Use this URL to cite or link to this record in EThOS: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.816179
Title: An analysis and development of the concept older adults' persistent pain self-management
Author: Stewart, Carrie
ISNI:       0000 0004 9353 6372
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2014
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Abstract:
No standard definition for 'older adults' persistent pain self-management' (PSM) exists. Poorly defined concepts inhibit progress in research and lead to poor communication due to a lack of a shared understanding of its meaning. This thesis analysed how the concept 'older adults' PSM' has been defined, and refined this by introducing the previously unexplored perspectives of older adults and health professionals. A systematic analysis of existing uses and definitions of this concept allowed a theoretical definition for this concept to be proposed. Sixteen older adults and twenty-three health professionals were recruited to explore their perspectives towards what 'older adults' PSM' means. Each older adult completed a daily diary for two weeks and a follow up semi-structured interview. The health professionals each participated in a semi-structured interview. These qualitative explorations were analysed using grounded theory, and the findings integrated with the theoretical definition to produce a refined definition. Older adults' PSM was identified as being an active individualised process involving the development of a pain control plan, accommodating pain into daily life, managing general health and well-being, engaging in a meaningful life, having positive cognitive responses to pain and managing regular challenges and conflicts. Its outcomes were found to vary on a daily basis but its long-term benefits include improvements in pain, function, psychological well-being, general health and quality of life. The findings suggest that older adults' PSM influences, and is influenced by, wider features of ageing and that older adults PSM should be considered contextually within theories of successful ageing. This study provides the first steps towards enhancing our understanding of this concept, which may lead to improvements in how health professionals and health services support older adults PSM in the future.
Supervisor: Not available Sponsor: University of Aberdeen
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.816179  DOI: Not available
Keywords: Older people ; Chronic pain
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