Members name of Group 5th: 1. Berlianda Satuadi M.

9103017005

2. Tiffanny Aditya W. P 9103017026

3. Solfince Titing 9103017056

4. Sri Susan Benedikta 9103017060

SOP PAIN MANAGEMENT: DISTRACTION

Instruments:

1. A chair
2. Classical music/soft voice/calm music
3. An image that provide calm like scenery picture

 Respiratory Distraction
 Rhytmic Breathing
Procedure for action
1. Build trusting relationship with clients
2. Explain the purpose of procedure and the action that will to do
3. Ask to the clients which one his/her pain scale
4. Ask the client to sit or take a comfortable position while looking at the focus on
one object or close his/her eyes
5. Ask the client to take a deep breath slowly as to count up to four, and slowly blow
through his/her mouth by counting again to four. Continue the action until a
rhytmic breathing pattern is formed.
6. During the procedure, encourage the client to consentration on the sensation of
breathing, and on images that provide calm
7. Review the client’s pain scale after intervention and write down in the nursing
record
 Rhytmic breathing and Massage
Procedure for action
1. Build trusting relationship with clients
2. Explain the purpose of procedure and the action that will to do
3. Ask to the clients which one his/her pain scale
4. Ask the client to sit or take a comfortable position while looking at the focus on
one object or close his/her eyes
5. Ask the client to take a deep breath slowly as to count up to four, and slowly blow
through his/her mouth by counting again to four. Continue the action until a
rhytmic breathing pattern is formed
6. Do a massage on the body area that is painful, either by massaging, stroking, or
doing circular movements while breathing rhytmically
7. During the procedure, advise the client to consentration on breathing sensations
and massage, and on images that provide calm
8. Review the client’s pain scale after intervention and write down in the nursing
record

 Listening Distraction
Procedure for action
1. Build trusting relationship with clients
2. Explain the purpose of procedure and the action that will to do
3. Ask to the clients which one the pain scale
4. Ask the client to sit or take a comfortable position.
5. Ask the client to choose his/her favorite music and calm music, like classical
music. Clients can also choose to hear the sound of birds or the gurgling of water
6. Do a massage on the body area that is painful, either by massaging, stroking, or
doing circular movements while breathing rhytmically
7. Use earphones so clients or the other staff not disturbed and for help the client
constreating on music
8. Makes sure the control buttons on the tape are easily pressed, manipulated and
distinguished
 9. Ask the client to constreating on the lyrics and rhythm of the song or sound or
sound that is played. Clients are also allowed to move the body to the rhythm of
the song, such as tapping a finger or foot
10. Increase music volume if the pain intensity increases and reduce if the pain
intensity decreases
11. Avoid interruptions and leave the client alone to make it easier for clients to
consentration on music
12. Do a hearing distraction procedure for at least 15 minutes to give a therapeutic
effect
13. Review the client’s pain scale after intervention and write down in the nursing
record

 Guided Imagery
Procedure for action
1. Build trusting relationship with clients.
2. Explain the purpose of procedure and the action that will to do, that include a
duration and your role as a guide/as a mentor.
3. Ask the client to sit or take a comfortable position while close his/her eyes.
4. Listen to client a soft music or sounds as a background to help clients relax.
5. Sitting with the client, but not disturbing.
6. Do guidance well with clients
a. With a soft voice, ask the client to think about things or a pleasant experience
and involve the entire senses to help realize that imagination.
b. Stop the guidance after the client look relax and focus on his/her imagination.
c. If the client showing a agitation sign, restless, or uncomfortable, you must stop
the procedure and start again after the client is ready.
d. Do a documentation experiences or things that are fun for the client to use
spesific information and without changing the client’s statement ready.
7. Review the client’s pain scale after intervention and write down in the nursing
record