CHRONIC PAIN COMMUNICATION SKILLS FOR ANAESTHESIOLOGY RESIDENTS

Author(s):  
Tim Vemmer
Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 184
Author(s):  
Natacha D. Emerson ◽  
Brenda Bursch

Background: Pain experiences can negatively impact children and adolescents, leading to trauma symptoms and nonadherence to important health behaviors. Developmentally-tailored communication strategies may mitigate this risk. Methods: This article reviews cognitive and linguistic developmental factors, within the familial and cultural context, that are important to consider when communicating with youth about acute, procedural, and/or chronic pain. Results: Youth undergoing acute or procedural pain benefit from pain education, truthful information about the procedure, and advance preparation. The use of analogies may be particularly helpful for patient understanding of chronic pain development, maintenance, and treatment. Youth with developmental disabilities may express pain differently than their normative peers, requiring adaptation of communication strategies. Conclusion: Developmentally-tailored pain communication is an important tool for caregivers and healthcare providers that may foster adaptive functioning in youth who experience pain.


2004 ◽  
Vol 26 (8) ◽  
pp. 836-852 ◽  
Author(s):  
Deborah Dillon McDonald ◽  
Sheila L. Molony

2020 ◽  
Vol 7 (1) ◽  
pp. 251-273
Author(s):  
Niamh McConaghy

This article focuses upon the impact of using participant-created visual imagery and poetry to encourage a more comprehensive dialogue of the psychosocial and mental health elements of the experience of chronic pain. It explores six participants’ semi-structured interview dialogues, following two workshops and two weeks of journaling at home using the arts-based methods. Findings of this study suggest that these methods can enhance the awareness of pain-related factors and strengthen the understanding of the connection between influencing and affecting pain factors in daily life. Therapeutically, this process has encouraged positive pain behaviours, such as hope, purpose and appreciation of self, and created a more personal narrative of the reality of daily pain experience. It strengthens the argument for using combinations of arts-based outcomes to create more informative, personal and accessible methods of pain communication.


2019 ◽  
pp. 204946371988458
Author(s):  
Francisco Montesinos ◽  
Marisa Páez ◽  
Lance M McCracken ◽  
Rocío Rodríguez-Rey ◽  
Susana Núñez ◽  
...  

Introduction: The aim of this study is to explore the effectiveness of a training programme aimed at managing patients’ chronic pain in physiotherapy students in Spain. The programme addressed providing them with efficient skills to manage patients’ chronic pain from psychological flexibility (PF) perspective. Methods: The programme integrates communication skills training into PF-based training. It sought to contribute to better recognise the role of psychosocial factors in chronic pain and to better promote adherence to treatment. This is an observational study with a pre- and post-training programme design and a 2-month follow-up. A total of 35 physiotherapy students, divided into three groups, participated in a 10-hour training course. Training focused on three areas: (1) communication skills, (2) therapeutic adherence and (3) managing distress and pain. The three areas were addressed from the PF point of view. Impact of training was measured through standardised questionnaires that assessed attitudes towards chronic pain, an ad hoc questionnaire that assessed responses to difficult communicative situations and a training satisfaction scale. Results: Final analyses showed that attitudes changed significantly after training, biomedical attitude scores decreased and biopsychosocial attitude increased, while pain was considered less disabling, and informed empathic responses in communication situations increased. These changes were maintained at 2-month follow-up. Satisfaction with the training was high. Conclusion: We conclude that a brief training programme based on the PF model may help students develop a more comprehensive approach and improve their skills for managing chronic pain.


2006 ◽  
Vol 10 (2) ◽  
pp. 167-167 ◽  
Author(s):  
Niemi-Murola Leila ◽  
Heasman Pirkko ◽  
Pyörälä Eeva ◽  
Kalso Eija ◽  
Pöyhiä Reino

2011 ◽  
Vol 16 (5) ◽  
pp. 293-299 ◽  
Author(s):  
Nathalie Gauthier ◽  
Pascal Thibault ◽  
Michael JL Sullivan

The present study examined the relationship between couple concordance of catastrophizing and adverse pain outcomes. Possible mechanisms underlying the relationship between couple concordance of catastrophizing and pain outcomes were also explored. Fifty-eight couples were recruited for the study. The chronic pain patients were filmed while lifting a series of weighted canisters. The spouse was later invited to view the video and answer questions about the pain experience of their partner. Median splits on Pain Catastrophizing Scale scores were used to create four ‘catastrophizing concordance’ groups: low catastrophizing patient-low catastrophizing spouse; low catastrophizing patient-high catastrophizing spouse; high catastrophizing patient-low catastrophizing spouse; and high catastrophizing patient-high catastrophizing spouse. Analyses revealed that high catastrophizing pain patients who were in a relationship with a low catastrophizing spouse displayed more pain behaviours than patients in all other groups. These findings suggest that high catastrophizing chronic pain patients may need to increase the ‘volume’ of pain communication to compensate for low catastrophizing spouses’ tendency to underestimate the severity of their pain experience. Patients’ perceived solicitousness and punitive response from the spouse could not explain the group differences in pain behaviour. Theoretical and clinical implications of the findings are discussed.


Pain ◽  
2017 ◽  
Vol 158 (10) ◽  
pp. 1960-1970 ◽  
Author(s):  
Michelle M. Gagnon ◽  
Thomas Hadjistavropoulos ◽  
Ying C. MacNab

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