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Older adults' pain communication during ambulatory medical visits: an exploration of communication accommodation theory.
- Source :
-
Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2014 Jun; Vol. 15 (2), pp. 466-73. Date of Electronic Publication: 2012 May 01. - Publication Year :
- 2014
-
Abstract
- The purpose of this descriptive secondary analysis was to explore the use of Communication Accommodation Theory as a framework to examine pain communication strategies used by older adults and their primary care practitioners during medical ambulatory care visits. Ambulatory medical visits for 22 older adults with moderate or greater osteoarthritis pain were audiotaped, transcribed verbatim, and coded by two independent raters for six a priori communication strategies derived from the attuning strategies of Communication Accommodation Theory: (1) patient selecting the pain topic; (2) patient taking a turn; (3) patient maintaining focus on the pain topic; (4) practitioner using an open-ended question without social desirability to start the pain discussion; (5) practitioner encouraging the patient to take a turn by asking open-ended questions; and (6) practitioner interruptions. The majority of practitioners did not start the pain discussion with an open-ended question, but did not interrupt the older adults as they discussed their pain. Five (22.7%) of the older adults did not discuss their osteoarthritis pain during the ambulatory medical visit. The majority of patients took their turn during the pain discussion, but did not maintain focus while describing important osteoarthritis pain information to their practitioner. Practitioners might assist older adults to communicate more information about their pain by initiating the pain discussion with an open-ended pain question. Older adults might provide more pain information to their practitioner by staying on the pain topic until they have completed all of the pain information they wish to discuss with the practitioner.<br /> (Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
Analgesics therapeutic use
Female
Humans
Male
Nurse-Patient Relations
Pain Management methods
Pain Measurement nursing
Pain Measurement psychology
Self Medication methods
Self Medication nursing
Self Medication psychology
Ambulatory Care psychology
Communication
Pain Management nursing
Pain Management psychology
Primary Care Nursing psychology
Psychological Theory
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8635
- Volume :
- 15
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Pain management nursing : official journal of the American Society of Pain Management Nurses
- Publication Type :
- Academic Journal
- Accession number :
- 24882026
- Full Text :
- https://doi.org/10.1016/j.pmn.2012.03.007