None listed
Conditions
Brief summary
The Alfred and Emergency and Trauma centre sees in excess of 65,000 patients per annum which includes approximately 8,000 trauma presentations. Close to 40% of these presentations will be admitted to hospital, with a substantial number requiring spinal immobilisation for a period of time prior to spinal clearance. Of these, 20%, (approx. 1500 patients per year ) are admitted to the Alfred emergency short stay unit (SSU). Such patients are often required to lie flat in bed, with direct visual contact with the ceiling of the Emergency Department. These is often no visual stimulation for this group of patients which can lead to agitation, aggression, fear and anxiety, which often results in reduced compliance with spinal immobilisation. This study aims to demonstrate improved emotion comfort among spinally immobilised patients in the emergency department short stay unit by providing sensory mindfulness content using a customised mobile integrated patient controlled immersive audio visual device as a therapeutic tool to facilitate relaxation which has been specifically designed for immobilised trauma patients.
Interventions
The intervention will be administered the patient when the patient is transferred to the Short Stay Unit (SSU) at ED, for a period of up to 60 minutes.
The intervention will be meditation and nature videos delivered using a sensory mindfulness cart. The cart will deliver mindfulness content using a customised mobile integrated patient controlled immersive audio visual display therapeutic tool to facilitate relaxation and reduce anxiety which has been specifically designed for immobilised trauma
The intervention will be administered the patient when the patient is transferred to the Short Stay Unit (SSU) at ED, for a period of up to 60 minutes. The intervention will be meditation and nature videos delivered using a sensory mindfulness cart. The cart will deliver mindfulness content using a customised mobile integrated patient controlled immersive audio visual display therapeutic tool to facilitate relaxation and reduce anxiety which has been specifically designed for immobilised trauma patients. The content includes guided audio meditations and nature videos. The categories of these meditations are to "feel calm", "help sleep" and "relax and cover". The nature videos are of relaxing sounds of nature such as running stream, rain dripping from leaves, waves on a beach and a bird singing. The compliance of usage of this cart will be monitored at random intervals by research personnel, with collateral history being obtained by nurses and other medical staff. Patient self-reporting compliance will also be taken into account. This intervention will be compared to standard care, and in the long-term, hope to be able to use this as an adjunct to standard care that patients are able to request as required.
Sponsors
The Alfred Hospital’s Emergency &; Trauma Centre
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Eligible patients will be those who are: • Patients admitted to the emergency short stay unit at Alfred Hospital • in spinal precautions • normal mentation • passed a 4 A’s Test (4AT) • not requiring an interpreter • no clinically significant visual or hearing impairment • may or may not have symptoms suggestive of concussion
Exclusion criteria
Exclusion Criteria - Anyone with a 4AT score > 0 (This has been specifically chosen to exclude those patients who have any evidence of delirium) - Symptoms of mild TBI vomiting, severe headache, dizziness
Outcome results
None listed