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Backgound: Dysmenorrhea is a medical condition during menstruation that hinders women from doing activity because of soreness or pain in the abdomen or pelvis. Dysmenorrhea can be found in some women in different ages including teenage girls. In Indonesia the rate of dysmenorrhea is approximately around 64,25% consisting of 54,89% of primary dysmenorrhea and 9,36% of secondary dysmenorrhea. If it is not appropriately treated, the symptoms could interrupt daily activities. A non-pharmacology therapeutic method that alleviates pain can be applied using hot water compression (37-40C) for about 15 minutes. Research Objective: The research purpose is to investigate and discover the effect of hot water compression method for the teenage girls at SMP Takhasus Al-Quran Wonosobo. Research Methods: This research employs a pre-experimental design (Pre-test – Treatment – Post-test). The data was collected from respondents that were made up of 33 populations and 30 sampling of teenage girls using random sampling methods before it was analysed by Wilcoxon signed test. Result:  The average scale of pain before treatment by hot water compress was 5,67, while after the care, were decreasing to 4,03 scale. Conclusion: Hot water compress has a positive response in decreasing the dysmenorrhea pain for teenage girls at SMP Takhasus Al-Quran Wonosobo.

Sectio is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Compared with regular births, which only cause about 9% more suffering, births by cesarean section cause about 27.3% more pain. Pharmacology and non-pharmacology can be used together to treat pain. Within 24 hours after a caesarean section, patients can experience a five times greater reduction in pain thanks to lavender aromatherapy. There are no risks associated with using the main active components of lavender oil, linalyl acetate, and linalool, which may provide a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins which can calm and soothe. Lavender aromatherapy also has properties that make it antibacterial, analgesic, antidepressant and antispasmodic. By offering and using lavender aromatherapy, this research approach is descriptive and takes the form of a case report. The aim of this research is to determine whether the use of lavender aromatherapy can help patients after giving birth by caesarean section reduce their discomfort. After receiving lavender aromatherapy, the research findings changed from a scale of 7 to 3. Research findings show that the use of lavender aromatherapy can help postpartum patients undergoing cesarean section reduce their discomfort.

Hospitalization or inpatient care has an impact on anxiety in children. Anxiety or a condition of excessive fear caused by certain situations often occurs in almost every child who is hospitalized or hospitalized. Play activity therapy is a good activity to deal with anxiety in children who experience hospitalization, so that it can accelerate the healing process of pain in children. Determine changes in anxiety levels in preschool aged 3-5 years at RSUD Pandan Arang Boyolali hospital. This study used a descriptive design on two male respondents which was conducted from 4 to 6 July 2023 ar Pandan Arang Boyolali Hospital with each respondent being given intervention for 3 consecutive days. The instrument used was the Spence Children Anxiety Scale SCAS observation sheet to measure the level of anxiety before and after giving therapy. Before the two respondents were put into action, the level of anxiety was moderate (first respondent scored 18; second respondent scored 20), and after the two respondents were put into action, the level of anxiety was mild (first respondent scored 12; second respondent scored 13). The application of play therapy to coloring pictures with color sand is able to reduce anxiety levels in preschool aged 3-5 years at Pandan Arang Boyolali Hospital.

