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What do we mean by "older adults' persistent pain self-management”?: A concept analysis

What do we mean by "older adults' persistent pain self-management”?: A concept analysis

Stewart, Carrie, Schofield, Pat, Elliott, Alison M., Torrance, Nicola and Leveille, Suzanne (2014) What do we mean by "older adults' persistent pain self-management”?: A concept analysis. Pain Medicine, 15 (2). pp. 214-224. ISSN 1526-2375 (Print), 1526-4637 (Online) (doi:10.1111/pme.12251)

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Abstract

Background: No standard definition exists for the concept “persistent pain self-management” or how it should be defined in relation to older adults. Poorly defined concepts can result in misunderstandings in the clinical setting and can hinder research through difficulties identifying or measuring the concept.

Objective: To ascertain attributes, referents, antecedents, and consequences of the concept older adults’ persistent pain self-management and develop a theoretical definition.
Design: Rodgers evolutionary model of concept analysis was used to systematically analyze articles from the academic and grey literature (N = 45). Data were extracted using standardized extraction forms and analyzed using thematic analysis.

Findings: This concept was discussed in three ways: as an intervention, in reference to everyday behaviors, and as an outcome. Five defining attributes were identified: multidimensional process, personal development, active individuals, symptom response, and symptom control. Patients’ perceived need and ability to manage pain with support from others is necessary for pain self-management to occur. Numerous physical, psychological, and social health consequences were identified. A theoretical definition is discussed.

Conclusions: Our findings have clarified existing use and understanding regarding the concept of older adults’ persistent pain self-management. We have identified three areas for future development: refinement of the attributes of this concept within the context of older adults, an exploration of how providers can overcome difficulties supporting older adults’ persistent pain self-management, and a clarification of the overall theoretical framework of older adults’ persistent pain self-management.

Item Type: Article
Additional Information: Published on behalf of American Academy of Pain Medicine.
Uncontrolled Keywords: Aged, Pain, Chronic Pain, Pain Management, Self-Management, Concepts, Concept Development
Subjects: R Medicine > RT Nursing
Faculty / Department / Research Group: Faculty of Education & Health
Faculty of Education & Health > Centre for Positive Ageing
Related URLs:
Last Modified: 04 Aug 2017 13:27
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
URI: http://gala.gre.ac.uk/id/eprint/10431

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