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‘Older Adults Pain Self-management’: Exploring What We Mean Through Concept Analysis

EOPIC. Engaging with older people and their carers to develop interventions for the self-management of chronic pain. ‘Older Adults Pain Self-management’: Exploring What We Mean Through Concept Analysis Carrie Stewart BSc.

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‘Older Adults Pain Self-management’: Exploring What We Mean Through Concept Analysis

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  1. EOPIC Engaging with older people and their carers to develop interventions for the self-management of chronic pain ‘Older Adults Pain Self-management’: Exploring What We Mean Through Concept Analysis Carrie Stewart BSc. Aberdeen Pain Research Collaboration, Centre of Academic Primary Care, University of Aberdeen, UK. Background No standard definition exists for the concept ‘chronic pain self-management’ or how it should be defined in relation to older adults. Poorly defined concepts can result in misunderstandings in the clinical setting, and can hinder research through difficulties identifying or measuring the concept. Aim To systematically analyse existing use and understanding of the concept ‘older adults pain self-management’ and develop a theoretical definition based on: Contextual Use, Essential attributes, Antecedents, Consequences, Related and Surrogate concepts. Results Context: Discussed as an Intervention, Everyday behaviours & Outcome/goal. Essential attributes: Multi-dimensional, Process, Personal development, Active individuals, Symptom response and Symptom control. Related Concepts: Pain coping and Health education. Antecedents: Perceived need, Support, Activated patients Consequences: Range of bio-psycho-social health improvements Surrogate Concepts: Self-help, Self-care Uncertainties: Little consideration in the literature as to how this concept is used and understood in everyday life. Health Education Symptom Response Consequences Bio-Psycho-Social Health Improvement Antecedents Perceived Need, Support & Activated Patient Older Adults Pain Self-management SymptomControl Active Individuals Personal Development Pain Coping Method Design: Rodgers Evolutionary Model of Concept Analysis Sources: Medline (Ovid), Cinahl, AMED, PsychLit, Health policy guidelines, Professional & patient education Search Terms Included: chronic pain, arthritis, self management, self care, self help, patient education, self efficacy and coping Inclusion: Must meet basic and broad definition for pain self-management, focus on management of musculoskeletal chronic pain and older adults (65yrs+) Exclusion: non-musculoskeletal pain (i.e. cancer pain) Sample: N=45 (agreement between 2 reviewers ) Analysis: Thematic analyses framework. Conclusion “Older adults pain self-management is a multi-dimensional process prompted by an individuals recognition for the need for, their desire to, and ability to self-manage pain with support from others. Individuals become active in their care through developing and using many skills to assist them in responding to and controlling pain and its related symptoms. Pain self-management seeks improvement in a range of biological, psychological and social outcomes, with specific goals set by the individual.” This theoretical definition is formed from research driven definitions. There is a need to explore how older adults and professionals experience pain self-management in everyday use.

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