"I feel so stupid because i can't give a proper answer." How older adults describe chronic pain: A qualitative study

Amanda Clarke* (Corresponding Author), Geraldine Anthony, Denise Gray, Derek Jones, Paul McNamee, Patricia Schofield, Blair H. Smith, Denis Martin

*Corresponding author for this work

Research output: Contribution to journalArticle

15 Citations (Scopus)
4 Downloads (Pure)

Abstract

Background: Over 50% of older adults experience chronic pain. Poorly managed pain threatens independent functioning, limits social activities and detrimentally affects emotional wellbeing. Yet, chronic pain is not fully understood from older adults' perspectives; subsequently, pain management in later life is not necessarily based on their priorities or needs. This paper reports a qualitative exploration of older adults' accounts of living with chronic pain, focusing on how they describe pain, with a view to informing approaches to its assessment. Methods. Cognitively intact men and women aged over sixty-five who lived in the community opted into the study through responding to advertisements in the media and via contacts with groups and organisations in North-East Scotland. Interviews were transcribed and thematically analysed using a framework approach. Results: Qualitative individual interviews and one group interview were undertaken with 23 older adults. Following analysis, the following main themes emerged: diversity in conceptualising pain using a simple numerical score; personalising the meaning of pain by way of stories, similes and metaphors; and, contextualising pain in relation to its impact on activities. Conclusions: The importance of attending to individuals' stories as a meaningful way of describing pain for older adults is highlighted, suggesting that a narrative approach, as recommended and researched in other areas of medicine, may usefully be applied in pain assessment for older adults. Along with the judicious use of numerical tools, this requires innovative methods to elicit verbal accounts, such as using similes and metaphors to help older adults describe and discuss their experience, and contextualising the effects of pain on activities that are important to them.

Original languageEnglish
Article number78
JournalBMC Geriatrics
Volume12
DOIs
Publication statusPublished - 1 Dec 2012

Fingerprint

Chronic Pain
Pain
Metaphor
Interviews
Scotland
Pain Measurement
Pain Management
Medicine
Organizations

Keywords

  • Ageing
  • Chronic pain
  • Community
  • Metaphors
  • Older adults
  • Qualitative research
  • Stories

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

"I feel so stupid because i can't give a proper answer." How older adults describe chronic pain : A qualitative study. / Clarke, Amanda (Corresponding Author); Anthony, Geraldine; Gray, Denise; Jones, Derek; McNamee, Paul; Schofield, Patricia; Smith, Blair H.; Martin, Denis.

In: BMC Geriatrics, Vol. 12, 78, 01.12.2012.

Research output: Contribution to journalArticle

Clarke, Amanda ; Anthony, Geraldine ; Gray, Denise ; Jones, Derek ; McNamee, Paul ; Schofield, Patricia ; Smith, Blair H. ; Martin, Denis. / "I feel so stupid because i can't give a proper answer." How older adults describe chronic pain : A qualitative study. In: BMC Geriatrics. 2012 ; Vol. 12.
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abstract = "Background: Over 50{\%} of older adults experience chronic pain. Poorly managed pain threatens independent functioning, limits social activities and detrimentally affects emotional wellbeing. Yet, chronic pain is not fully understood from older adults' perspectives; subsequently, pain management in later life is not necessarily based on their priorities or needs. This paper reports a qualitative exploration of older adults' accounts of living with chronic pain, focusing on how they describe pain, with a view to informing approaches to its assessment. Methods. Cognitively intact men and women aged over sixty-five who lived in the community opted into the study through responding to advertisements in the media and via contacts with groups and organisations in North-East Scotland. Interviews were transcribed and thematically analysed using a framework approach. Results: Qualitative individual interviews and one group interview were undertaken with 23 older adults. Following analysis, the following main themes emerged: diversity in conceptualising pain using a simple numerical score; personalising the meaning of pain by way of stories, similes and metaphors; and, contextualising pain in relation to its impact on activities. Conclusions: The importance of attending to individuals' stories as a meaningful way of describing pain for older adults is highlighted, suggesting that a narrative approach, as recommended and researched in other areas of medicine, may usefully be applied in pain assessment for older adults. Along with the judicious use of numerical tools, this requires innovative methods to elicit verbal accounts, such as using similes and metaphors to help older adults describe and discuss their experience, and contextualising the effects of pain on activities that are important to them.",
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