Perception de la douleur du sujet âgé en médecine générale : étude qualitative à partir de onze entretiens de médecins généralistes bas-normands

Abstract : It appears that the general practitioner (GP) enjoys a privileged position concerning the care of elderly patient pain. The GP experience reveals difficulties concerning the care of such pain which would be less than optimal. In order to investigate this issue, the GP perceptions of this geriatric syndrome have been compiled through a qualitative study. Eleven GPs from lower normandie followed a semi-structured interview. The results show that pain perception in the elderly patient can be influenced by the GP personal representations of the patient and also by the feeling of inevitability of « oldness pains ». Usually, pain evaluation is often subjective because pain scales are perceived to be of little use. The difficulties concerning the delivery of health care can lead the GP to a feeling of failure because means of action seem to lack; indeed, the solicitation of specialists and antipain centers was found to be complex and thus, hardly ever used. The GPs express difficulties in non drug-related health care and in multidisciplinary coordination. The GP knowledge of the patient, although it was reported as an advantage, might sometimes lead to a feeling of weariness with the patient complains. These points appear to be the main factors that can explain the difficulties of GPs concerning the care of elderly patient pain and constitutes certain key elements of reflection to tackle this issue. To go further and gain a broader understanding of the subject, it would be interesting to explore the patient representation of pain and its health care.
Complete list of metadatas

Cited literature [9 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02052776
Contributor : Ufr Santé Unicaen <>
Submitted on : Thursday, February 28, 2019 - 4:43:02 PM
Last modification on : Friday, May 10, 2019 - 1:37:10 AM
Long-term archiving on : Wednesday, May 29, 2019 - 5:20:52 PM

Identifiers

  • HAL Id : dumas-02052776, version 1

Citation

Wilhelm Pommier. Perception de la douleur du sujet âgé en médecine générale : étude qualitative à partir de onze entretiens de médecins généralistes bas-normands. Médecine humaine et pathologie. 2018. ⟨dumas-02052776⟩

Share

Metrics

Record views

20

Files downloads

37