Is your facility incorporating this modality in its toolkit? Opioids remain the gold standard for treating most types of severe, ongoing pain. But best practice palliative pain management also includes non-pharmacological approaches that promote relaxation and ease spiritual distress and fear. Case in point: Some hospice and palliative care programs have practitioners certified in Reiki offer that modality as part of a holistic approach to care (get an overview of Reiki at www.reiki.org/faq/WhatIsReiki.html). As one example, Harold Bob, MD, a nursing home medical director in Baltimore, Md., incorporates Reiki in his practice with palliative care patients. "Reiki is a form of human contact that helps the patient with spiritual connection at a time when that's very important to many people," says Bob. But Reiki isn't a religion or faith, he's quick to add. Instead, Reiki is a method with five basic principles, as follows, Bob explains: 1. I will not worry just for today. 2. I will not be angry just for today. 3. I will be grateful just for today. 4. I will work hard just for today. 5. I will give kindness and compassion just for today. Bob has seen people experience significant pain relief from using Reiki because "their fear is alleviated." "If you can use a modality, such as Reiki, to help a person relax and feel connected, that can ease their pain," agrees Diana Waugh, RN, BSN, a nursing consultant in Waterville, Ohio, who does work with nursing homes and hospices.