Health Care Research of the Aroma Therapy Discussion

Health Care Research of the Aroma Therapy Discussion

Health Care Research of the Aroma Therapy Discussion

Article to Critique: Inhaled Peppermint Aromatherapy for Treatment of Postoperative Nausea and Vomiting: A Complement to Traditional Pharmacologic Treatments (SEE BELOW)

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My textbook name: Aromatherapy by Ralph Waldo Emerson

Research for Practice Inhaled Peppermint Aromatherapy for Treatment of Postoperative Nausea and Vomiting: A Complement to Traditional Pharmacologic Treatments Karen Abril Shannon Diaz Toyoko Yasui Kristen Collins Kerri Elsabrout ostoperative nausea and vomiting (PONV) occur commonly and may have adverse effects on recovery after surgery. From patients’ perspectives, PONV is one of the most undesirable postoperative outcomes (Stoicea, Gan, Uribe, Dalal, & Bergese, 2015). Moreover, patients who experience nausea after surgery experience an overall poorer quality of life during the recovery time compared to patients with no complaint of nausea (Odem-Forren et al., 2014). Even with the use of pharmacologic interventions for prevention and treatment, PONV still may not be avoided for a subset of patients. Evidence suggests female patients undergoing general anesthesia have a higher risk of PONV than males (Stallings-Welden, Doerner, Ketchem, Benkert, & Stallings, 2018). Preventing and controlling nausea should be a primary goal for perioperative and postoperative care teams. Aromatherapy, a complementary integrative method, uses essential oils for healing and therapeutic benefits. Essential oils are steam-distilled or expressed extract from aromatic plants. Peppermint and ginger have been used for the treatment of nausea for many years, and can have positive physiologic P Offering patients a choice to use aromatherapy, in addition to or in place of traditional medications, may help to expand patientdirected care. Health Care Research of the Aroma Therapy Discussion

This study demonstrated a clear association between aromatherapy use in the post-anesthesia care unit and after discharge, and suggested a reduction in nausea. effects. For example, menthol in peppermint can relax the smooth muscles of the gastrointestinal system (Shams, Oldfield, Copare, & Jonson, 2015). Additionally, gingerols and shogaols in ginger can increase gastric tone, motility, and emptying (Lete & Allué, 2016). Using aromatherapy to treat nausea is not new (Buckle, 2015). Aromatherapy may have a role as a noninvasive, cost-effective approach to help patients with postoperative nausea. Perianesthesia nurses can work with patients, families, and providers in developing a multimodal prophylactic regimen that includes a nurse-driven nonpharmacologic intervention (Hooper, 2015). The use of aromatherapy in postoperative recovery is worthy of further investigation. Karen Abril, MSN, RN, CAPA, CPAN, is Clinical Nurse Educator, White Plains Hospital, White Plains, NY. Shannon Diaz, BSN, RN, CAPA, is Assistant Nurse Manager, PACU/Ambulatory Surgery Departments, White Plains Hospital, White Plains, NY. Toyoko Yasui, MSN, RN, OCN, AHN-BC, HWNC-BC, CCAP, CHTP, is Holistic Nurse and Holistic Nursing, White Plains Hospital, White Plains, NY. Kristen Collins, BSN, RN, CPAN, is Post Anesthesia Care Nurse, White Plains Hospital, White Plains, NY. Kerri Elsabrout, DNP, RN, FNP-BC, NEA-BC, is Nurse Practitioner and Director of Nursing, White Plains Hospital, White Plains, NY. Acknowledgments: The authors thank A. Purdy, K. Kennedy, S. Maldonado, and M. Brock for their help in the preparation of this manuscript. November-December 2019 • Vol. 28/No. 6 375 Research for Practice Background Postoperative nausea and vomiting (PONV) after general anesthesia is a frequent side effect that can impact patients’ recovery greatly. Evidence supports using aromatherapy to complement traditional pharmacologic treatments to reduce PONV. Aim Investigate use of inhaled peppermint essential oil for 35 women undergoing laparoscopic abdominal surgery. Health Care Research of the Aroma Therapy Discussion

Method For patients who used aromatherapy in the post-anesthesia care unit (PACU), ongoing postoperative use of aromatherapy was monitored. Additionally, the 4-point Visual Analogue Scale (Boogaerts, Vanacker, Seidel, Albert, & Bardiau, 2000) was used to assess reported nausea before and after discharge from the PACU. Results Of patients who used the peppermint aromatherapy sniffer in the PACU, 88% continued to use it postoperatively after discharge from the PACU. All participants who reported nausea in the PACU, and used the aromatherapy sniffer, reported a decrease in nausea severity. This finding was not statistically significant due to the small sample, but it was noteworthy clinically. Limitations and Implications The small sample, lack of a control group for comparison, and presence of potentially confounding variables limit causal conclusions. However, aromatherapy may provide patients and clinical nurses with nonpharmacologic treatment options for PONV. Conclusion The continued postoperative use of aromatherapy after use in the PACU suggests patients perceived benefits from aromatherapy. Purpose The purpose of this pilot study was to assess the impact of the inhalation of Mentha piperita (peppermint oil) on early postoperative nausea in female patients undergoing laparoscopic abdominal surgery. Review of the Literature Published manuscripts were reviewed via PubMed and CINAHL searches that included years 20142018 using the following search terms (along with associated words): aromatherapy, postoperative nausea, postoperative vomiting, and peppermint. Odem-Forren and colleagues (2014) conducted a prospective, comparative, descriptive longitudinal study 376 of 248 adult patients undergoing ambulatory surgery with general anesthesia over a 7-day period. The incidence of post-discharge nausea and vomiting was 56.9%. The overall effect of nausea on quality of life, patient functioning,Health Care Research of the Aroma Therapy Discussion


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