Background : Adolescence is a period of transition from children to adults which is accompanied by growth and physical changes, including the growth of the reproductive organs. The maturity of the female reproductive organs is marked by the arrival of menstruation, one of the problems during menstruation experienced by young women is dysmenorrhea. Dysmenorrhea is usually concentrated in the lower abdomen that occurs before and during menstruation caused by uterine contractions. The management of dysmenorrhea can use non-pharmacological therapy, one of which is by giving tamarind turmeric drink. Tamarind contains curcumin and anthocyanins which inhibit cyclooxygenase, thereby reducing inflammation and inhibiting uterine contractions. The content of curcumenol in turmeric acts as an analgesic agent that can reduce the production of prostaglandins. Research Methods: This study used quantitative research with the pre-experimental one group pretest posttest method. The population in this study were 35 teenagers. The sampling technique used was simple random sampling, with a sample of 21 adolescents who experienced dysmenorrhea in May-July in Pelem Hamlet. Data collection used a pain scale observation sheet, namely the NRS (Numeric Rating Scale) before and after administration of tamarind turmeric. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means that Ha was accepted. Conclusion: There are differences in the degree of pain in dysmenorrhea before and after administration of tamarind turmeric, so it can be concluded that there is an effect of tamarind administration on dysmenorrhea in young women.   Keywords: Dysmenorrhea, Tamarind Turmeric, Adolescents Background : Adolescence is a period of transition from children to adults which is accompanied by growth and physical changes, including the growth of the reproductive organs. The maturity of the female reproductive organs is marked by the arrival of menstruation, one of the problems during menstruation experienced by young women is dysmenorrhea. Dysmenorrhea is usually concentrated in the lower abdomen that occurs before and during menstruation caused by uterine contractions. The management of dysmenorrhea can use non-pharmacological therapy, one of which is by giving tamarind turmeric drink. Tamarind contains curcumin and anthocyanins which inhibit cyclooxygenase, thereby reducing inflammation and inhibiting uterine contractions. The content of curcumenol in turmeric acts as an analgesic agent that can reduce the production of prostaglandins. Research Methods: This study used quantitative research with the pre-experimental one group pretest posttest method. The population in this study were 35 teenagers. The sampling technique used was simple random sampling, with a sample of 21 adolescents who experienced dysmenorrhea in May-July in Pelem Hamlet. Data collection used a pain scale observation sheet, namely the NRS (Numeric Rating Scale) before and after administration of tamarind turmeric. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means that Ha was accepted. Conclusion: There are differences in the degree of pain in dysmenorrhea before and after administration of tamarind turmeric, so it can be concluded that there is an effect of tamarind administration on dysmenorrhea in young women. Keywords: Dysmenorrhea, Tamarind Turmeric, Adolescents  

Elderly (elderly) is someone who has entered the final stages of the phase of life. This cycle can be seen from the symptoms of physical, psychological, and psychosocial changes. These changes will result anxiety. Anxiety is a feeling of fear that is not clear or even has no known cause. Knitting therapy is one method of lowering anxiety. The goal of this study was to examine how knitting therapy affected older people's anxiety levels. This research method uses a Pre-Experimental approach with aone group pre-post test.The population is 33 respondents and uses a simple random sampling technique. The research sample is 30 respondents. The instrument used is an anxiety questionnaire sheet withHamilton Anxiety Rating Scale (HARS) Indonesian version, then the data is collected through a process Editing, Coding, Scoring,andTabulating. The data obtained were analyzed using the testpaired T-Test. The results showed the average value of anxiety before knitting therapy was 16.63 while after knitting therapy the average value of anxiety was 6.50. The results of the data analysis test showed that there was an effect of knitting therapy on reducing anxiety in the elderly with -valeu = 0.000 <α = 0.05. Knitting therapy can be used to improve focus, and develop patience. knitting activities can train the left and right brain when doing the same movement, besides sitting quietly and focusing on knitting can reduce heart rate and blood pressure, so we feel relaxed and calm, this situation acts as a pain reliever. This also makes the feeling happy so that it can provide positive energy in a person, this is what makes the mood happy so that feelings of anxiety decrease easily. It is hoped that knitting therapy can be applied to fill the spare time of the elderly and future researchers canmake modifications to the therapeutic media that will be used, one of which can be equipped with making video media.    

uric acid is the result of purine metabolism, it will cause pain and rheumatic pain in the joints. Handling to reduce pain is with warm ginger compresses and rgonomic exercises. The purpose of this study was to analyze the effectiveness of ginger warm compresses and ergonomic exercises on reducing gout arthritis pain in the elderly in Mojolegi Village, Gading District, Probolinggo Regency.This type of research is quasi-experimental with a cross over group design approach. The population of 51 people was selected by purposive sampling technique and obtained 36 respondents who met the inclusion and exclusion requirements of the study. The instrument used is the numerical pain scale observation sheet (NRS). The results showed that the pain scale of ginger warm compresses for period I pre-test was 5.17 post-test 3.00, period II pre-test was 3.94 post-test 2.39. In the ergonomic exercise group, period I pre-test was 5.39 post-test 3.67, period II pre-test was 3.89 post-test 2.61. The results of data analysis obtained valuesρV 0.000 in the warm ginger compress group and the ergonomic exercise group so that it can be concluded that both therapies were equally effective, there was no difference between warm ginger compress and ergonomic exercise in reducing gout arthritis pain in the elderly.Ginger warm compresses and ergonomic exercises are non-pharmacological measures that can be applied to relieve pain and provide a sense of comfort. Thus, implementing these two therapies requires sufficient recovery time (wash out) so that the effects of the first intervention are not carried over to the second intervention.    

