+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Fluctuation between Powerlessness and Sense of Meaning--A Qualitative Study of Health Care Professionals' Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain

Fluctuation between Powerlessness and Sense of Meaning--A Qualitative Study of Health Care Professionals' Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain

Bmc Geriatrics 15: 96

There is an increasing number of older adults living with long-term musculoskeletal pain and related disabilities. These problems are frequently unrecognized, underreported, and inadequately treated. Since many older adults desire to remain at home for as long as possible, it is important that individualized and holistically tailored care is provided in these settings. However, there is a complexity in providing care in this context. The aim of this study was to describe health care professionals' experiences of providing health care to older adults living with long-term musculoskeletal pain at home. The phenomenon, "To provide health care to older adults living with long-term musculoskeletal pain at home", was studied using reflective lifeworld research (RLR) which is based on phenomenological epistemology. Ten health care providers (nurse, physiotherapists, and occupational therapists) were interviewed and data was analysed. The health care professional's emotions fluctuated between powerlessness and meaningfulness. Needs, opportunities, understanding and respect had to be balanced in the striving to do good in the provision of health care in differing situations. Caring for older adults with long-term pain required courage to remain in the encounter despite feelings of insecurity and uncertainty about the direction of the dialogue. The essence of caring for older adults with long-term pain consisted of the following constituents: Sense of powerlessness; striving to provide good health care; and understanding and respect. The findings indicated that the health care professionals strived to do good and to provide health care that was holistic and sensitive to the older adults' needs. A significant sense of powerlessness in the situation was experienced by the health care professionals. These findings address and support the need to develop methods that can be used to guide health care providers who support older adults in the context of their homes.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 057886602

Download citation: RISBibTeXText

PMID: 26238106

DOI: 10.1186/s12877-015-0088-y

Related references

Self-Stigma Experiences Among Older Adults with Mental Health Problems Residing in Long-Term Care Facilities: A Qualitative Study. Issues in Mental Health Nursing 39(5): 403-410, 2018

Mental health service responses to human trafficking: a qualitative study of professionals' experiences of providing care. Bmc Psychiatry 15: 289, 2015

Experiences and shared meaning of teamwork and interprofessional collaboration among health care professionals in primary health care settings: a systematic review. Jbi Database of Systematic Reviews and Implementation Reports 15(11): 2723-2788, 2017

"The care is the best you can give at the time": Health care professionals' experiences in providing gender affirming care in South Africa. Plos one 12(7): E0181132, 2017

The influence of primary health care professionals in encouraging exercise and physical activity uptake among White and South Asian older adults: experiences of young older adults. Patient Education and Counseling 78(1): 97, 2010

A qualitative examination of policy and structural factors driving care workers' adverse experiences in long-term residential care facilities for the older adults in Cape Town. Bmc Geriatrics 19(1): 97, 2019

Providing oral care for adults with mental health disorders: Dental professionals' perceptions and experiences in Perth, Western Australia. Community Dentistry and Oral Epidemiology 47(1): 78-84, 2019

Insights Into Roles for Health-Care Professionals in Meeting the Needs of Older Adults and Unpaid Caregivers During Health-Care Transitions. Canadian Journal of Nursing Research 48(3-4): 70-79, 2018

Mental Health Care for LGBT Older Adults in Long-Term Care Settings: Competency, Training, and Barriers for Mental Health Providers. Clinical Gerontologist 42(2): 198-203, 2018

The meaning of dignified care: an exploration of health and social care professionals' perspectives working with older people. Bmc Research Notes 7: 854, 2014

Nurses' perceptions regarding providing psychological care for older residents in long-term care facilities: A qualitative study. International Journal of Older People Nursing 2019: E12242, 2019

"The experiences of older adults from moving into residential long term care. A systematic review of qualitative studies.". Jbi Library of Systematic Reviews 9(16 Suppl.): 1-23, 2011

Long-term care for older adults: advocating for a new health-care paradigm. Journal of Gerontological Nursing 30(10): 3-4, 2004

Hospital discharge of elderly patients to primary health care, with and without an intermediate care hospital - a qualitative study of health professionals' experiences. International Journal of Integrated Care 14: E011, 2014

Perspectives and experiences of compassion in long-term care facilities within Canada: a qualitative study of patients, family members and health care providers. Bmc Geriatrics 19(1): 128, 2019