Patient-centered consultations for persons with musculoskeletal conditions
Tóm tắt
Consultations between practitioners and patients are more than a hypothesis-chasing exploration, especially when uncertainty about etiology and prognosis are high. In this article we describe a single individual's account of their lived experience of pain and long journey of consultations. This personal account includes challenges as well as opportunities, and ultimately led to self-awareness, clarity, and living well with pain. We follow each section of this narrative with a short description of the emerging scientific evidence informing on specific aspects of the consultation. Using this novel structure, we portray a framework for understanding consultations for persistent musculoskeletal pain from a position of patient-centered research to inform practice.
Tài liệu tham khảo
Froud R, Patterson S, Eldridge S, Seale C, Pincus T, Rajendran D, Fossum C, Underwood M. A systematic review and meta-synthesis of the impact of low back pain on people’s lives. BMC Musculoskelet Disord. 2014;15(1):1–4.
Toye F, Seers K, Allcock N, Briggs M, Carr E, Andrews J, et al. Patients’ experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. Br J Gen Pract. 2013. https://doi.org/10.3399/bjgp13X675412.
Braeuninger-Weimer K, Rooslien H, Anjarwalla N, Pincus T. Reassurance and healthcare seeking in people with persistent musculoskeletal low back pain consulting orthopaedic spine practitioners: a prospective cohort study. Eur J Pain. 2021. https://doi.org/10.1002/ejp.1765.
Braeuninger-Weimer K, Anjarwalla N, Pincus T. Discharged and dismissed: a qualitative study with back pain patients discharged without treatment from orthopaedic consultations. Eur J Pain. 2019. https://doi.org/10.1002/ejp.1412.
Holt N, Pincus T, Vogel S. Reassurance during low back pain consultations with GPs: a qualitative study. Br J Gen Pract. 2015. https://doi.org/10.3399/bjgp15X686953.
Linton SJ, McCracken LM, Vlaeyen JWS. Reassurance: help or hinder in the treatment of pain. Pain. 2008. https://doi.org/10.1016/j.pain.2007.10.002.
Holt N, Pincus T. Developing and testing a measure of consultation-based reassurance for people with low back pain in primary care: a cross-sectional study. BMC Musculoskelet Disord. 2016. https://doi.org/10.1186/s12891-016-1144-2.
Holt N, Mansell G, Hill JC, Pincus T. Testing a model of consultation-based reassurance and back pain outcomes with psychological risk as moderator: a prospective cohort study. Clin J Pain. 2018. https://doi.org/10.1097/AJP.0000000000000541.
Simonsen GD, Jensen TS, Kongsted A. Reassuring patients with low back pain in primary care consultations: Does it happen, and does it matter? a ChiCo cohort study. Clin J Pain. 2021. https://doi.org/10.1097/AJP.0000000000000946.
Pincus T, Holt N, Vogel S, Underwood M, Savage R, Walsh DA, et al. Cognitive and affective reassurance and patient outcomes in primary care: a systematic review. Pain. 2013. https://doi.org/10.1016/j.pain.2013.07.019.
Leder D. The experiential paradoxes of pain. JMPHIL. 2016. https://doi.org/10.1093/jmp/jhw020.
Main CJ, George SZ. Psychologically informed practice for management of low back pain: future directions in practice and research. Phys Ther. 2011. https://doi.org/10.2522/ptj.20110060.
Thom DH, Hall MA, Pawlson LG. Measuring patients’ trust in physicians when assessing quality of care. Health Aff. 2004. https://doi.org/10.1377/hlthaff.23.4.124.
Beckman HB, Frankel RM. The effect of physician behavior on the collection of data. Ann Intern Med. 1984. https://doi.org/10.7326/0003-4819-101-5-692.
Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient’s agenda: Have we improved? JAMA. 1999. https://doi.org/10.1001/jama.281.3.283.
Mauksch LB. Questioning a taboo: physicians’ interruptions during interactions with patients. JAMA. 2017. https://doi.org/10.1001/jama.2016.16068.
Roberts L, Bucksey SJ. communicating with patients: What happens in practice? Phys Ther. 2007. https://doi.org/10.2522/ptj.20060077.
Chester EC, Robinson NC, Roberts LC. Opening clinical encounters in an adult musculoskeletal setting. Man Ther. 2014. https://doi.org/10.1016/j.math.2014.03.011.
