Change search
ReferencesLink to record
Permanent link

Direct link
Elderly patients' experiences of pain and distress in intensive care: A grounded theory study
The Centre for Public Health Research, The County Council of Värmland, Sweden.ORCID iD: 0000-0001-8274-6065
1994 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 10, no 2, 133-141 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to develop a theoretical understanding of elderly patients' experiences of pain and distress in intensive care, using a grounded theory approach. 18 patients, 7 women and 11 men, were interviewed and observed in an intensive care unit (ICU). Their average age was 76.5, varying from 70–85. A model was generated from data, according to which elderly patients' experiences of pain and distress in intensive care can be described as four interrelated aspects: a sensory, an intellectual, an emotional, and an existential dimension. 16 categories form the four dimensions. The categories, in turn, are grounded in a number of interview and observational data. The sensory dimension is formed by the categories physical pain, physical discomfort, fatigue, and breathing problems, and the intellectual dimension by the categories not knowing, difficulty in expressing oneself/not being understood and confused perception of reality. The categories in the emotional dimension are worry, fear, resignation, bitterness, anger/irritation and dependency. Finally, the existential dimension is formed by the categories despair, threat to life and death acceptance. The categories within the four dimensions may be separate, but often they interact and influence each other in various ways. The model is discussed in relation to existing models and definitions of pain, where the intellectual and existential dimensions in particular have not been emphasized in a similar way.

Place, publisher, year, edition, pages
1994. Vol. 10, no 2, 133-141 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:fhs:diva-2932DOI: 10.1016/0964-3397(94)90010-8OAI: oai:DiVA.org:fhs-2932DiVA: diva2:572980
Available from: 2012-11-29 Created: 2012-11-29 Last updated: 2017-01-04Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Larsson, Gerry
In the same journal
Intensive & Critical Care Nursing
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 36 hits
ReferencesLink to record
Permanent link

Direct link