'Engaging on a slightly more human level': A qualitative study exploring the care of individuals with back pain in a multidisciplinary pain clinic.

Autor:	Mescouto K; The University of Queensland, Australia., Olson RE; The University of Queensland, Australia., Costa N; The University of Queensland, Australia.; The University of Sydney, Australia., Evans K; Healthia Limited, Australia., Dillon M; The University of Queensland, Australia., Jensen N; Metro South Health Pain Rehabilitation Centre, Australia., Walsh K; Metro South Health Pain Rehabilitation Centre, Australia., Weier M; University of New South Wales, Australia., Lonergan K, Hodges PW; The University of Queensland, Australia., Setchell J; The University of Queensland, Australia.
Jazyk:	angličtina
Zdroj:	Health (London, England : 1997) [Health (London)] 2024 Jan; Vol. 28 (1), pp. 161-182. Date of Electronic Publication: 2022 Nov 26.
DOI:	10.1177/13634593221127817
Abstrakt:	Chronic low back pain is characterised by multiple and overlapping biological, psychological, social and broader dimensions, affecting individuals' lives. Multidisciplinary pain services have been considered optimal settings to account for the multidimensionality of chronic low back pain but have largely focused on cognitive and behavioural aspects of individuals' pain. Social dimensions are usually underexplored, considered outside or beyond healthcare professionals' scope of practice. Employing Actor Network Theorist Mol's concept multiplicity, our aim in this paper is to explore how a pain service's practices bring to the fore the social dimensions of individuals living with low back pain. Drawing on 32 ethnographic observations and four group exchanges with the service's clinicians, findings suggest that practices produced multiple enactments of an individual with low back pain. Although individuals' social context was present and manifested during consultations at the pain service (first enactment: 'the person'), it was often disconnected from care and overlooked in 'treatment/management' (second enactment: 'the patient'). In contrast, certain practices at the pain service not only provided acknowledgement of, but actions towards enhancing, individuals' social contexts by adapting rules and habits, providing assistance outside the service and shifting power relations during consultations (third enactment: 'the patient-person'). We therefore argue that different practices enact different versions of an individual with low back pain in pain services, and that engagement with individuals' social contexts can be part of a service's agenda. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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