CARDIOVASCULAR BYPASS SURGERY GUIDED

IMAGERY PROGRAM

Simonette Elgert, BSN,RN August 13,2013

Host OrganizationSaint John Hospital and Medical Center

• 772-bed teaching hospital in Detroit• Known for excellence in cardiology, oncology,

neurosciences, minimally invasive and robotic surgery, women’s services, pediatrics, medical education and hip and knee (just added)

• Level II Trauma Center• Chest Pain and Congestive Heart Failure Accreditation• Blue Distinction Center in both cardiovascular and

orthopedic care

Site SupervisorVictoria J. Boyce, RN, MSN, ANH-BC

• Clinical Nurse Specialist in the Patient Care Department

• Various Nursing Experiences including Director of Education, Clinical Excellence Coordinator, Magnet Resource and Nursing Administration

• Completed both BSN and MSN from Wayne State University

Site Supervisor(continued)

• Board Certified, Advanced Holistic Nurse – American Holistic Nurses Association since 2009

• Extensive Professional and Poster Presentations at Conferences/Publications

• Level III Reiki Practitioner• Reflexology Practitioner

Guided Imagery Overview

• Guided Imagery (GI) is an active process where thoughts are purposely directed and “guided” to create a desired result. It has the ability to influence the mind, body, emotions and spirit.

• The success of guided imagery is due to the fact that the beliefs we “create” in our minds are just as powerful whether they are real or imagined.

Guide Imagery Overview(continued)

• Through the simple process of visualization, we are able to send an instruction to our brain to create new beliefs or outcomes.

• This program is for patients who are undergoing cardiac bypass program – pre-operatively, intra-operatively, post-operatively and 21 days post discharge.

Guided Imagery Overview(Process)

• The identified patients will be provided with Guided Imagery CD’s containing powerful suggestions to promote relaxation and accelerate the healing process.

• Guided imagery will also be provided in the Operating Room while undergoing the procedure and in PACU (Post Anesthesia Care Unit).

• A tool will be created in order to monitor anxiety and pain response. May consider a control group for comparison.

• Massage/Reflexology will be offered to the patients post-operatively.

• Lessen pre-operative stress and anxiety1

• Decrease amount of anesthesia2

• Decrease the need for pain med post-operatively

3

Guided Imagery Objectives

• Reduce BP and HR related to pain and anxiety

4

• Strengthen the immune system5

• Lessen depression and irritable behavior

6

Guided Imagery Objectives(continued)

• Prevent complications7

• Decrease length of stay8

• Increase patient/family satisfaction9

Guided Imagery Objectives(continued)

• Increase physician satisfaction10

• Gain competitive advantage11

• Attract patients to SJHMC open heart program12

Guided Imagery Objectives(continued)

Month Research ActivitiesMeeting/Planning

Data Analysis/Integration

Playaway Review/Music Selection

Training/Implementation

September 2.5 2

October 2.5

November 2.5

December 2.5

January 20 2.5

February 40 2.5

March 40 2.5

April 2.5

May 2.5 2

June 3 8 6

July 3.5 24 4

August 4 6 20

September 20

Totals 100 33 38 14 40 225

Program Tracking

Program Status• Program created including algorithm, music selection

and tool to monitor effectiveness of the program• Program was presented to the chief and was approved

for use as soon as staff are inserviced• Monetary support still available for program sustenance • Budget available to continue massage therapy• Training to begin next week and will include Pre-

admission testing (PAT), Operating Room (OR), Post Anesthesia Care Unit (PACU), Cardiovascular Intensive care unit (CVICU), COS and 4N

• GO LIVE TARGET: September 4, 2013

Guided Imagery Brochure

Guided Imagery Brochure

Music Selection

What the FUTURE holds

• If successful in meeting objectives, will propose to roll out program beyond the confines of cardiac surgery and SJHMC

• Awaiting word from CV marketing regarding use of program for advertising and campaign

Resources

• http://www.anesthesia-analgesia.org

• http://www.stjohnprovidence.org

QUESTIONS?