The Pain and Movement Reasoning Model: Introduction to a simple tool for integrated pain assessment

Jones, Lester; O'Shaughnessy, Desmond F.P.

doi:10.1016/j.math.2014.01.010

Cited by 25 publications

(19 citation statements)

References 108 publications

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“…However, there is great diversity both within and between ethnic groups, and the varying exposures to these and other factors can lead to differences. 15 In addition, pain perception takes place in a context of an individual's environment, including the physical, social and emotional context, 16 and may therefore be perceived and coped with differently by different ethnic groups. 8 11 17 18 The resources of the individual, including characteristics such as gender, cultural background and socioeconomic factors, as well as the responses to ethnic diversity by healthcare, further affect coping strategies.…”

Section: Introductionmentioning

confidence: 99%

Quality of life and coping strategies among immigrant women living with pain in Denmark: a qualitative study

2015

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ObjectiveTo examine quality of life and coping strategies among immigrant women living with chronic pain.DesignQualitative content analysis based on in-depth semistructured interviews.SettingA clinic specifically targeting immigrants at a larger university hospital in Copenhagen, Denmark.ParticipantsNon-western female immigrant patients suffering from chronic pain (n=13).Main outcome measuresExperiences of the impact of chronic pain on quality of life.ResultsChronic pain was perceived to have an extensive, adverse effect on all aspects of quality of life, including physical health, mental well-being and social relations. This included the ability to maintain activities of daily living and the ability to work. Chronic pain was further experienced as a cause of emotional distress, depression and altered personalities, which all had great consequences on women's social interactions, causing change and loss of social relations. A variety of coping strategies were used to cope with the pain, manage its consequences, and restore a level of health that would enable women to function and fulfil social roles. Many participants coped with the pain by altering everyday life, keeping daily activities to a minimum and taking pain-killing drugs, offering temporary relief. Seeking healthcare was another coping strategy used as an active means to assert agency and as a temporary distraction from pain. However, accessing healthcare also involved a risk of disagreement and disappointments.ConclusionsChronic pain had a severe negative impact on quality of life and necessitated alterations in everyday life and active health-seeking strategies. Implications for practice imply a need for a more holistic approach to immigrant women with chronic pain, including a family-centred approach. Further research is needed to explore similarities or differences in and between populations with diverse ethnic, socioeconomic and psychosocial backgrounds, and to assess how ethnicity and culture might influence the experiences of chronic pain.

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Section: Introductionmentioning

confidence: 99%

Quality of life and coping strategies among immigrant women living with pain in Denmark: a qualitative study

2015

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“…Al parecer, la percepción de vulnerabilidad o fragilidad relacionada con la salud (95), el entorno laboral (71,72) o social (90) podrían determinar una mayor actividad de la neuromatriz del dolor frente a los estímulos, lo que podría aumentar las probabilidades de desarrollo de dolor musculoesquelético. Esto se podría explicar por un predominio de la percepción de amenaza mediado por las dimensiones cognitivas y emocionales del dolor (15). La percepción del entorno, de la condición biológica o psicológica por la que podría cursar una persona, tiene un rol preponderante en la recuperación de esta, por lo tanto el equipo de salud debe ser consciente que las intervenciones; además de buscar cambios biológicos, deberían considerar el fomentar el cambio en la percepción de la realidad de las personas.…”

Section: Discussionunclassified

“…Actualmente, el dolor es definido como una compleja interacción de sistemas homeostáticos en respuesta a una amenaza identificada (14); de esta manera, se debe considerar como un proceso que intregra información sensorial, cognitiva y/o emocional proveniente de amenazas reales o potenciales (15). Este proceso de evaluación de la amenaza es realizado por un conjunto de estructuras corticales y subcorticales denominadas como neuromatriz del dolor (16).…”

Section: Introductionunclassified

Influencia de los factores psicosociales en la experiencia de dolor músculo-esquelético: Una revisión de la literatura

Cuyúl-Vásquez¹,

Araya-Quintanilla²

2018

Rev. Soc. Esp. Dolor.

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Musculoskeletal pain is a health problem that affects approximately 33 % of the adult population, of which 56 % corresponds to elderly people and 35% to people of working age. Some epidemiological investigations have shown that there are certain groups of people within the population most likely to develop chronic musculoskeletal pain, these studies have allowed to identify different weaknesses and needs in the interventions of health professionals in this problem. The data have shown that the prevalence of pain is higher in women, smokers, with incomplete education, with psychological or social risk, in this way the evidence has removed attention to the nociception of body structures as the only causal factor of pain musculoskeletal This has forced researchers to explore the influence of psychosocial factors in the experience of musculoskeletal pain, consider the integration of various factors and mechanisms to explain the development of the painful experience. The objective of this review is to describe the psychosocial factors that influence the experience of musculoskeletal pain in order to relate them to contemporary neuroscientific models.

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“…Women breastfeed many times each day and nipple pain can persist beyond the act of breastfeeding (McClellan et al., ). Using a biopsychosocial lens to review possible determinants of breastfeeding women's experience of nipple pain experience, a group of researchers adapted a template designed for musculoskeletal pain (Jones & O'Shaughnessy, ), recognizing the wide range of potential contributors to women's nipple pain (Amir, Jones, & Buck, ). The clinical tool called the “Breastfeeding Pain Reasoning Model” includes the category headings: local stimulation, external influences, and central modulation and can assist the clinician's interpretation of an individual's pain holistically (Amir et al., ).…”

Section: Introductionmentioning

confidence: 99%

Measurement tools and intensity of nipple pain among women with or without damaged nipples: A quantitative systematic review

Coca

Amir

Alves

et al. 2019

Journal of Advanced Nursing

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Aims To describe and evaluate pain scales used to measure nipple pain in breastfeeding women and to identify nipple pain intensity in women with or without nipple damage. Background Nipple pain is one of the most common reasons given for premature cessation of breastfeeding. However, there are no agreed tools to measure pain and no previous reviews have provided summary estimates of pain scores. Design Systematic review. Data sources Medline, CINAHL, Scopus, Web of Science, SciELO, and LILACS. Review methods We followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses. The guiding question was: How is nipple pain in breastfeeding women measured and how severe is it? We analysed articles published up to February 2018, excluded review articles and those that did not present the level of nipple pain or tools to estimate pain severity. Results A total of 1,023 articles were identified and 25 were included in the review after applying the exclusion criteria. The Numeric Rating Scale (nine studies) and Visual Analogue Scale (seven studies) were the most prevalent tools for measuring pain. Using a pain score between 0–10, women with nipple damage reported a weighted mean of 6.2 in the first week and 5.8 after that period; women without damage reported a weighted mean of 2.7. Conclusion Women with nipple damage consistently reported a higher level of pain than women without damage. To prevent premature cessation of breastfeeding, it is important to help new mothers avoid nipple damage.

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The Pain and Movement Reasoning Model: Introduction to a simple tool for integrated pain assessment

Cited by 25 publications

References 108 publications

Quality of life and coping strategies among immigrant women living with pain in Denmark: a qualitative study

Quality of life and coping strategies among immigrant women living with pain in Denmark: a qualitative study

Influencia de los factores psicosociales en la experiencia de dolor músculo-esquelético: Una revisión de la literatura

Measurement tools and intensity of nipple pain among women with or without damaged nipples: A quantitative systematic review

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