The study aims to assess the implementation and effectiveness of Integrative Treatments - Music Medicine, Aromatherapy, and Battlefield Acupuncture - in the management of perioperative pain and anxiety, and in the reduction of related pharmacologic treatments.
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Pain and Pain Interference assessed among patients using the Defense veterans pain rating scale 2.0
Timeframe: Each day from Postoperative Day 0 to Day 5.
Heart Rate Variability among Patients as assessed using time and frequency domain analysis of the heart rate.
Timeframe: Each day (over 8-hour periods, 7pm and 7am) from 5 days before surgery to postoperative day 5.
Implementation of Treatment among Patients as assessed by the Acceptability of Intervention, Appropriateness of Intervention, and Feasibility of Intervention Measures.
Timeframe: Measurement will be at three points: within the 5 day period before surgery; on the day of Surgery; and on postoperative day 5.
Fidelity of Treatment among Patients as assessed by a Fidelity Checklist
Timeframe: Each day from Postoperative Day 0 to Day 5.
Implementation of Treatment among Providers as assessed by the Acceptability of Intervention, Appropriateness of Intervention, and Feasibility of Intervention Measures.
Timeframe: On the day of surgery or within 1-day after.
Fidelity of Treatment among Providers as assessed by a Fidelity Checklist
Timeframe: On the day of surgery or within 1-day after.
Karthik Raghunathan, MD MPH