Chronic Pain Management and Being Vulnerable in Older People: A Qualitative Study

2014 ◽  
Vol 3 (4) ◽  
Author(s):  
Human Manoochehri ◽  
Manouchehr Shirazi ◽  
Mansoreh Zagheri Tafreshi ◽  
Farid Zayeri
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Qualitative Study ◽  
Older People ◽  
Chronic Pain Management

scholarly journals Contrasting Tensions Between Patients and PCPs in Chronic Pain Management: A Qualitative Study: Table 1

Pain Medicine ◽  
2013 ◽  
Vol 14 (11) ◽  
pp. 1689-1697 ◽  
Author(s):  
Alicia A. Bergman ◽  
Marianne S. Matthias ◽  
Jessica M. Coffing ◽  
Erin E. Krebs
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Qualitative Study ◽  
Chronic Pain Management

A qualitative study of the barriers to chronic pain management in the ED

2008 ◽  
Vol 26 (3) ◽  
pp. 255-263 ◽  
Author(s):  
Barth L. Wilsey ◽  
Scott M. Fishman ◽  
Margie Crandall ◽  
Carlos Casamalhuapa ◽  
Klea D. Bertakis
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Qualitative Study ◽  
Chronic Pain Management

scholarly journals A cross-sectional survey of the perspectives of older people in the Scottish Highlands on the management of their chronic pain

2020 ◽  
Vol 49 (3) ◽  
pp. 432-438
Author(s):  
Derek Stewart ◽  
Gordon Rushworth ◽  
Nicola Bailey ◽  
Sharon Pfleger ◽  
Tesnime Jebara ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Older People ◽  
Chronic Pain Management ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Scottish Highlands ◽  
Pain Disability ◽  
Disability Questionnaire ◽  
Tampa Scale For Kinesiophobia

Abstract Background Although there is evidence of suboptimal outcomes in older people with chronic pain, little emphasis has been placed on those in remote and rural settings. Objective To describe the perspectives of older people in the Scottish Highlands on their chronic pain management. Design Cross-sectional survey. Setting NHS Highland, the most remote and rural geographical health board in Scotland. Subjects Home-dwelling members of the public aged ≥70 years. Methods Anonymised questionnaires were mailed to a random sample of 1800 older people. Questionnaire items were demographics, nature of any chronic pain, management regimens and perceived effectiveness. Validated scales were the Pain Disability Questionnaire and the Tampa Scale for Kinesiophobia. Results Adjusted response rate was 39.3% (709/1755). One-quarter (25.0%, n = 177) were experiencing chronic pain, being more likely to live in deprived areas (P < 0.05). Median pain intensity was 6 (IQR 4–7, 10 high), causing distress (median 5, IQR 3–7). Respondents largely consulted GPs (66.1%, n = 117) with a minority (16.4%, n = 29) referred to a specialist pain clinic and few consulting other health professionals. Over three quarters (78.0%, n = 138) were receiving prescribed medicines, most commonly paracetamol, alone (35.6%, n = 63) or in combination with opioids (16.4%, n = 29). One-third (31.6%, n = 56) expressed a desire for more effective medicines; few reported using any non-pharmacological therapies. The median scores for the Pain Disability Questionnaire and Tampa Scale for Kinesiophobia were 74 (IQR 34–104.5, 150 high) and 40 (IQR 35–45, 68 high). Conclusions Evidence of provision of appropriate integrated and person-centred chronic pain care is lacking.

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