Talking about chronic pain in family settings: a glimpse of older persons' everyday realities.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_F12F30812DAF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Talking about chronic pain in family settings: a glimpse of older persons' everyday realities.
Journal
BMC geriatrics
Author(s)
Merminod G., Weber O., Semlali I., Terrier A., Decosterd I., Rubli Truchard E., Singy P.
ISSN
1471-2318 (Electronic)
ISSN-L
1471-2318
Publication state
Published
Issued date
23/04/2022
Peer-reviewed
Oui
Volume
22
Number
1
Pages
358
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The expression of chronic pain remains a delicate matter for those older persons who suffer from this condition. If many studies highlight the difficulties of putting pain into words, scarce are those that take into account how given social networks can facilitate or prevent its expression. Based on a qualitative study that explores the communication about chronic pain in older persons' social network, this article reports on this key issue of talking about health in later life within family settings and provides clinicians with information about the way older persons with chronic conditions perceive their everyday realities and social relations.
A multidisciplinary research team (medicine, linguistics and psychology) interviewed 49 persons with chronic pain, all from the French-speaking part of Switzerland, aged 75 and older, without any major cognitive or auditory impairments. After transcription, the interviews were analyzed by combining content and discourse analysis with social network theories.
Communication about chronic pain depends significantly on the position of the interlocutors within the family structure, with a preference for direct relatives or individuals with similar difficulties. In social networks, the ability to communicate about chronic pain is both a resource (by allowing older persons to get help or by strengthening interpersonal relations) and a challenge (by threatening their autonomy, social relations or self-esteem).
The study shows the predominance of the nuclear family (partner, children) in communication relating specifically to the everyday management of chronic pain. This state of affairs is, nevertheless, balanced by issues of (loss of) autonomy. These findings, in line with current trends in geriatrics, could benefit future reflections on the scope and limits of including relatives in the care of older patients with chronic conditions.
Keywords
Aged, Aged, 80 and over, Chronic Pain/diagnosis, Chronic Pain/epidemiology, Chronic Pain/therapy, Communication, Humans, Qualitative Research, Social Networking, Switzerland/epidemiology, Chronic pain, Older persons, Qualitative research, Social network
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / 10001C_179292
Swiss National Science Foundation / 10001C_179292
Swiss National Science Foundation / 10001C_179292
Swiss National Science Foundation / 10001C_179292
Swiss National Science Foundation / 10001C_179292
Swiss National Science Foundation / 10001C_179292
Swiss National Science Foundation / 10001C_179292
Create date
12/04/2022 16:45
Last modification date
14/05/2022 6:34
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