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1
Talking about chronic pain in family settings: a glimpse of older persons' everyday realities.
In: BMC geriatrics, vol. 22, no. 1, pp. 358 (2022)
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.
Keyword: 80 and over; Aged; Chronic pain; Chronic Pain/diagnosis; Chronic Pain/epidemiology; Chronic Pain/therapy; Communication; Humans; Older persons; Qualitative Research; Social network; Social Networking; Switzerland/epidemiology
URL: http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_F12F30812DAF6
https://serval.unil.ch/resource/serval:BIB_F12F30812DAF.P001/REF.pdf
https://doi.org/10.1186/s12877-022-03058-8
https://serval.unil.ch/notice/serval:BIB_F12F30812DAF
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2
Cultural competency and sensitivity in the curriculum for palliative care professionals: a survey in Switzerland.
In: BMC medical education, vol. 21, no. 1, pp. 318 (2021)
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3
Introducing cross-cultural education in palliative care: focus groups with experts on practical strategies.
In: BMC palliative care, vol. 19, no. 1, pp. 171 (2020)
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4
Beyond the 'dyad': a qualitative re-evaluation of the changing clinical consultation.
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5
Cross-Cultural Communication in Oncology: Challenges and Training Interests.
In: Oncology Nursing Forum, vol. 43, no. 1, pp. E24-E33 (2016)
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6
La communication médicale avec les patients migrants allophones : difficultés de compréhension dans les consultations spécialisées centrées sur les douleurs musculo-squelettiques chroniques
Weber, O.. - : Université de Lausanne, Faculté des lettres, 2015
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7
Beyond the 'dyad': a qualitative re-evaluation of the changing clinical consultation.
In: Bmj Open, vol. 4, no. 9, pp. e006017 (2014)
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8
La sociolinguistique en psychiatrie de liaison: un certain regard [Sociolinguistics and liaison psychiatry]
In: Revue Médicale Suisse, vol. 6, no. 236, pp. 343-345 (2010)
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9
L'interprète communautaire: une pièce centrale dans le puzzle de la consultation interculturelle [The community interpreter: a central piece in the puzzle of the intercultural consultation]
In: Revue Médicale Suisse, vol. 6, no. 236, pp. 336-338 (2010)
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10
Santé et migration en milieu urbain : une étude sociolinguistique à Lausanne
In: Le plurilinguisme urbain, pp. 431-442 (2000)
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