Patient-Centered Pain Management Communication from the Patient Perspective 1,2 1,2 1,2 Marie C. Haverfield, PhD , Karleen Giannitrapani, PhD , Christine Timko, PhD , 1,2,3 and Karl Lorenz, MD 1 2 Veteran Affairs Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), California, USA; Stanford University School of Medicine, California, USA; RAND Corporation, California, USA. BACKGROUND: Pain management discussions between experience. As a result of exposure to violence and social patient and provider can be stressful to navigate and disadvantages, Veterans may have a heightened experience greatly impact the care received. Because of the complex- of pain. Medical providers are often patients’ primary re- ity, emotional color, and sensitivity of pain management, source to address pain concerns and access pain solutions. such discussions require a high degree of skill. However, patients and providers frequently hold differing OBJECTIVE: To identify patients’ perspectives of patient- points-of-view, making discussions about pain a challenge. centered care communication within the context of pain While providers report difficulty in prescribing opioids and management discussions. DESIGN: We conducted semi-structured interviews (25– trusting patients’ pain reports, patients may feel providers are 4, 5 65 min) with patients regarding their experiences with not listening to concerns
Journal of General Internal Medicine – Springer Journals
Published: May 29, 2018
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