title: Accepting pain management or seeking pain cure: an exploration of patients' attitudes to chronic pain.
abstract: This article explores the differing attitudes of patients toward chronic pain. Because pain is a subjective experience, individuals react to living with chronic pain in varying ways. Some patients successfully manage their chronic pain, whereas others continue to seek a pain cure. A convenience sample (n = 8) was generated from a district general hospital's nurse-led pain clinic. The sample was subdivided by an expert panel rating procedure into two groups: those accepting pain management and those seeking a pain cure. The study used a multimethod approach comprising extended, highly focused interviews coupled with patients' diaries and drawing on a phenomenologic theoretical framework. Initial hermeneutic data analysis provided emerging themes: "rules for living," "pain = life," and "acceptance" for the pain management group, and "pillar to post," "self-fulfilling prophecy," and "mood" for those seeking a cure. Thematic content common to both groups were "family" and "coping strategies." These themes illustrate some differences and similarities between those who manage pain compared with those who seek a pain cure. Phenomenologically based research findings can rarely be generalized, but they enlighten and highlight the need for further research to generate detailed understanding of why some patients with chronic pain can accept pain management and others relentlessly seek a cure that is frequently not possible.
authors.affiliation: Wrexham Maelor Hospital, North Wales, UK. kath.clarke@newtr.wales.nhs.uk
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Clarke
authors.forename: Ron
authors.initials: R
authors.lastname: Iphofen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000339:Affect; D000368:Aged; D001294:Attitude to Health; D002908:Chronic Disease; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D010146:Pain / Q000451:nursing* / Q000523:psychology*; D059408:Pain Management; D013041:Specialties, Nursing / Q000379:methods*