Osteoarthritis of the knee in the elderly can cause pain due to the degradation of joint cartilage in which the joint cartilage is damaged which is characterized by changes in the joint capsule and damage to the cartilage located at the bone joints. Knee Pain Exercise and warm compresses are two methods that can be used to manage knee osteoarthritis pain.. The purpose of this study was to analyze the effectiveness of knee pain exercise and warm compresses on reducing knee osteoarthritis pain in the elderly. Using a purposive sampling technique, a sample of 40 respondents was drawn from the population of up to 125 people. A cross-over group design technique and a quasi-experimental approach were used in the research design. The instrument used was a Numeric Rating Scale (NRS) observation sheet. The normality of the data was tested using the Kolmogorov-Smirnov. The hypotheses were tested and analyzed using paired samples T test with p-value 0.000 on each variable which means that there is an effect of knee pain exercise and warm compresses on knee osteoarthritis pain. The effectiveness test used independent samples test and it was found that warm compresses had the smallest mean value (2.55), which means that warm compresses were more effective in reducing knee osteoarthritis pain than knee pain exercise. It is expected that the elderly who experience knee osteoarthritis pain do regular exercise which is a physical exercise to reduce knee osteoarthritis pain.    

Background; Effleurage massage is a form of massage using the palms of the hands that apply gentle pressure to the surface of the body in a circular direction repeatedly. The number of mothers giving birth in the Ponek room (Maternity Room) with January 01, 2021 - July 31, 2023 amounted to 1047 patients and 15 patients gave birth normally. Objective; To determine the results of implementation in the application of Effleurage Massage techniques to reduce the pain scale in postpartum mothers in the Ponek Room of Dr. Moewardi Surakarta Hospital. Method; This type of research is descriptive in the form of a case study. The approach taken uses a nursing care approach, planning, implementation and evaluation. The application instrument uses the Numeric Rating Scale (NRS) and checklist sheet as a measuring tool to determine the level of pain scale. Results; The results of the application using Effleurage Massage techniques found that respondents had a pain scale of 4 (moderate pain) down to 0 (none pain). Conclusion; There is a difference in pain scale before and after Effleurage Massage at Dr. Moewardi Surakarta Hospital.

Background: Prevalence of patients with mild cedar heads recorded from March to July 2023 in the Emergency Room of RSUD Dr. Moewardi as many as 757 cases, and most of them complained of pain in the head, pain in CKR patients by nurses can be treated with pharmacological and non-pharmacological therapy. Non-pharmacological therapy such as behavioral therapy (relaxation, hypnotherapy, biofeedback). One of the relaxation techniques used is slow deep breathing. Objective: Changes in the application of the Slow Deep Breathing technique to reducing pain scale in mild head injury patients at RSUD Dr. Moewardi. Method : the method used in this application is a descriptive method. In this application, pain scale measurements were carried out using the Numeric Rating Scale both before and after slow deep breathing was carried out. Findings : the results of the implementation that has been done, it was found that respondent I experienced a decrease in the pain scale from a scale of 8 to a scale of 7, respondent II experienced a decrease in the pain scale from a scale of 6 to a scale of 4. Implication : slow deep breathing can reduce the pain scale in patients with mild head injuries at Dr. Moewardi.

