+1443 776-2705 panelessays@gmail.com

Question Description

A brief description of the stress management technique I selected and why it might be effective.

Mindful moist mouth (MMM)stress management technique( cannulator) when stressed, it is common for individual to have dry mouth health professionals can guide a patient to move the tongue around the gums and gently squeeze the tip of the tongue, stimulating the buccal response (a physiological response to pressure that stimulates saliva flow)and flow of saliva (Ono et al,2007).Sipping and holding water or saliva on the tongue can interrupt escalating anxiety(Mackereth and Maycock,2010).Doing this in a ‘mindful ‘way introduces a means of self-soothing, slows rapid over-breathing and contrasts with the discomfort of the’ anxious dry mouth’. By performing the MMM technique with the patient, the nurse or therapist can facilitate a teachable ‘moment and a joint calming experience. The patients can be encouraged to future plan for procedures, by bringing with them a bottle of water, and so repeat and reinforce the MMM skill (Mackereth et al., 2012). This technique might be effective because confidence in health professionals can be lost if the procedures are unsuccessful and/or very painful. It is accepted practice and local trust policy that when two attempts are unsuccessful, another member of the team must do the third. From experience, it is not uncommon for patients to request a specific nurse deemed the ‘best cannulator’ or to refuse or become emotional if attended by a nurse whose cannulation attempts were unsuccessful on previous occasions (Mackereth et al., 2012).

Describe at least one possible barrier to the effectiveness of this technique and explain how you might address that barrier.

The barriers to receiving effective Mindful moist mouth techniques are nothing short of daunting (US DHHS, 1999). Limiting your caffeine intake because caffeine can make your mouth drier. To address this barrier depends on what’s causing it. You can do some things to relieve dry mouth temporarily. But for the best long-term dry mouth remedy, you need to address its cause. When performing this technique, if there is lack of saliva, your healthcare provider may prescribe Salagen, a drug that increases the natural production of saliva (Dry mouth Treatment 2019).

Then, post a brief description of the topic you selected and explain how you might apply the topic to promote positive social change. Be specific and provide examples.

The topic I selected is ‘Needle with ease’: rapid stress management techniques. For some patients, even looking at a needle is enough to make them feel anxious. Repeated cannulation for bloods and all other intravenous therapies, such as scans and chemotherapy treatment can become so frightening that they escalate to feeling overwhelmed and panicky. If this response persists without any intervention, it may eventually become a phobia (Choy et al, 2007). Four-hundred-thousand patients are treated at The Christie NHS Foundation Trust each year, with many receiving intravenous chemotherapy treatments. The ‘CALM’ service was initiated over 5years ago to enable and support patients to achieve a calm state during procedural-related anxieties and panic. Thanks to recent funding from ‘Walk the Walk’ Breast Cancer Charity, the service has grown, enabling more patients to access the service. Increasing skill has led to development of training courses for health professionals. The training provides easy-to-learn skills, one of which is described above, that can be used to prevent and/or interrupt panic states triggered by medical procedure (Mackereth et al., 2012). Finally, to specifically apply this technique to promote positive social change is by using “A word about language”. Health professionals can inadvertently promote further emotional and physical instability in patients by using ‘nocebo-laden language and non-verbal cues. The concept of placebo is linked to positive expectations enhancing treatment responses with signals suggesting potency (Crow et al,1999). The components of the placebo effect have been highlighted by pharmaceutical research, for example, the color and shape of a pill and what is said by the person who prescribes it (Ernst,2001).


Mackereth, P., Hackman, E., Tomlinson, L., Manifold, J., & Orrett, L. (2012). “Needle with ease”: rapid stress management techniques. British Journal of Nursing, 21(14), S18–S22.

Dry mouth Treatment 2019).Causes and Prevention Retrieved from of https://my.clevelandclinic.org/health/treatments/10902-dry-mouth-treatments