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Descriptions of pain in elderly patients following orthopaedic surgery.

Bergh, Ingrid, 1956 (författare)
University of Gothenburg,Högskolan i Skövde,Gothenburg University,Göteborgs universitet,Institutionen för samhällsmedicin, Avdelningen för geriatrik,Institute of Community Medicine, Dept of Geriatric Medicine,Institutionen för vård och natur
Gunnarsson, Magnus, 1971 (författare)
University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för lingvistik,Department of Linguistics,Department of Linguistics, Göteborg University, Göteborg, Sweden
Allwood, Jens, 1947 (författare)
University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för lingvistik,Department of Linguistics,Department of Linguistics, Göteborg University, Göteborg, Sweden
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Odén, Anders, 1942 (författare)
Department of Geriatric Medicine, Göteborg University, Göteborg, Sweden
Sjöström, Björn, 1947 (författare)
University of Gothenburg,Högskolan i Skövde,Gothenburg University,Göteborgs universitet,Institutionen för vårdpedagogik,Institute of Health Care Pedagogics,Institutionen för vård och natur
Steen, Bertil, 1938 (författare)
University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för samhällsmedicin, Avdelningen för geriatrik,Institute of Community Medicine, Dept of Geriatric Medicine,Department of Geriatric Medicine, Göteborg University, Göteborg, Sweden
Gunnarsson, M. (författare)
Bergh, I. (författare)
Sjöström, B. (författare)
Odén, A. (författare)
Steen, B. (författare)
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Wiley-Blackwell, 2005
2005
Engelska.
Ingår i: Scandinavian journal of caring sciences. - : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 19:2, s. 110-8
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • The aims of this study were to investigate what words elderly patients, who had undergone hip surgery, used to describe their experience of pain in spoken language and to compare these words with those used in the Short-Form McGill Pain Questionnaire (SF-MPQ) and Pain-O-Meter (POM). The study was carried out at two orthopaedic and two geriatric clinical departments at a large university hospital in Sweden. Altogether, 60 patients (mean age =77) who had undergone orthopaedic surgery took part in the study. A face-to-face interview was conducted with each patient on the second day after the operation. This was divided into two parts, one tape-recorded and semi-structured in character and one structured interview. The results show that a majority of the elderly patients who participated in this study verbally stated pain and spontaneously used a majority of the words found in the SF-MPQ and in the POM. The patients also used a number of additional words not found in the SF-MPQ or the POM. Among those patients who did not use any of the words in the SF-MPQ and the POM, the use of the three additional words 'stel' (stiff), 'hemsk' (awful) and 'rad(d)(sla)' (afraid/fear) were especially marked. The patients also combined the words with a negation to describe what pain was not. To achieve a more balanced and nuanced description of the patient's pain and to make it easier for the patients to talk about their pain, there is a need for access to a set of predefined words that describe pain from a more multidimensional perspective than just intensity. If the elderly patient is allowed, and finds it necessary, to use his/her own words to describe what pain is but also to describe what pain is not, by combining the words with a negation, then the risk of the patient being forced to choose words that do not fully correspond to their pain can be reduced. If so, pain scales such as the SF-MPQ and the POM can create a communicative bridge between the elderly patient and health care professionals in the pain evaluation process.

Ämnesord

SAMHÄLLSVETENSKAP  -- Annan samhällsvetenskap (hsv//swe)
SOCIAL SCIENCES  -- Other Social Sciences (hsv//eng)
SOCIAL SCIENCES  -- Media and Communications -- Communication Studies (hsv//eng)
SAMHÄLLSVETENSKAP  -- Medie- och kommunikationsvetenskap -- Kommunikationsvetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
SAMHÄLLSVETENSKAP  -- Medie- och kommunikationsvetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
SOCIAL SCIENCES  -- Media and Communications (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Geriatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Aged
psychology
Aged
80 and over
Arthroplasty
Replacement
Hip
adverse effects
Attitude to Health
Communication
Fear
Female
Geriatric Assessment
Health Services Needs and Demand
Hospitals
University
Humans
Male
Mental Status Schedule
Osteoarthritis
Hip
surgery
Pain Measurement
methods
psychology
standards
Pain
Postoperative
diagnosis
etiology
prevention & control
psychology
Professional-Patient Relations
Questionnaires
Semantics
Statistics
Nonparametric
Sweden
aged; article; controlled study; female; geriatric surgery; health care personnel; hip surgery; human; male; orthopedic surgery; pain assessment; postoperative period; university hospital; verbal communication; aged; attitude to health; comparative study; fear; geriatric assessment; health service; hip arthroplasty; hip osteoarthritis; human relation; interpersonal communication; mental health; methodology; nonparametric test; postoperative pain; psychological aspect; questionnaire; semantics; standard; Sweden
Aged; Aged
80 and over; Arthroplasty
Hip; Attitude to Health; Communication; Fear; Female; Geriatric Assessment; Health Services Needs and Demand; Hospitals
University; Humans; Male; Mental Status Schedule; Osteoarthritis
Hip; Pain Measurement; Pain
Postoperative; Professional-Patient Relations; Questionnaires; Semantics; Statistics
Nonparametric; Sweden
pain descriptors
elderly
pain assessment
pain scales
Geriatrics and medical gerontology
Geriatrik och medicinsk gerontologi
Medical sciences
Medicin

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