My first Magazine Abstract book 9_08_2017 | Page 79

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Doç.Dr. Ayşe Kacaroğlu VİCDAN, Muğla Sıtkı Koçman University-Faculty of Health
Sciences, Department of Nursing
THE USE OF SHOTBLOCKER IN INTRAMUSCULAR
INJECTION
The purpose of this review is to explain the ShotBlocker application which used to
reduce pain due to intramuscular (IM) injection.
The ShotBlocker is a flat, horseshoe-shaped plastic vehicle with a short, 2 mm thick
blunt protrusion that connects to the skin and a hole in the middle that exposes
the injection site. It is used to reduce injection related pain, it does not contain any
drugs and it can be used in all age groups. The protrusions on the tool surface
provide stimulus for the Door Control Theory of Melzack and Wall which is thought
to be related to the pain. The proposed mechanism of ShotBlocker's action is
thought to be that the pressure is applied by the protrusions in this instrument
stimulates smaller, faster nerve endings. This stimuli temporarily blocks the slower
pain signals on the injection side and reduces the pain by closing the gates to the
central nervous system. The use of ShotBlocker is described below according to
the process sequence:
1) The injection site is specified and the skin is prepared appropriately.
2) ShotBlocker is placed that its blunt contacts get in touch with the skin of the
patient in the injection site.
3) The ShotBlocker is pressed firmly against the skin. (Not moved or not picked
up until the completion of injection).
4) Injection is applied from a point near the center of the opening of the
ShotBlocker according to the injection application steps. (ShotBlocker is
completely picked up if it takes more than 20 seconds between the placement
of the ShotBlocker and the injection. The process is repeated starting from
step 2.)
5) After the process is complete, the syringe is removed and the ShotBlocker is
picked up.
The studies on the use of ShotBlocker in children showed that ShotBlocker reduces
injection related pain. Çelik found that ShotBlocker reduces IM injection related
pain in adult patients and improves satisfaction of them with IM injection.
In conclusion, further studies are suggested to evaluate the effect of ShotBlocker
which is used to reduce intramuscular injection related pain.
Keywords:
Intramuscular injection, Pain, ShotBlocker
Congress Topics:
Connecting, Sharing and Learning in Nursing
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