Special attention should be paid to reproductive health, especially among adolescents, especially women. Dysmenorrhea is pain experienced in adolescence.  The causes of dysmenorrhea are levels of the hormone progesterone, prostaglandins, and stress/factors. Exercise for dysmenorrhea can prevent it. Dysmenorrhea gymnastics is a technique that guarantees comfortable and stress-free conditions during dysmenorrhea. The body produces endorphins during exercise. The purpose of this study was to the Effect of Dysminore Gymnastics on Reducing Pain Scale in Female Students at STIKes Pelita Ibu Campus. This study used pre-experimental research methods. Conducted on 161 students with a research period of 3 days and a sampling technique, namely accidental sampling. The results of the analysis using the McNemar Test X2 value calculated 103,221 > 3.841 and p value 0.000 < 0.05, meaning dysminore exercise has an effect on reducing menstrual pain. It was concluded that there was an influence of Dysminore Gymnastics on Decreasing the Pain Scale in Female Students at the STIKes Pelita Ibu Campus. It is recommended the need for increased education for women and especially menstrual pain sufferers where by improving exercise routines both before menstruation and while menstruation is highly recommended as a prevention of menstrual pain which has an impact on limiting activities.

Special attention should be paid to reproductive health, especially among adolescents, especially women. Dysmenorrhea is pain experienced in adolescence.  The causes of dysmenorrhea are levels of the hormone progesterone, prostaglandins, and stress/factors. Exercise for dysmenorrhea can prevent it. Dysmenorrhea gymnastics is a technique that guarantees comfortable and stress-free conditions during dysmenorrhea. The body produces endorphins during exercise. The purpose of this study was to the Effect of Dysminore Gymnastics on Reducing Pain Scale in Female Students at STIKes Pelita Ibu Campus. This study used pre-experimental research methods. Conducted on 161 students with a research period of 3 days and a sampling technique, namely accidental sampling. The results of the analysis using the McNemar Test X2 value calculated 103,221 > 3.841 and p value 0.000 < 0.05, meaning dysminore exercise has an effect on reducing menstrual pain. It was concluded that there was an influence of Dysminore Gymnastics on Decreasing the Pain Scale in Female Students at the STIKes Pelita Ibu Campus. It is recommended the need for increased education for women and especially menstrual pain sufferers where by improving exercise routines both before menstruation and while menstruation is highly recommended as a prevention of menstrual pain which has an impact on limiting activities.

Background: The prevalence of extreme pain in medical and surgical patients admitted to the Intensive Care Unit (ICU) is more than 80.0%. One of the nonpharmacological therapies that can be used to control pain is the distraction technique with music therapy, where this application uses gamelan music therapy. Objective: To determine the results of the implementation of gamelan music therapy to reduce postoperative pain intensity in the Intensive Care Unit of Pandan Arang Hospital Boyolali. Method: The design used in this application is using a descriptive case study approach. Application is carried out for 30 minutes 2x a day in 4 consecutive days. Findings: Comparison of the final results of application showed that on the 4th day after the implementation of the VDS scale the two respondents were the same, namely on the pain scale 3. The results of the CPOT scale on the 4th day of Mrs. W after implementation are a scale of 4. The results of the CPOT scale on the 4th day of Mrs. S after implementation are a scale of 3. Implication: From the final results of the application before and after it can be concluded that gamelan music therapy can reduce the intensity of pain in postoperative patients in the ICU of Pandan Arang Hospital Boyolali.  

Elderly is a process of experiencing anatomical, physiological and biochemical aging in organ tissues which can affect the state of function and ability of the body as a whole (Fatmah, 2019). In Indonesia, fracture cases are the third largest cause of death under coronary heart disease and tuberculosis. According to data compiled by Wrong Diagnosis (Ropyanto, et al, 2013), Indonesia is the largest country in Southeast Asia that experiences the most fractures of 1.3 million each year out of a population of around 238 million. In postoperative fracture patients, they experience delays in making movements due to muscle weakness and perceived pain (Ningsih, 2019). In an elderly person, it will bring about a complete change in his physique related to a decrease in the ability of the body's tissues, especially in physiological functions in the musculoskeletal system and the neurological system. One of the changes that occur in the elderly is a change in decreased muscle strength, the impact of decreased muscle strength is an increased risk of falling and causes walking to be less stable (Padila, 2020). Purpose: ROM is an exercise used to improve normal joint movement to increase muscle tone. Doing ROM exercises early can increase muscle strength so that it can stimulate more motor units involved, there will be an increase in muscle strength (Anggriani et al., 2020) Method: Using a muscle strength scale instrument. Conclusion: That Range Of Motion has benefits and is

