scholarly journals ”The acceptance” of living with chronic pain – an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care

2018 ◽  
Vol 50 (1) ◽  
pp. 73-79 ◽  
Author(s):  
E Holmner ◽  
B Stålnacke ◽  
P Enthoven ◽  
G Stenberg
Pain Medicine ◽  
2017 ◽  
Vol 19 (6) ◽  
pp. 1140-1146 ◽  
Author(s):  
Leslie Carlin ◽  
Jane Zhao ◽  
Ruth Dubin ◽  
Paul Taenzer ◽  
Hannah Sidrak ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e015083 ◽  
Author(s):  
Morhaf Al Achkar ◽  
Debra Revere ◽  
Barbara Dennis ◽  
Palmer MacKie ◽  
Sumedha Gupta ◽  
...  

ObjectivesThe misuse and abuse of prescription opioids (POs) is an epidemic in the USA today. Many states have implemented legislation to curb the use of POs resulting from inappropriate prescribing. Indiana legislated opioid prescribing rules that went into effect in December 2013. The rules changed how chronic pain is managed by healthcare providers. This qualitative study aims to evaluate the impact of Indiana’s opioid prescription legislation on the patient experiences around pain management.SettingThis is a qualitative study using interviews of patient and primary care providers to obtain triangulated data sources. The patients were recruited from an integrated pain clinic to which chronic pain patients were referred from federally qualified health clinics (FQHCs). The primacy care providers were recruited from the same FQHCs. The study used inductive, emergent thematic analysis.ParticipantsNine patient participants and five primary care providers were included in the study.ResultsLiving with chronic pain is disruptive to patients’ lives on multiple dimensions. The established pain management practices were disrupted by the change in prescription rules. Patient–provider relationships, which involve power dynamics and decision making, shifted significantly in parallel to the rule change.ConclusionsAs a result of the changes in pain management practice, some patients experienced significant challenges. Further studies into the magnitude of this change are necessary. In addition, exploring methods for regulating prescribing while assuring adequate access to pain management is crucial.


Pain Medicine ◽  
2009 ◽  
Vol 10 (7) ◽  
pp. 1280-1290 ◽  
Author(s):  
Matthew J. Bair ◽  
Marianne S. Matthias ◽  
Kathryn A. Nyland ◽  
Monica A. Huffman ◽  
DaWana L. Stubbs ◽  
...  

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Christopher A Harle ◽  
Sarah E Bauer ◽  
Huong Q Hoang ◽  
Robert L Cook ◽  
Robert W Hurley ◽  
...  

2018 ◽  
Vol 36 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Joseph M Cerimele ◽  
John C Fortney ◽  
Jeffrey M Pyne ◽  
Geoffrey M Curran

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