Joint Self-Care by Older Adults

Conn, Vicki S.

doi:10.1002/j.2048-7940.1990.tb01468.x

Cited by 8 publications

(6 citation statements)

References 14 publications

(8 reference statements)

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“…Findings showed that resting and/or distraction were frequently utilized while therapies like massage, TENS or participating in support groups were rare. Although this finding is in accordance with previous studies of older persons' pain management (9,11,22) the reasons for it are not obvious. Lansbury (13) concluded that older persons preferred well-known methods to manage pain and disliked strategies that were not in their usual lifestyle.…”

Section: Discussion Of Findingssupporting

confidence: 85%

“…Davis and Atwood (9) (n=82 community‐living persons with arthritis, mean aged 58) and Ferrell et al (1) (n=103 nursing home residents, mean age 88 years) found that between 80 and 90% of older persons used analgesics. In contrast, Blomqvist and Hallberg (10) (n=43 nursing home residents mean age 85 years) and Conn (11) (n=53, persons with joint problems, mean age 72 years) reported rates between 35 and 55%. Findings from two qualitative studies (12, 13) show that older persons might avoid medication because of fear of becoming addicted, adverse drug reactions or perceptions that medication is ineffective.…”

Section: Introductionmentioning

confidence: 90%

“…Exercise in the form of walking (18) (RCT, n=29 patients with chronic musculo‐skeletal pain, mean age 73 years), thai‐chi (19) (convenience sample, n=17, 68–92 years), occupational therapy (20) (RCT, n=361 community‐living, > 60 years) and cycling (21) (RCT, n=39 patients with osteoarthritis, mean age 71 years) have all been shown to reduce older persons' pain significantly. In the study by Davis and Atwood (9) as well as in studies by Hopman‐Rock et al (22) (n=157 community‐living persons with pain in hips/knees aged 55–74 years) and Conn (11) (n=53 persons with joint problems over 65 years) physical activity and rest were frequently utilized physical methods while joint protection, cold, TENS or massage were less common.…”

Section: Introductionmentioning

confidence: 99%

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Managing pain in older persons who receive home‐help for their daily living. Perceptions by older persons and care providers

Blomqvist

Hallberg

2002

Scandinavian Caring Sciences

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Pain is a common problem for older persons who need professional help for their daily living. In this study 94 older persons (75+) in persistent pain were compared with 52 care providers concerning the pain management methods they had used/administered during the previous week and how helpful they perceived these methods to be. Interviews were based on 16 items from the original version of the pain management inventory (PMI). Both groups perceived prescribed medication, rest and distraction as the most frequently utilized methods. Specific methods such as transcutaneous electrical nerve stimulation (TENS) or bracing/splinting or bandaging the affected body part were seldom employed, although most users perceived these methods as helpful. Care providers perceived most methods for managing pain as more effective than older persons did. The results imply that care providers need skills in a variety of pharmacological and nonpharmacological methods to manage pain and a need to evaluate effectiveness of the methods in a systematic way.

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Section: Discussion Of Findingssupporting

confidence: 85%

Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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Managing pain in older persons who receive home‐help for their daily living. Perceptions by older persons and care providers

Blomqvist

Hallberg

2002

Scandinavian Caring Sciences

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“…Studies examining self-care or self-management behaviors of persons with arthritis or other musculoskeletal conditions have found that most do engage in such behaviors, and that self-management strategies are extremely varied (2)(3)(4)(5)16,38). Almost all of the participants in this study reported using at least 1 of the self-management behaviors.…”

Section: Discussionmentioning

confidence: 80%

Use of self‐management behaviors to cope with rheumatoid arthritis stressors

Katz¹

2005

Arthritis & Rheumatism

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Objective. To examine self-management behaviors used to cope with 5 rheumatoid arthritis (RA)-related stressors (pain, fatigue, physical limitations, joint changes, and symptom unpredictability) and the relationship between use of selfmanagement behaviors and ability to perform life activities. Methods. Data were from telephone interviews of 511 persons with RA. Participants were presented with lists of self-management behaviors for each stressor and asked to indicate which they had used in the past year. Performance of life activities was assessed concurrently (baseline) and 1 year later (followup). The number of activities affected (difficulty performing or unable to perform) and the number that individuals were completely unable to perform were calculated. Multiple regression analyses were used to examine the association of perceived stressor impact and arthritis education with strategy use and the association of self-management behaviors with performance of life activities. Results. Four self-management strategies were identified: accommodation, active remediation, social, and perseverance. Greater perceived impact of stressors was associated with use of more self-management strategies in total for each stressor (␤ ‫؍‬ 0.43-0.73, all P < 0.0001) and with use of accommodation (␤ ‫؍‬ 0.26 -0.29, P < 0.0001), social (␤ ‫؍‬ 0.23-0.43, P < 0.0001), and perseverance (␤ ‫؍‬ 0.29 -0.46, P < 0.0001) strategies. Greater use of accommodation strategies at baseline was associated with an increase in the number of activities affected at followup (␤ ‫؍‬ 0.11, P < 0.05); greater use of perseverance strategies was associated with a decrease in activities unable to perform (␤ ‫؍‬ ؊0.13, P < 0.01). Conclusion. Self-management behaviors are commonly used and may help prevent loss of the ability to perform life activities.

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“…Individuals with arthritis are less active in vigorous, moderate, and light exercise compared with individuals without arthritis (15). Furthermore, of those individuals with arthritis who begin an exercise program, 45–60% will not maintain the behavior (17, 18). Thus, identification of theory‐based correlates of exercise initiation and adherence is critical, with a future goal of examining the efficacy of intervention programs aimed at influencing the correlates (19).…”

Section: Introductionmentioning

confidence: 99%