Pain is an uncomfortable and highly individualized feeling that others cannot feel. Lidocaine is a drug to relieve pain or has a numbing effect on the body. This study aims to determine the effect of lidocaine use on the pain level of urinary retention patients during catheter insertion in the emergency room of Dr Haryoto Lumajang Hospital. The research design used quasi-experiments with Two Group Post-test design. Accidental sampling was used to determine the number of samples and obtained 30 respondents, every 15 people in the intervention group and control group. The pain was measured using the NRS (Numeric Rating Scale) pain scale. The intervention group was given lidocaine 2% as much as one ampoule mixed with lubricant inserted into the urethra using a syringe. The control group only used lubricant. Statistical tests using the Mann-Whitney U Test. In the intervention group, 11 (73.3%) respondents experienced mild pain, and 4 (26.7%) respondents felt moderate pain. In the control group, 14 (93.3%) respondents experienced moderate pain and 1 (6.7%) respondent felt severe pain. Statistical test with a p-value of 0.000 means that lidocaine use has an effect on the pain level of patients with urine retention during catheter insertion. Taking into account the findings of this study, nursing can play a role in improving patient experience and providing better care during catheter insertion in patients with urine retention.

Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate that can cause obstruction of the prostatic urethra. One of the measures to treat patients with benign prostate hyperplasia is surgery. Surgery can irritate the bladder mucosa, causing pain. One of the non-pharmacological pain management that can be used is Benson relaxation. This relaxation is an action to free mentally and physically from tension and stress so that it can increase tolerance to pain. The purpose, the application of Benson relaxation was carried out for 2 days with a frequency of 2 times a day and a duration of 15 minutes. Methods of this research includes descriptive research with a case study approach, which aims to determine the description and effect of differences between 1 patients in the application of Benson therapy to reduce pain in postoperative patients with benign prostatic hyperplasia. The results of study, researchers get an overview of the application of benzene therapy so that the results show that both respondents experienced a decrease in pain, the respondent complained of pain on a 6 scale after 2 days of benzene relaxation pain complaints decreased with a pain scale of 3. In conclusion, the application of Benson relaxation has an effect on reducing pain scale in postoperative patients with benign prostate hyperplasia.

Introduction : Pain in labor is pain due to uterine contractions which can lead to increased activity of the sympathetic nervous system, changes in blood pressure, heart rate, breathing, and if not treated it will increase feelings of worry, tension, fear and stress. Warm and cold water compress therapy is a non-pharmacological method to meet the need for comfort and to treat pain. Objective : to determine the effectiveness of giving warm and cold compresses to reduce pain in active phase 1 infartu mothers at RSIA Siti Khadidjah Aisyiyah, Gorontalo city. Research Methods : One group of subjects will be used in this study with a pre-experimental research design with a one-group pre-post test strategy to determine cause and effect. Before the intervention, the subject group was monitored, and then after the intervention. Mothers who were in the early phase of the active phase of physiological labor in the VK room of RSIA Siti Khadijah Aisyiyah, Gorontalo City, were used as research subjects. Research Results : The results of this study found acute pain in the four patients, it was found that 2 patients were given warm water compresses, the pain level decreased to a pain scale of 4 (moderate) and in the administration of cold water compresses to 2 patients, the pain level decreased to a pain scale of 6 and 5 (currently). Conclusion : the conclusion of this study is seen from the level of pain that has decreased when given warm water or cold water compresses. Hot and cold compress therapy is a non-pharmacological method to treat pain.

Bacground Sectio caesarea is a procedure that involves cutting the uterine and abdominal walls to deliver a fetus. This study aims to determine the application of hand-held relaxation techniques to reducing the pain scale of post-section caesarea patients at RSIA Sitti Khadijah Aisyiyah, Gorontalo City. Method : The method used is descriptive analytic with a case study approach on 4 Post sectio caesarea patients with pain at RSIA Sitti Khadijah Aisyiyah Gorontalo City which includes nursing assessment, nursing diagnosis, nursing intervention, nursing implementation and nursing evaluation. The process of applying this finger-held relaxation technique is carried out for 1 day. Measurement of the pain scale was carried out before and after the hand-held relaxation technique was carried out and using a Numeric Rating Scale (NRS) pain scale measuring instrument. Result : So the results obtained before and after the relaxation technique was carried out, the pain intensity decreased. This case study shows that after finger grip relaxation was performed in patients I, II, III, and IV who experienced postoperative sectio caesarea pain, the result was a change in the pain scale from a moderate pain scale to a mild pain scale. Conslusion : There is a significant effect of the application of finger grip relaxation techniques in post op section caesarean patients for changes in pain levels.

