Clinical hypnosis is an established part of the comprehensive treatment of numerous problems in ambulatory pediatrics. Two cases illustrate its utility with pediatric inpatients. These cases demonstrate clinical hypnosis as a teachable, practical, and nonpharmacologic intervention that warrants further investigation in the inpatient setting.

Intractable hiccup most be considered as a symptom of underlying serious pathologies. We report a case of medulla oblongata cavernous angioma presented with persistent hiccup and without any improvement during routine nonpharmacologic and pharmacologic treatment regimens. The patient is under our follow up visits and surgery is very high risk for this young girl.

Cancer-related fatigue (CRF) is a debilitating, multi-faceted biopsychosocial symptom experienced by the majority of cancer survivors during and after treatment. CRF begins after diagnosis and frequently persists long after treatments end, even when the cancer is in remission. The etiological pathopsychophysiology underlying CRF is multifactorial and not well delineated. Mechanisms may include ...

BACKGROUND Airway clearance may be impaired in disorders associated with abnormal cough mechanics, altered mucus rheology, altered mucociliary clearance, or structural airway defects. A variety of interventions are used to enhance airway clearance with the goal of improving lung mechanics and gas exchange, and preventing atelectasis and infection. METHOD A formal systematic review of nonpharm...

■ Evidence summary Eighteen percent of all women report migraines. As estrogen levels increase early in pregnancy, many women report an increase in headache or new-onset headache. As estrogen levels stabilize in the second and third trimester, 60% to 70% of women with migraine report reduction in symptoms. Nonpharmacologic treatment. A small case series of electromyograph (EMG) biofeedback and ...

OBJECTIVE To provide Canadian physicians with comprehensive, evidence-based guidelines for the nonpharmacologic management and prevention of gestational hypertension and pre-existing hypertension during pregnancy. OPTIONS Lifestyle modifications, dietary or nutrient interventions, plasma volume expansion and use of prostaglandin precursors or inhibitors. OUTCOMES In gestational hypertension...

P harmacologic management of patients with cardiac arrest or cardiogenic shock may be insuI cient in restoring adequate circulatory support. This has led physicians to investigate and develop more aggressive interventions for these problems. Cardiogenic shock most frequently occurs in the following clinical settings: (1) acute myocardial infarction; (2) postcardiotomy; (3) an acute exacerbation...

Hypertension is a key risk factor for cardiovascular disease. Current management of hypertension, both pharmacologic and nonpharmacologic, is based on an extensive amount of published literature. We present a list of publications, clinical trials, meta-analyses, and clinical practice guidelines that we believe are essential in defining the current practice standards in the management of hyperte...

Nursing home residents with psychiatric disorders deserve to enjoy the full spectrum of therapeutic options that are available to their counterparts living in the community. These therapeutic options, the “tools” of the geriatric psychiatrist, include a broad range of traditional and novel psychotropic medications, in addition to well-recognized nonpharmacologic interventions such as psychother...

With more than 10 million patients with cancer in the United States, pain and symptom management is an important topic for oncology nurses. Complementary therapies, such as therapeutic touch, may offer nurses a nonpharmacologic method to ease patients' pain. Using 12 research studies, the authors examined the evidence concerning the effectiveness of this type of treatment in reducing pain and a...