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Furthermore, the close communication between the first and second author in the phase of labeling codes and creating themes and sub-themes strengthened the credibility and dependability of the study.
This self talk was used to guide the older adults through the pain and daily living. The balancing was oriented both internally balance within self and externally balance towards the surrounding world similar to that described by Lipworth et al. Several of the older adults brought up the need for additional, individually tailored advice and support from health care providers both now and in the future.
Movements of the body were painful for the older adults but they wanted to maintain their ability to move about. Gloth FM 3rd Geriatric pain. They tried their best to balance their movements and positioning of their body to make the pain as tolerable as possible in the effort to find a good position or move about as intended.
In addition, representative quotes were used to illuminate the theme and sub-themes to strengthen the credibility of the findings. The balancing to endure their pain was permeated by learning on their own through trial and error.
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Language is way to convey these expectations. This was clearly the case for the older adults in this study. However, when participating in family events and the pain became worse, some of the older adults pretended that the pain was not so bad even though they in fact found it almost unbearable.
There was close communication between the first and second author in the phase of labeling codes, sorting them into preliminary themes and naming final themes. Bull World Health Organ The older adults in this study tried their best to not burden their family and others while learning to endure pain in daily living. A Norwegian in-depth interview study of pain in nursing home residents.
The participants in this 199113 deliberately balanced their pain and disability in relation to planned activities for the day [ 4849 ] and evaluated the advantages 119913 disadvantages of any one activity [ 333447 ].
The older adults did not want to complain and bother ,ey and friends with their problems. The aim was to describe commonalities in how older adults endure long-term musculoskeletal pain in their daily life at home.
They used trial and error and overtime learned that balancing activities, thoughts and emotions was a necessary element in daily life.
The themes answered the research question and the experience of enduring pain by learning to live with it permeated the five themes as an underlying meaning, both explicitly and implicitly, which strengthened the credibility of the themes. It can be assumed that the experienced lack of pain management and support might be associated with the tendency documented in the literature where pain is expected as an inevitable and natural part of aging [ 58 ].
She then goes on to tell herself:. These memories gave them something to hold onto and live for the current day and in the days to come. Thus learning to live with pain became the main theme.
This experience was dominated by learning. The need for additional research has been argued by Helme and Gibson [ 35 ]. Occup Ther Int Nurse Educ Today This approach remains close to the languages used by participants, rather than the more traditional, realist approach which focuses on single words and phrases [ 43 ].
Key management of pain was not satisfactory for the older adults in this study. Sometimes one feels better and sometimes one feels worse…. Furthermore, nurses need to take into account that these older adults, to varying degrees, live in a negotiated reality where they are used to making agreements.
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They tried their best to direct their thinking to stay as positive as possible in their current situation. This argument support that these finding can be useful for health care providers familiar with this population and context. Int J Older People Nurs 5: Neither has the constraint associated with this learning among the older adults in their effort to fulfill expectations and demands from self, relatives and health care providers.
Strauss A Negotiations: Undoubtedly, musculoskeletal pain has been recognized as global and increasing health problem overtime.
They had various support from health care providers regarding their medication but none were fully satisfied with the relief of their pain. Taylor W Musculoskeletal pain in the adult New Zealand population: The older adults also balanced their thoughts and emotions to endure their pain in daily living.
J Gen Intern Med Pain Manag Nurs The balancing was not only related to physical activities and certain moments during the day. The difficulty for older adults living with musculoskeletal pain, to achieve adequate pain relief has also been acknowledged by Von Korff [ 13 ]. But I have a very wonderful son, he comes and does the shopping and then he takes me out sometimes…that is such an elixir and I live many days on that. Furthermore, Miaskowski [ 36 ] and Gartrell [ 37 ] have stated that researchers need to be attentive to how older adults experience of pain and the distress and disabilities in life related to this health problem.