Introduction: Head injury is a traumatic disorder of brain function that does not result in a disconnection of brain continuity and can occur with or without interstitial hemorrhage of the brain substance. Purpose:Acute pain is one of the nursing problems experienced by patients with head injuries. To analyze the application of finger hold therapy interventions in reducing pain in patients with mild head injuries. Research methods: is Pre Experimental, which is a design with a One group pre test post test design approach, when this study was carried out from December 21, 2022 to January 23, 2023, with a sample of 6 patients. Research Results: The frequency of patients who experienced moderate pain levels before treatment was 4 patients (66.7.7%), and severe pain levels were 2 patients (33.3%) while the distribution of psien frequency who experienced mild pain levels after treatment was 3 respondents (50.0%), moderate pain levels were 1 patient (16.7%) and berst pain levels were 2 patients (33.3%). This shows that there is no change in pain levels in patients with severe pain scales, because finger hold terap cannot be applied to patients with severe pain levels.Conclusion :This study showed that there is an effect of finger hold therapy in reducing pain in patients with mild head injuries

Spinal pain in pregnancy is caused by hormonal, musculoskeletal, and stressful changes. Spinal pain in pregnancy if left untreated will have an impact on the quality of life and daily activities of pregnant women The management of spinal pain in pregnancy can include pharmacological and non-pharmacological. Non-pharmacological pain management is warm water therapy. Warm water therapy provides the effect of rirelaxation, vasodilation of blood vessels, removes metabolic waste that is no longer in use, and reduces muscle spasmsThe purpose of this study is to determine the effect of warm water therapy on reducing spinal pain in pregnant women at the Antang Health Center, Makassar City in 2022 This research is a quantitative study with a quasi-experimental design non-equivalent with one group pre-test post-test. The total population of 64 respondents with a sample of 30 respondents who met the inclusion criteria, the independent variable was warm water therapy and the dependent variable was the reduction of spinal pain in pregnant women. The results of the spinal pain scale study before warm water therapy were carried out on a moderate pain scale (4-6) there were 15 respondents with a percentage (50%). And after a warm compress was carried out, there were 18 respondents with a percentage (60%). The result of p value is 0.000 (<0.05), so Ha is accepted. There is an effect of providing warm water therapy on reducing spinal pain in pregnant women at the Rsu at the Antang Health Center, Makassar City in 2022The conclusion of this study is the effect of warm water therapy on reducing bone pain in pregnant women at the Antang Health Center, Makassar City in 2022. It is hoped that there will be further research on other non-pharmacological techniques against spinal pain in pregnancy.

Background: Pre-operative anxiety is the fear of pain after surgery, physical changes, facing surgical equipment and staff, death during anesthesia, failure of surgery or complications during surgery. Anxiety in patients who will undergo surgery can be overcome with non-framacological therapy, namely SEFT therapy which has a positive impact on reducing preoperative patient anxiety. Purpose: This case study aims to determine whether implementing SEFT therapy can reduce anxiety in preoperative patients Method : The method is a case study focusing on one patient. First, a numerical rating scale was utilised to measure the intensity of anxiety of the patients using the STAI (State-Traite Anxiety Inventory), then using SEFT therapy over of 3 stages, namely set-up, tune-in, and tapping between 10-15 minutes 1 time per day for 2 days, then re-evaluate using STAI to measure anxiety levels after the intervention  Results: The results show that using the SEFT therapeutic intervention, the preoperative patient's anxiety level decreased from moderate anxiety to mild anxiety Suggestion: Nurses could provide education to patients and their families in order to be able to reduce anxiety in the pre-operative phase so that patients can become more relaxed and comfortable.