Page 58 - Encyclopedia of Nursing Research
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BIOFeeDBAck  n  25



             institutions of care, privately alongside mul-  have  ventured  forth  using  validated  skills
             tiple other health disciplines. Other schisms   and  techniques  to  treat  patients  with  these
             are that these practitioners are not inclined   problems  although  the  skills  and  the  tools   B
             to undertake research. Those who are doing   for practice are accessible and clearly in the
             research  tend  to  be  faculty  in  universities   realm of nursing practice. The following are
             who  have  little  access  to  practice  settings.   some of the examples:
             The nursing biofeedback field could advance
             markedly  if  these  activities  and  profession-  1.   Advanced  heart  failure,  even  after  open
             als could merge, as has medicine, to develop   heart  surgery  and  multiple  stent  proce-
             research-based  programs  for  specific  target   dures,  chronic  obstructive  lung  disease,
             clinical problems.                          and  diabetic  complications  such  as  reti-
                 Nursing  biofeedback  research  has     nopathy can actually be reversed by offer-
             shown  effective  changes  in  patient  symp-  ing compressed O  (through closed mask
                                                                        2
             toms through application of complementary   administration)  while  exercising  (linke
             techniques. A review of biofeedback or self-  et al., 2005; Moreno de Azevedo et al., 2010;
               management  training  research  by  nurses   Nguyen  et  al.,  2004;  Tsutsui  et  al.,  2001;
             before  1997  indicated  favorable  patient  out-  ventura-clapier, Mettauer, & Bigard, 2007).
             comes  when  performing  management  of     Oxygen starvation is well known to form
             stress  symptoms,  progressive  relaxation,   the basis of death of cells through inability
             reduction of tension with electromyography   of cells to obtain nourishment as a result
             training,  hand  warming,  training  during   of reduced blood flow. The oxygen under
             childbirth,  respiratory  training,  and  Hrv   pressure  opens  the  arteries  and  capillar-
             training  (Nakagawa-kogan,  1994).  These   ies  and  detoxifies  the  system  through  a
             publications  predominantly  indicated  indi-  broader and greater force of blood to the
             vidual  efforts  to  inform  the  field  of  their   extremities of the body. This static would
             respective  specialized  treatments.  Over  the   require a prescription by advanced regis-
             years, there is very little shift to indicate that   tered nurse practitioners.
             programs of care by nurses have proliferated.
             Although few biofeedback studies have been   In  lieu  of  compressed  O while  exercising,
                                                                            2
             generated  in  nursing  publications,  there  is   the  advanced  registered  nurse  practitioner
             evidence  that  more  biofeedback  research   may  prescribe  the  hyperbaric  chamber  for
             methods  and  physiological  measurement   patients who cannot exercise. This chamber
             feedback  research  articles  have  proliferated   can infuse concentrated O  into various parts
                                                                            2
             by  faculty  in  nursing  teaching  programs,   of the body to heal diabetic ulcers, general-
             which  are  competitive  in  nonnursing  jour-  ized infections such as psoriasis, and chronic
             nals. An example is the edited handbook of   lung problems, to name a few conditions.
             neurofeedback,  with  one  of  the  authors  as
             a  second  editor:  Introduction  to  Quantitative   2.  chronic  pain  and  nonhealing  ulcers  or
             EEG and Neurofeedback: Advanced Theory and   wounds  are  treatable  with  many  of  the
             Applications (Budzynski, Budzynski, evans, &    self-help  microcurrent  instruments  that
             Abarbanal, 2008).                           are  currently  available  on  the  market.
                 It is informative to point out the follow-  The  current,  issued  at  a  microcurrent
             ing:  chronic  symptom  patterns  such  as  in   level  of  microamperes,  provides  a  gentle
             advanced heart failure, sudden cardiac arrest,   but   powerful  change  of  polarity  in  tis-
             incontinence following surgery, chronic pain,   sues  damaged  and  scarred  by  accidents,
             nonhealing  wounds,  and  elderly  cognitive   infections,  toxicity,  or  aging.  The  small
             decline are symptoms that are frequently in   current, when applied to damaged areas,
             the domain of care by nurses. Yet few nurses   heals by opening the ion channels of the
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