Externalizing the Private Experience of Pain: A Role for Co-Speech Gestures in Pain Communication?

Rowbotham, Sheila; Lloyd, David T.; Holler, Judith; Wearden, Alison

doi:10.1080/10410236.2013.836070

Cited by 12 publications

(9 citation statements)

References 110 publications

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“…Harper [34] stated that visual images elicit a kind of information, which is grounded in emotive responses unique to the respondent; in other words, photoelicitation evokes a more intimate involvement from the participant. This method has been used by researchers to examine topics of interest to registered nurses in general and gerontological nurses in particular, such as living with ALS [35], urinary incontinence [36], cultural experiences [37], dementia and driving [38], and pain in older clients [39].…”

Section: Methodsmentioning

confidence: 99%

How Do Nursing Students Perceive the Needs of Older Clients? Addressing a Knowledge Gap

Hirst

Lane

2016

Journal of Geriatrics

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Background. Many nurse educators understand that students need to embrace the challenges and rewards of working with older clients. Yet, they might wonder how they can help students to develop and what is the specialized knowledge necessary to care for older clients.Question. How do students perceive the nursing needs of older adults?Method. A qualitative descriptive study was undertaken. Data collection occurred through semistructured interviews (9 students) and one focus group (8 students) using a photoelicitation technique. The researchers used a descriptive approach to analyze the data.Findings. Six themes emerged from the data: ask the older client!; physiology rules; personal, not professional; who can validate?; hierarchy of needs; and help us learn.Conclusion. Participants relied upon previous patterns of learning, primarily experiential, and on the views of health care colleagues in clinical practice to make decisions about the health needs of older clients. Participants clearly recognized the need to and significance of understanding the health care requirements of older clients. Findings have implications for how the care of older clients is introduced into nursing education programs.

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Section: Methodsmentioning

confidence: 99%

How Do Nursing Students Perceive the Needs of Older Clients? Addressing a Knowledge Gap

Hirst

Lane

2016

Journal of Geriatrics

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“…For example, pain assessment may be limited without full visibility of nonverbal gestures and body language on a video-conferencing platform. Gestures and posturing can help clinicians better recognize sensory aspects of pain or other internal experiences that may be hard to verbalize (Rowbotham, Lloyd, Holler, & Wearden, 2015). In addition, it is important to consider how best to integrate interdisciplinary treatment for individuals with chronic pain via telehealth.…”

Section: Barriers and Future Directionsmentioning

confidence: 99%

A contextual-behavioral perspective on chronic pain during the COVID-19 pandemic and future times of mandated physical distancing

Rhodes

Martin

Guarna

et al. 2020

Journal of Contextual Behavioral Science

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For people who struggle with chronic pain, the COVID-19 pandemic poses new challenges in treatment accessibility and may heighten pre-existing anxiety related to their health condition. Likewise, many mental health providers are struggling to adapt to a new way of caring for these individuals. The current paper aims to provide evidence of the ways in which COVID-19 is impacting people with pain and to offer a contextual-behavioral perspective on treatment of patients with chronic pain during the current pandemic and any future periods of mandated physical distancing. Past research shows that adolescents and adults with chronic pain struggle with loneliness and social isolation, which emphasizes the importance of remaining connected with these patients while they are remaining at home. Further, many individuals with chronic pain have physical and mental health comorbidities that may increase the risk of COVID-19 infection and/or morbidity and mortality. Specific functional-contextual and biopsychosocial concepts common in multidisciplinary treatment of chronic pain can be usefully incorporated into a telehealth model of ACT treatment for pain. These include the use of pandemicrelated metaphors, modeling acceptance of technical glitches that occur during telehealth sessions, and mindfully observing facial expressions on the computer screen when the patient is in pain. Moreover, powerful experiential exercises that make use of pandemic-related themes (e.g., wearing a mask, washing hands) are described. While barriers to the widespread implementation of ACT-consistent telehealth exist, connecting with patients in new and creative ways will be essential as the field moves forward.

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“…They may be used to help the patient actually formulate their thoughts (Goldin-Meadow, 1999). In the expression of pain, the patients give more specific information about the same pain sensation via gesture, or they may add completely new aspects verbally saying "sharp", while visually gesturing "throbbing" (Rowbotham, Lloyd, Holler, & Wearden, 2015). Gestures Matter.…”

Section: Introductionmentioning

confidence: 99%

“…A recent review of the role of gesture in experimental settings makes it clear that it does aid in comprehension (Hostetter, 2011). In qualitative research studies, patients use gestures to indicate location of pain, to demonstrate painful actions (radiation of pain), and to demonstrate painful sensations (pricking) (Rowbotham, Lloyd, Holler, & Wearden, 2015). In experiments by Rowbotham et al (2012), where verbal and gesture information about a pain experience were videotaped and coded, 7 parameters of pain description (quality, intensity, size, effects, duration, cause, awareness) were analyzed.…”

Section: Introductionmentioning

confidence: 99%

The Visual Chief Concern: Teaching Learners to Read Hand Gestures to Solve Confusing Cases

Mitchell¹,

MacKinney²

2017

MedEdPublish

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Doctors in training are often challenged by clinical cases which don't seem to make sense. In describing pain episodes, patients will sometimes use hand gestures as part of their communication. Hand gestures are more likely used in clinical settings when words are hard to find, when spatial representation is important, where there are language difficulties, and when it is the most important thing the patient says. The hand gestures are perhaps most important for the learner to observe when they are discordant with what the patient is saying. When the hand gestures gives different information than the verbal message, it is often the hand gesture that provides critical diagnostic information. These spontaneous, meaningful, explanatory gestures can be so useful for the clinician, that we give it the term the Visual Chief Concern. The Visual Chief Concern is distinguished from other non-verbal communication that add intensity and emotion to words. The Visual Chief Concern is an additional tool for experienced clinician and trainee alike. "The problem doesn't make any sense." Helping doctors in training to sort out a patient's pain can be a challenging task. A confusing history is particularly an issue when the stated chief concern does not fit well with other data. The chief concern (or chief complaint) is universally recommended as an essential part of a patient's initial evaluation. It has been used for hundreds of years and purports to tell not only the main thing on the patient's mind, but often to suggest the diagnosis. The seasoned clinician will recognize that there are circumstances when the stated chief concern is less useful. Patients may state a "chief concern," while their critical health issue (i.e., depression) is different. Observing a patient's body language is well understood, but the importance of the patient's specific use

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Externalizing the Private Experience of Pain: A Role for Co-Speech Gestures in Pain Communication?

Cited by 12 publications

References 110 publications

How Do Nursing Students Perceive the Needs of Older Clients? Addressing a Knowledge Gap

How Do Nursing Students Perceive the Needs of Older Clients? Addressing a Knowledge Gap

A contextual-behavioral perspective on chronic pain during the COVID-19 pandemic and future times of mandated physical distancing

The Visual Chief Concern: Teaching Learners to Read Hand Gestures to Solve Confusing Cases

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