The psycho-social impact of pain on spinal cord injured patients
- Authors: Colley, Jennifer Margaret
- Date: 2012-08-24
- Subjects: Spinal cord - Wounds and injuries , Spinal cord - Wounds and injuries - Psychological aspects , Spinal cord - Wounds and injuries - Social aspects , Nervous system - Wounds and injuries
- Type: Thesis
- Identifier: uj:3138 , http://hdl.handle.net/10210/6557
- Description: M.A. , Spinal cord trauma resulting in paraplegia or quadriplegia is one of the most devastating injuries. A frequent complication of spinal cord injury is intractible pain. It compounds a host of personal and social consequences: disruption of personal roles, dysfunctional marital and family relationships, unemployment, financial hardship, depression, anxiety, lowered self-esteem and hopelessness. There is an abundance of research on pain in general, but a dearth of literature on chronic pain in the spinal cord injured population - especially in the South African context. This study examined the psychosocial impact of pain on spinal cord injured patients in a hospital setting. Specifically, it addressed six core research questions, concerned with the physiological components of pain, and the social, affective and rehabilitation consequences of pain for spinal cord injured patients. The effects of etiology and level of lesion, age, gender and culture on the general pain experience were investigated. The purpose of this study was to accurately describe the phenomenon of pain as experienced by spinal cord injured (SCI) patients. The evidence showed that pain was a serious problem for SCI patients. A variety of physical and social modifiers of the pain experience were identified, as were several important temporal features of pain. SCI patients reported high frequencies of social, affective (depression, low selfesteem, suicidal responses and partner relationship problems), and rehabilitation consequences. The etiology of spinal cord injury was found to be related to pain intensity, while the level of the lesion was not associated with pain intensity or frequency. Some effect was found for age, however, gender did not contribute to the variance of any of the dependent variables. The culture of SCI patients plays an important role in both pain perception and the psychosocial and rehabilitation consequences of chronic pain. The results suggest that pain in SCI patients, as in other pain populations, needs to be recognized as a complex, multidimensional phenomena. Successful treatment requires an understanding of the SCI patient's emotional and psychological, as well as his physical requirements. The role of pain assessment is fundamental to any pain management programme.
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- Authors: Colley, Jennifer Margaret
- Date: 2012-08-24
- Subjects: Spinal cord - Wounds and injuries , Spinal cord - Wounds and injuries - Psychological aspects , Spinal cord - Wounds and injuries - Social aspects , Nervous system - Wounds and injuries
- Type: Thesis
- Identifier: uj:3138 , http://hdl.handle.net/10210/6557
- Description: M.A. , Spinal cord trauma resulting in paraplegia or quadriplegia is one of the most devastating injuries. A frequent complication of spinal cord injury is intractible pain. It compounds a host of personal and social consequences: disruption of personal roles, dysfunctional marital and family relationships, unemployment, financial hardship, depression, anxiety, lowered self-esteem and hopelessness. There is an abundance of research on pain in general, but a dearth of literature on chronic pain in the spinal cord injured population - especially in the South African context. This study examined the psychosocial impact of pain on spinal cord injured patients in a hospital setting. Specifically, it addressed six core research questions, concerned with the physiological components of pain, and the social, affective and rehabilitation consequences of pain for spinal cord injured patients. The effects of etiology and level of lesion, age, gender and culture on the general pain experience were investigated. The purpose of this study was to accurately describe the phenomenon of pain as experienced by spinal cord injured (SCI) patients. The evidence showed that pain was a serious problem for SCI patients. A variety of physical and social modifiers of the pain experience were identified, as were several important temporal features of pain. SCI patients reported high frequencies of social, affective (depression, low selfesteem, suicidal responses and partner relationship problems), and rehabilitation consequences. The etiology of spinal cord injury was found to be related to pain intensity, while the level of the lesion was not associated with pain intensity or frequency. Some effect was found for age, however, gender did not contribute to the variance of any of the dependent variables. The culture of SCI patients plays an important role in both pain perception and the psychosocial and rehabilitation consequences of chronic pain. The results suggest that pain in SCI patients, as in other pain populations, needs to be recognized as a complex, multidimensional phenomena. Successful treatment requires an understanding of the SCI patient's emotional and psychological, as well as his physical requirements. The role of pain assessment is fundamental to any pain management programme.
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Manifestation of interactional resilience among adults who experienced traumatic spinal cord injury
- Authors: Holman, Drew
- Date: 2020
- Subjects: Spinal cord - Wounds and injuries , Resilience (Personality trait)
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/484777 , uj:44042
- Description: Abstract: This research aimed at understanding the interactional processes people with a traumatic spinal cord injury utilise to sustain a better-than-expected outcome. The research was conducted with five participants, all of whom had experienced rehabilitation and had sustained a level of functional independence. The research explored the common resilience enablers the participants utilised in the personal, relational, environmental, and spiritual realm on their journey towards adaptation. The researcher focused on identifying the interactional processes that allowed the participants to leverage a better-than-expected outcome. The findings indicate that the interactional processes utilised were, investing in connection, steering my support ship, being open and empowering myself. Investing in connection refers to the participants’ ability to nurture important relationships around them. It was through these connections that the participants were able to seek reliable and consistent sources of support. Steering my support ship was a process that the participants utilised to ensure that they could guide their own support system, to render the support that was beneficial, and the knowledge of who to go to when one sought specific kinds of support. Being open was an interactional processes that the participants utilised when taking opportunities and empowering myself was the mental, emotional journey the participants reached. The findings showed that this final process allowed them to leverage the other interactional processes more successfully. The research has enhanced the understanding of these interactional processes and will inform social work intervention early in the rehabilitation process. This study followed a qualitative research design, informed by grounded theory procedures. The population for the research was obtained by using purposive, non-probability sampling techniques. Data was gathered by conducting two semi-structured interviews with each participant. The data was analysed thematically, and pseudonyms were utilised to enhance confidentiality. , M.A. (Clinical Social Work)
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- Authors: Holman, Drew
- Date: 2020
- Subjects: Spinal cord - Wounds and injuries , Resilience (Personality trait)
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/484777 , uj:44042
- Description: Abstract: This research aimed at understanding the interactional processes people with a traumatic spinal cord injury utilise to sustain a better-than-expected outcome. The research was conducted with five participants, all of whom had experienced rehabilitation and had sustained a level of functional independence. The research explored the common resilience enablers the participants utilised in the personal, relational, environmental, and spiritual realm on their journey towards adaptation. The researcher focused on identifying the interactional processes that allowed the participants to leverage a better-than-expected outcome. The findings indicate that the interactional processes utilised were, investing in connection, steering my support ship, being open and empowering myself. Investing in connection refers to the participants’ ability to nurture important relationships around them. It was through these connections that the participants were able to seek reliable and consistent sources of support. Steering my support ship was a process that the participants utilised to ensure that they could guide their own support system, to render the support that was beneficial, and the knowledge of who to go to when one sought specific kinds of support. Being open was an interactional processes that the participants utilised when taking opportunities and empowering myself was the mental, emotional journey the participants reached. The findings showed that this final process allowed them to leverage the other interactional processes more successfully. The research has enhanced the understanding of these interactional processes and will inform social work intervention early in the rehabilitation process. This study followed a qualitative research design, informed by grounded theory procedures. The population for the research was obtained by using purposive, non-probability sampling techniques. Data was gathered by conducting two semi-structured interviews with each participant. The data was analysed thematically, and pseudonyms were utilised to enhance confidentiality. , M.A. (Clinical Social Work)
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