Clinical conversations in the management of chronic musculoskeletal pain in vulnerable patient populations: a meta-ethnography.
Alicia J EmersonLeah EinhornMorgan GrooverGarrett S NazeGeorge David BaxterPublished in: Disability and rehabilitation (2022)
The combined nested hierarchical models provided insight into the need for clinicians to be aware of the broader array of influences on the CC. Key themes indicated that improving continuity of care and cultural training are needed to improve the CC. Additionally, due to patients' perception of how healthcare systems' policies influence the CC, patients should be consulted to guide the change needed to improve inequitable outcomes.IMPLICATIONS FOR REHABILITATIONHealthcare providers wishing to improve the clinical conversation in chronic musculoskeletal pain can more broadly explore potential factors influencing patients' experiences and perceptions.Screening during the clinical conversation can include assessing for sociopolitical and historical influences on patients' experiences with chronic musculoskeletal pain.Healthcare providers can explore how to minimize disjointed care in an effort to improve the clinical conversation and outcomes in chronic musculoskeletal pain.Healthcare providers and patients can work together to improve inequitable outcomes for vulnerable adults with chronic musculoskeletal pain.This may include cultural training for healthcare providers that is informed by patients.
Keyphrases
- healthcare
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- chronic pain
- prognostic factors
- pain management
- peritoneal dialysis
- type diabetes
- primary care
- patient reported outcomes
- public health
- neuropathic pain
- social media
- weight loss
- spinal cord
- skeletal muscle
- risk assessment
- case report
- drug induced
- health insurance
- glycemic control
- patient reported
- human health
- high density