Suffering in people with rheumatoid arthritis

Applied Nursing Research : ANR
S P Dildy

Abstract

Knowledge of the nature, meaning, and impact of suffering from the perspective of people with rheumatoid arthritis is needed to determine what nursing interventions are most helpful in reducing suffering. Grounded theory was used to identify the nature of suffering in 14 people with rheumatoid arthritis. Suffering was found to be a process directed toward regaining normalcy and consisted of three phases: disintegration of self; the shattered self; and reconstruction of self. Experiencing suffering resulted in struggling, lose of dreams, restructuring a future orientation, and withdrawing. Finding meaning through positive life changes was an outcome of suffering. The informants' differentiation between pain and suffering also was examined. The provision of comfort measures along with a caring and empathetic attitude were identified as helpful nursing interventions in reducing suffering.

References

Aug 1, 1989·Arthritis and Rheumatism·J C ParkerS E Walker
Jul 1, 1988·Arthritis and Rheumatism·M J SteinN M Castner
Nov 1, 1986·Journal of Advanced Nursing·D L Kahn, R H Steeves
Mar 18, 1982·The New England Journal of Medicine·E J Cassel
Sep 16, 1982·The New England Journal of Medicine

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Citations

Aug 26, 2004·Journal of Nursing Care Quality·Monica L Iaquinta, June H Larrabee
Aug 23, 2008·British Journal of Health Psychology·Kate HefferonNanette Mutrie
Jan 4, 2012·Musculoskeletal Care·Tine Mechlenborg KristiansenKim Hørslev-Petersen
Nov 7, 1998·The Journal of the Association of Nurses in AIDS Care : JANAC·C Murdaugh
Sep 15, 2005·International Journal of Nursing Studies·Claire Hale, Jackie Hill
Sep 5, 2013·Disability and Rehabilitation·Gavin Daker-WhiteRona Campbell
Sep 6, 2014·Palliative & Supportive Care·Alicia Krikorian, Juan Pablo Román
Feb 8, 2000·Qualitative Health Research·B PatersonM Tarko
Apr 10, 2002·Qualitative Health Research·Sally ThorneCarol Jillings
Apr 24, 2004·Clinical Nursing Research·Sandra K PlachVicki A Moss
Jul 23, 2013·The American Journal of Hospice & Palliative Care·Alicia KrikorianCarolina Palacio
Sep 24, 2013·Research and Theory for Nursing Practice·Irene Oliveira

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