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Training Family Caregivers in Hand and Foot Massage for Hospitalized Patients: Feasibility, Challenges, and Lessons Learned

Department of Physical Medicine and Rehabilitation, Program on Integrative Medicine, University of North Carolina School, faurot{at}med.unc.edu

Susan A. Gaylord, PhD

Department of Physical Medicine and Rehabilitation, UNC School of Medicine

J. Douglas Mann, MD

UNC Integrative Medicine Consult Service and codirector of the UNC Mindfulness-Based Stress and Pain Management Program

Increasingly, research is demonstrating the safety, efficacy, and patient satisfaction associated with use of nonpharmacological, complementary interventions for pain management in hospital settings. One such intervention, massage, has been found to be effective for pain and anxiety reduction in limited forms, such as described here, massage is relatively easy to learn and apply. The pilot project was designed to develop and assess a clinical intervention using hand and foot massage for management of pain and anxiety in inpatients on a rehabilitation unit. Methods included formal training of staff nurses in hand and foot massage and subsequently having them teach key family caregivers of the patient how to deliver hand or foot massage in response to reports of pain and anxiety. The report describes study rationale, project development, challenges to implementation in an academic, tertiary care, inpatient rehabilitation facility, and lessons learned for future project design and implementation. The need for a community-based participatory research perspective is addressed.

Key Words: pain management • massage • inpatient rehabilitation • family caregiver

Complementary Health Practice Review, Vol. 12, No. 3, 203-226 (2007)
DOI: 10.1177/1533210107307154


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