Pain and Treatment From a Human Primate Perspective

Collen, Mark

doi:10.3109/15360288.2014.911237

Cited by 5 publications

(1 citation statement)

References 67 publications

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“…Moreover, in our study, the anesthetist came to the patient five to ten minutes after the patient arrived on the operating ward. Pain inflicted by healthcare professionals might provoke anxiety, and in our unconscious mind, pain might be linked to threat and danger [36]. Research on patients' experiences of dialogues prior to, during and after surgery with the same nurse, however, revealed that patients considered the talks they had and the continuity to be anxiety-reducing [37] [38] and even that they "prevented and alleviated suffering in surgical procedures" [37].…”

Section: Discussionmentioning

confidence: 99%

Change in Preoperative Nervousness: A Randomized Controlled Trial in Gynecological Cancer Patients

Thygesen¹,

Christensen²,

Hedemand³

et al. 2016

Health

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Patients are often nervous prior to surgery and females might suffer the most. Increased nervousness needs attention as it can negatively affect postoperative recovery. Support from nurses, i.e. being present, attentive, empowering and helpful to the patient, and talking about what is on the patient's mind, might help to reduce nervousness. However, there is a lack of evidence as to the ideal level of attention and resources to reduce preoperative nervousness. The objective of the current study was to compare a range of care combinations with standard care to female patients prior to sedation and cancer surgery primarily on difference in change in nervousness from admission until sedation before cancer surgery, measured on a

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Section: Discussionmentioning

confidence: 99%

Change in Preoperative Nervousness: A Randomized Controlled Trial in Gynecological Cancer Patients

Thygesen¹,

Christensen²,

Hedemand³

et al. 2016

Health

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Do Symptoms of Illness Serve Signaling Functions? (Hint: Yes)

Tiokhin¹

2016

The Quarterly Review of Biology

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Symptoms of illness provide information about an organism's underlying state. This notion has inspired a burgeoning body of research on organisms' adaptations for detecting and changing behavior toward ill individuals. However, little attention has been paid to a likely outcome of these dynamics. Once an organism's fitness is affected by others' responses to symptoms of illness, natural selection can favor individuals who alter symptom expression to influence the behavior of others. That is, many symptoms may originate as cues, but will evolve into signals. In this paper, I develop the hypothesis that symptoms of illness serve signaling functions, and provide a comprehensive review of relevant evidence from diverse disciplines. I also develop novel empirical predictions generated by this hypothesis and discuss its implications for public health. Signaling provides an ultimate explanation for otherwise opaque aspects of symptom expression, such as why symptoms fluctuate in social contexts, and can exist without underlying pathology, and why individuals deliberately generate symptoms of illness. This analysis suggests that signaling theory is a major organizing framework for understanding symptom etiology.

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A 40-Minute Phone Intervention

Collen¹

2015

Journal of Insurance Medicine

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This article recounts the experience of an 88-year-old woman with sciatic pain and her attempts to get it treated. Common interventions were utilized and failed, and back surgery was recommended. A patient advocate was consulted who suggested the need to begin to exercise and to reconsider other medical interventions. Within 2 months, she was pain-free and returned to her active lifestyle. The use of scientific evidence and common sense prevented unnecessary surgery and other costly medical treatments.

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Pain and Treatment From a Human Primate Perspective

Cited by 5 publications

References 67 publications

Change in Preoperative Nervousness: A Randomized Controlled Trial in Gynecological Cancer Patients

Change in Preoperative Nervousness: A Randomized Controlled Trial in Gynecological Cancer Patients

Do Symptoms of Illness Serve Signaling Functions? (Hint: Yes)

A 40-Minute Phone Intervention

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