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Titre : | Seeking Chronic Pain Relief: A Hermeneutic Exploration (2018) |
Auteurs : | Crystal Lederbos Smith ; Billie Severtsen ; Roxanne Vandermause ; et al. |
Type de document : | Article |
Dans : | Pain Management Nursing (Vol. 19, n° 6, December 2018) |
Article en page(s) : | p. 652-662 |
Note générale : | DOI: https://doi.org/10.1016/j.pmn.2018.05.001 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Analgésie autocontrôlée ; Analgésiques morphiniques ; Douleur chronique ; Herméneutique |
Mots-clés: | Soulagement de la douleur |
Résumé : | Background: In the United States, chronic pain is experienced by over 39.4 million adults, many of whom are treated with opioid pain medications. Aim: This research presents an interpretation of the experience of seeking pain relief for a group of people taking opioid pain medications whose pain is not adequately controlled. Methods: A concurrent embedded mixed-methods design was used, including a Heideggerian hermeneutic qualitative approach that focuses on the participants perceptions as a vehicle for understanding the phenomenon of seeking pain relief with descriptive quantitative data in a supporting role. Thirteen interviews and 15 surveys were analyzed, all of which met the following criteria: (1) self-reported chronic pain (persistent pain lasting a minimum of six months), (2) current use of prescription opioid medications, (3) pain not successfully controlled. Results: The analysis revealed a paradox, which we describe as being lost/finding myself in the health care system. This paradox became the overarching pattern of experience that subsumed several dynamic, overlapping practices described in the patterns: (1) seeking relief as suffering; (2) being classified as an addict but not an addict; (3) living with pain as remembering; and (4) experiencing treatment modalities as fickle possibilities. Conclusion: Explication of and interpretive commentary on these patterns shift the focus from drug seeking to pain relief seeking behaviors in chronic pain sufferers. Such a shift could change the manner in which providers work with chronic pain sufferers to find appropriate treatment modalities. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |