Unacknowledged afflictions : the essentials of the experience of people with persistent pain in nursing homes
Notice bibliographique
Résumé
Persistent pain among the elderly is a major health problem within nursing homes.There is new knowledge, mainly in pharmacology, on pain assessment and management of this age group.Geriatricians claim that with quality pain management a relevant goal is to provide considerably relief and in some cases a pain-free state of those that now suffer.Certain attitudes of the elderly are known to bias pain assessment.The purpose of this study was to examine the lived experience of elderly residents with persistent pain in nursing homes.The research approach used was the Vancouver school of doing phenomenology.Data were collected in open interviews or dialogues.The research question was: 'What are the essentials of the experience of people with persistent pain in nursing homes'?The sample was twelve residents, mean age 86 years.After analysing the transcribed data, themes were constructed.The overriding theme was is 'Unacknowledged afflictions'.Three major themes were constructed.The first theme: Reconciliation to losses in life refers to the fact that residents tended to see their pain in a wider perspective of losses in life.They reiterated losses of loved ones, of health and former home An ongoing work of reconciliation and adjustment seemed to be going on within them, many could be placed on a continuum between grief and even anger at one end genuine peace on the other.The second theme was: the lived experience of persistent pain with the subthemes of : All in control, Seeks help when needed and Reluctant to seek help.Some felt everything was under control and of which the doses of tablets seemed to be a token.Others had no problem with seeking help when needed.One resident did seek help in vein.A few were reluctant to seek help and seemed to have become lost or unacknowledged from the eyes of the doctors or nurses.This seems a group in obvious need for help.The third major theme was: Sources of strength and joy.These were mainly close relatives, enjoying reasonably good health and conditions of living.Suggestion is made that nurses will look at persistent pain in the aged in the context of the multiple losses and grief.Residents without needed help must be found.
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Prédiction distillée sur la base complète
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Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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