Perceptions of joint pain and feeling well in older people who reported being healthy: a qualitative study

Grime, Janet; Richardson, Jane; Ong, Bio Nio

doi:10.3399/bjgp10x515106

Cited by 63 publications

(83 citation statements)

References 24 publications

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“…Notably, a similar proportion reported being in constant pain despite medication, suggesting a perception that treatment will only partially relieve symptoms [30]. Prescribed medications were used by two thirds of respondents and use of OTC medications was in line with previous studies, with GPs generally aware of this use [35,36].…”

Section: Discussionsupporting

confidence: 75%

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Impact and therapy of osteoarthritis: the Arthritis Care OA Nation 2012 survey

et al. 2014

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Osteoarthritis (OA) is the fastest growing cause of disability worldwide. The aim of this study was to understand the impact of OA on individuals and to explore current treatment strategies. An online UK-wide survey of people with self-reported OA was conducted composed of 52 questions exploring the impact of OA, diagnosis and treatment, the role of health professionals and self-management. 4,043 people were invited with 2,001 respondents (49% response, 56% women, mean age 65 years). 52% reported that OA had a large impact on their lives. 15% of respondents had taken early retirement, on average 7.8 years earlier than planned. In consultations with general practitioners, only half reported a discussion on pain; fewer reported discussing their fears (21%) or management goals (15%).Nearly half (48%) reported not seeking medical help until pain was frequently unbearable.Oral analgesics (62%), topical therapies (47%), physiotherapy (38%) and steroid injections (28%) were commonly used. The majority (71%) reported varying degrees of persistent pain despite taking all prescribed medication. Although 64% knew that increasing exercise was important, only 36% acted on this knowledge; 87% who increased exercise found it beneficial. Over half had future concerns related to mobility (60%), maintaining independence (52%) and coping with everyday activities (51%). OA had significant individual economic impact especially on employment. Current treatment strategies still leave most people in pain with significant fears for the future. There is considerable opportunity to improve the holistic nature of OA consultations especially in provision of information and promotion of self-management strategies.

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Section: Discussionsupporting

confidence: 75%

“…and that OA pain is seen as part of aging [30]. There is a perceived pessimism amongst people with OA about the availability, effectiveness and risk attached to treatments [29, [31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

Impact and therapy of osteoarthritis: the Arthritis Care OA Nation 2012 survey

et al. 2014

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“…Further research is required to determine whether or not multiple patterns of activity engagement and avoidance co-exist within one individual, as has been indicated in other studies Mackichan et al, 2013;McCracken & Samuel, 2007). Comprehensive knowledge of these patterns of activity engagement, avoidance, and self-management are necessary for more effective individualized recommendations and clinical advice (Grime et al, 2010). Knowledge of patient expectations for activity throughout the life course (Moore et al, 2014) is necessary to help patients identify when OA pain prevents them from being the person they want to be.…”

Section: Discussionmentioning

confidence: 98%

Osteoarthritis and Social Embarrassment

et al. 2014

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Musculoskeletal pain from osteoarthritis (OA) is a prevalent concern for older adults. Despite recommendations from providers to be physically active, some people with OA fear physical activity and must decide whether it is safe or harmful to undertake physical activity. In this article, we examined the narratives of 10 people living with OA knee pain and the roles that pain and embarrassment played in their activity-related behavior. When asked about their physical activity, 6 of the 10 participants reported some type of embarrassment-related experience. Responses fell into two key categories: (a) embarrassment-related experience from engaging in activity or (b) embarrassment-related experience from avoiding activity. These categories contained subgroups of those seeking to avoid embarrassment and those seeking to avoid pain. Response clusters helped to contextualize the activity behavior of people with knee OA pain as it relates to social identity by providing examples of individuals resisting life disruption.

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“…Therefore, the authors recommend the WOMAC and the RAND-36 Measure of Health-Related Quality of Life plus 1 other, either the Arthritis Impact Measurement Scales 2 or the KOOS, with the exclusion of the OTE and knee ROM. [60][61][62][63] Patient tracking occurred through appointment scheduling and follow-up. Clinic managers and clinical leads for this trial did not report any major issues with patient tracking, record keeping, or follow-up.…”

Section: Discussionmentioning

confidence: 99%