804 Successful Implementation of Acupuncture for Hospitalized Burn Patients

Abstract

Abstract Introduction There is evidence that acupuncture is beneficial for burn patients, resulting in improved pain control, decreased stress, and improved wound healing. Nevertheless, a limited number of hospitals have adopted acupuncture for inpatients. The purpose of this project was to incorporate acupuncture as an adjunct modality for pain control and other symptomatology for inpatients on the burn service. Methods In April 2019, the hospital initiated acupuncture services for inpatients through the Integrative Health (IH) program and hired three licensed acupuncturists and a medical director. The burn team collaborated with IH to develop care delivery guidelines. Referral for acupuncture services are initiated with a consult transmitted by the burn team physician via the electronic medical record. Acupuncture services are provided Monday to Friday, 8 to 5 pm. Acupuncturists attend weekly inter-disciplinary team rounds to answer questions and discuss potential treatment indications. Traditional Chinese Medicine evaluation is performed, with history and physical, including tongue inspection and pulse assessment. After verbal consent, practitioners treat using either single-use filiform acupuncture needles or blunt needles. Following treatment, the patient is evaluated for pain and satisfaction. About 3–5 treatment sessions are offered weekly. An online survey was conducted to evaluate healthcare workers’ attitude towards acupuncture in the inpatient setting. Results Since April 2019, 20% of hospitalized patients on the burn service received acupuncture referral and the number of patients utilizing acupuncture is increasing. A total of 191 sessions were provided for 22 patients. Common reasons for patients not to receive treatment include lack of consent, unavailability due to other scheduled treatments, and lack of appropriate intact skin for needling. The attitude survey was completed by 166 health care workers including physicians, nurses, therapists, and social workers. Overwhelmingly positive opinions were reported as shown in the table. Conclusions The project demonstrated successful implementation of acupuncture as an adjunct therapeutic modality for the burn inpatient service. It was met with patient satisfaction and acceptance by the healthcare team. Plans are in process to mature the provision of acupuncture services and follow outcomes such as pain control, sleep, and stress. Applicability of Research to Practice Currently, acupuncture for hospitalized patients is not billed which may be a major barrier in promoting this therapy. However, increased patient satisfaction and symptom relief could potentially offset costs. Future studies should also examine potential impact on wound healing and length of stay of burn patients.