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Quality of Life Research

Gepubliceerd in:

01-03-2010

Communicating about the experience of pain and fatigue in disability

Auteurs: Kathryn M. Yorkston, Kurt Johnson, Erin Boesflug, Joe Skala, Dagmar Amtmann

Gepubliceerd in: Quality of Life Research | Uitgave 2/2010

Abstract

Purpose

To examine the experiences of people with chronic disabling conditions as they communicate with health care providers about pain and fatigue.

Method

Twenty-three adults with a variety of chronic disabling conditions participated in 5 focus groups. The following issues were raised: tell me about your pain/fatigue; what things go along with pain/fatigue? how do you talk about pain/fatigue with your health care provider (HCP)? What should your HCP know that they do not ask you about?

Results

Results of qualitative analysis suggested two major themes. The first theme was labeled “Putting it in words” and suggests that both pain and fatigue are described in many ways, including the dimensions of type, intensity, level of interference and temporal aspects. Participants reported difficulty with responding to a single question that asked them to assign a number to their level of pain or fatigue. The second theme was labeled, “Let’s talk about it” and suggested that participants wanted HCPs “to listen and believe me when I describe my experience”. They wanted to be asked about how pain or fatigue interferes with life and about compensatory strategies rather than being asked to rate symptom intensity. Participants wished to be viewed as experts and to be actively involved in decisions about their health care.

Conclusions

Pain and fatigue were viewed as having many facets that are associated in complex ways with other aspects of the health/disability condition. From the participants’ perspective, assignment of a pain intensity rating does not represent the complexity of their pain experience. Suggestions are provided for HCPs when communicating about pain and fatigue with people with chronic conditions.

vorige artikel Deriving SF-12v2 physical and mental health summary scores: a comparison of different scoring algorithms

volgende artikel Somatically ill persons’ self-nominated quality of life domains: review of the literature and guidelines for future studies

Parentheses include the sex and diagnosis of the participant quoted.

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Titel: Communicating about the experience of pain and fatigue in disability
Auteurs: Kathryn M. Yorkston
Kurt Johnson
Erin Boesflug
Joe Skala
Dagmar Amtmann
Publicatiedatum: 01-03-2010
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 2/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-009-9572-1

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Abstract

Purpose

Method

Results

Conclusions

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