McCabe E, Miciak M, Roduta Roberts M, Sun H, Gross DP. Measuring therapeutic relationship in physiotherapy: conceptual foundations. Physiother Theory Pract. 2021. https://doi.org/10.1080/09593985.2021.1987604.
Miciak M, Mayan M, Brown C, Joyce AS, Gross DP. A framework for establishing connections in physiotherapy practice. Physiother Theory Pract. 2019. https://doi.org/10.1080/09593985.2018.1434707.
O’Keeffe M, Cullinane P, Hurley J, Leahy I, Bunzli S, O’Sullivan P, et al. What influences patient-therapist interactions in musculoskeletal physical therapy? Qualitative systematic review and meta-synthesis. Phys Ther. 2016. https://doi.org/10.2522/ptj.20150240.
Babatunde F, MacDermid J, MacIntyre N. Characteristics of therapeutic alliance in musculoskeletal physiotherapy and occupational therapy practice: a scoping review of the literature. BMC Health Serv Res. 2017. https://doi.org/10.1186/s12913-017-2311-3.
Hall AM, Ferreira PH, Maher CG, Latimer J, Ferreira ML. The influence of the therapist-patient relationship on treatment outcome in physical rehabilitation: a systematic review. Phys Ther. 2010. https://doi.org/10.2522/ptj.20090245.
Hush JM, Cameron K, Mackey M. Patient satisfaction with musculoskeletal physical therapy care: a systematic review. Phys Ther. 2011. https://doi.org/10.2522/ptj.20100061.
Kinney M, Seider J, Beaty AF, Coughlin K, Dyal M, Clewley D. The impact of therapeutic alliance in physical therapy for chronic musculoskeletal pain: a systematic review of the literature. Physiother Theory Pract. 2020. https://doi.org/10.1080/09593985.2018.1516015.
Belton J. Trying to get better while having to prove we’re in pain. https://www.mycuppajo.com/get-better-prove-pain/ (2017). Accessed 24 Apr 2022.
Hadler NM. If you have to prove you are ill, you canʼt get well: the object lesson of fibromyalgia. Spine. 1996. https://doi.org/10.1097/00007632-199610150-00021.
Hansson KS, Fridlund B, Brunt D, Hansson B, Rask M. The meaning of the experiences of persons with chronic pain in their encounters with the health service: the experiences of persons with chronic pain in their encounters. Scand J Caring Sci. 2011. https://doi.org/10.1111/j.1471-6712.2010.00847.x.
Edmond SN, Keefe FJ. Validating pain communication: current state of the science. Pain. 2015. https://doi.org/10.1097/01.j.pain.0000460301.18207.c2.
Linton SJ. Intricacies of good communication in the context of pain: Does validation reinforce disclosure? Pain. 2015. https://doi.org/10.1097/01.j.pain.0000460297.25831.67.
Vangronsveld KL, Linton SJ. The effect of validating and invalidating communication on satisfaction, pain and affect in nurses suffering from low back pain during a semi-structured interview: the effect of validating and invalidating communication on satisfaction, pain and affect. Eur J Pain. 2012. https://doi.org/10.1016/j.ejpain.2011.07.009.
Carstens JKP, Boersma K, Schrooten MGS, Linton SJ. Effects of validating communication on recall during a pain-task in healthy participants. Scand J Pain. 2017. https://doi.org/10.1016/j.sjpain.2017.07.003.
Frank AW. The wounded storyteller: body, illness, and ethics. Chicago: University of Chicago Press; 2013. p. 55.
Launer J. Narrative-based practice in health and social care: conversations inviting change. London: Routledge; 2018.
Brody H. “ My story is broken; can you help me fix it?”: Medical ethics and the joint construction of narrative. Lit Med. 1994. https://doi.org/10.1353/lm.2011.0169.
Cheung L, Soundy A. The Impact of reassurance on musculoskeletal (MSK) pain: a qualitative review. Behav Sci. 2021. https://doi.org/10.3390/bs11110150.
Traeger AC, Hübscher M, Henschke N, Moseley GL, Lee H, McAuley JH. Effect of primary care-based education on reassurance in patients with acute low back pain: systematic review and meta-analysis. JAMA Intern Med. 2015. https://doi.org/10.1001/jamainternmed.2015.0217.