Redefining pain

Biro, David

doi:10.1017/s1478951510000593

Cited by 1 publication

(1 citation statement)

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“…If their entire CHIP experience is to be included in a single pain definition, the broadly used pain definition by IASP needs to be expanded or replaced with one that includes a more phenomenological experience of pain. Biro 32 advocates a broader definition of pain: “Pain is an aversive internal experience that threatens to destroy everything except itself and can only be described metaphorically.” The metaphor has a task in the communication of pain and has the ability to make use of physical, social, psychological, and existential experiences and sharpen the perception of these experiences. 33 Metaphors provide an expanded, better opportunity to more fully communicate with patients about their pain experiences, which should be highlighted.…”

Section: Discussionmentioning

confidence: 99%

Women Treated for Breast Cancer Experiences of Chemotherapy-Induced Pain

Hellerstedt-Börjesson

Nordin

Fjällskog

et al. 2016

Cancer Nursing

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Background:Breast cancer survivors make up a growing population facing treatment that poses long-standing adverse effects including chemotherapy-related body function changes and/or pain. There is limited knowledge of patients’ lived experiences of chemotherapy-induced pain (CHIP).Objective:The aim of this study was to explore CHIP and any long-standing pain experiences in the lifeworld of breast cancer survivors.Methods:Fifteen women participated in a follow-up interview a year after having experienced CHIP. They were interviewed from a lifeworld perspective; the interviews were analyzed through guided phenomenology reflection.Results:A past perspective: CHIP is often described in metaphors, leads to changes in a patient’s lifeworld, and impacts lived time. The women become entirely dependent on others but at the same time feel isolated and alone. Existential pain was experienced as increased vulnerability. Present perspective: Pain engages same parts of the body, but at a lower intensity than during CHIP. The pain creates time awareness. Expected normality in relationships/daily life has not yet been achieved, and a painful existence emerges in-between health and illness. Future perspective: There are expectations of pain continuing, and there is insecurity regarding whom to turn to in such cases. A painful awareness emerges about one’s own and others’ fragile existence.Conclusions:Experiencing CHIP can impact the lifeworld of women with a history of breast cancer. After CHIP, there are continued experiences of pain that trigger insecurity about whether one is healthy.Implications for Practice:Cancer survivors would likely benefit from communication and information about and evaluation of CHIP.

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Section: Discussionmentioning

confidence: 99%