Living with persistent pain: experiences of older people receiving home care

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Author(s): Kerstin Blomqvist, Anna-Karin Edberg
Title: Living with persistent pain: experiences of older people receiving home care
Journal: JOURNAL OF ADVANCED NURSING
Year: 2002
Pagination: 297-306
ISSN: 0309-2402
Publisher: BLACKWELL PUBLISHING LTD
City: OXFORD
ISI number: 000178606300006
Organization: Blekinge Institute of Technology
Department: Department of Health, Science and Mathematics (Institutionen för hälso- och naturvetenskap)
Dept. of Health, Science and Mathematics S-371 79 Karlskrona
+46 455 38 50 00
http://www.bth.se/ihn/
Language: English
Abstract: Background. Although the topic of pain among older people has received increasing interest, little is still known about how pain is experienced or handled by those who no longer manage independently but depend on professionals for help with daily living. Developing pain management for older people requires such knowledge. Aim. To explore sense of self, sense of pain, daily living with pain, sense of others and ways of handling pain in older people with persistent pain. Methods. Interviews with 90 older people receiving home care from nursing auxiliaries in their own homes or in sheltered accommodation were collected from January to June 2000. A typology of older people in persistent pain was developed. Activities for handling pain were examined using content analysis. Findings. Respondents' experiences of themselves and their pain varied. Two groups of older people, considered as 'competent and proud' and 'confident and serene', expressed satisfaction in spite of pain, while the groups 'misunderstood and disappointed' and 'resigned and sad' expressed dissatisfaction. The most common strategies used were medication, rest, mobility, distracting activities and talking about pain. Respondents chose strategies by balancing the advantages of the activities against the disadvantages these brought for their daily living. Conclusion. This study indicates that characteristics of the older people, such as their way of experiencing themselves, how pain affects their daily life and how they perceive effects and side-effects of pain management are areas that need to be identified when staff assess pain and plan pain management. Caring for older people in pain could be improved by listening to and believing their complaints, evaluating effects and side-effects from medications and nonpharmacological pain management and by emphasising the importance of common everyday activities such as mobility and distraction to relieve pain.
Subject: Nursing & Caring Sciences\General
Keywords: typology, content analysis, pain, pain management, older people, nursing
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