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Graneheim and Lundman [ 41 ] developed a qualitative style of content analysis that is interpretive in nature and used to describe or illuminate a phenomenon by identifying both the manifest the obvious and latent underlying meaning content in a text.
The force to not complain, disturb or be a burden was strong and the purposeful pretending to not be in pain can be understood as novel in this context. It also was a continuous ongoing process with deliberate choices being made throughout the day, including not ldy the physical dimension of balancing but also a psychological dimension, one related to the balancing of thoughts and emotions.
Language that might be intended to support can in fact be a source that creates isolation and adds to the sense of being a burden. An initial phenomenographic analysis was completed in order to describe the different ways in which older adults deal with daily life while living with long-term musculoskeletal pain at home.
They felt that they had no other choice in their situation then to learn to endure and incorporate the unpredictable pain into their lives. Worldwide, there is an increasing number of older adults, the majority of whom remain living at home.
The notion of learning as a component in life with pain was illuminated Sofaer et al.
Balancing daily life was a matter of learning through the use of trial and error, with varying levels of success. Most studies have been quantitative and the focus has been mainly on older adults in assisted living facilities, although a few have included community dwelling older adults.
One has to fight like that many times with everything. The reluctance to talk about their pain can be understood in light of findings in the studies above.
The presence and intensity of this self talking varied. Each code, explicitly manifest content or implicitly latent contentreflected the theme it was sorted into. A major part of balancing the pain involved using medication as prescribed by the physician on a regular basis and taking extra when needed. They had learned that it helped them to endure pain in daily life since such moments alleviated their pain, added meaning in life and gave them strength to carry on.
Nurses need to take time and be there with the older adult in the home and make collaborative decisions, even if this includes some negotiation [ 6171 ]. They had come to believe that they just had to learn how to endure.
Loeser RF Age-related changes in the musculoskeletal system and the development of osteoarthritis. Neither has the constraint associated with this learning among the older adults in their effort to fulfill expectations and demands from self, relatives and health care providers.
The older adults felt that they had to learn how to endure on their own despite the fact that they had people around them at different point of times during a day. Nurse Educ Today I know what they have to do and they should have some pleasure in their life, the free time they have….
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J Appl Gerontol Movements of the body were painful for the older adults but they wanted to maintain their ability to move about.
Pharmaceutical Sciences Journals Ann Jose ankara escort. In addition, representative quotes were used to illuminate the theme and sub-themes to strengthen the credibility of the findings.
The older adults had learned how to think and used certain behaviours in their effort to be less of a burden to family and others. This was important and since it gave them meaning in life and strength to continue. Age Ageing 42 Suppl 1: In addition, approvals were given by the heads of the social welfare and home health care services in the communities of concern for the study.
As a fourth step, meaning units consisting of words, sentences or paragraphs related to the aim were identified in the interviews.
They endured and carried their thoughts and emotions inside themselves as much as they possibly could and avoided talking about their pain with others. Physiother Theory Pract 9: Thirdly, each interview was read and re-read to identify the content relevant to the research question.
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Furthermore, Miaskowski [ 36 ] and Gartrell [ 37 ] have stated that researchers need to be attentive to how older adults experience of pain and the distress and disabilities in life related to this health problem. Unfortunately, it was not possible to shed light over this experience from an equal gender perspective, even though consistent with the demography in this population. They did not ask for more help than absolutely necessary and had learned to find ways to do things themselves and by that, delay the day when there was nothing else to do but to allow others to help.
The result of this analysis has been published [ 38 ]. There were six major steps in the analysis. Topics in advanced practice nursing ejournal 7. Varieties, contexts, processes, and social order. The inclusion criteria for this study were community dwelling older adults aged 65 or above, who for at least the past six months, had lived with long-term persistent or regularly recurring musculoskeletal pain at home and had received home health care services.
However, how successful the older adults were in convincing their families and friends that they did not need to worry varied. Krippendorff K Content analysis: A prospective, randomized, controlled trial.
In addition, findings from research studies have shown that older adults want to spare and not upset their relatives [ 53 ], nor involve or burden their families with their health care needs [ 65 ].