These factors were loss of independence, lack of information, threat of severe illness, and problems with medication. Distraction techniques that require light patient concentration, such as a short video, are often effective. One center uses a comfortable recliner, which provides back support and less restricted leg movements. In this position, the patient may feel less vulnerable and more involved in his treatment, also improving tolerability. Physical comfort measures include a cool cloth on the patient s forehead, sips of water, dimming of lights, and cushioning of the knees during therapy.
Patient teaching is most effective when performed at an appropriate level of comprehension.
Anxiety levels are affected by the patient s perception of caregiver confidence in the performance of this procedure. Manipulation of the environment to induce calm is often very effective as stress reduction in other physically distressing events such as childbirth. The effect of comfort measures afforded by nursing personnel during this therapy cannot be overlooked and warrants further investigation as to whether these measures can truly manage a patient s anxiety and pain perception during treatment with or without adjuvant pharmacologic management. Conclusion Thermotherapy has emerged as a promising treatment alternative for benign prostate hyperplasia for which continued investigation into appropriate pain management is imperative. Patients who are active, generally healthy and very involved in their health care will seek minimally invasive treatments like thermotherapy, with few complications and no post treatment restrictions.