routine treatment/procedure.

- Erin Munoz, RN, Med-Surg ICU nurse

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