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- Title
GOAL SETTING FOR PATIENTS EXPERIENCING MUSCULOSKELETAL PAIN: AN EVOCATIVE AUTOETHNOGRAPHY.
- Authors
Alexanders, Jenny; Douglas, Caroline
- Abstract
Introduction: Musculoskeletal referrals within physiotherapy are continuing to rise and pain is a common symptom which patients typically present with. Patients reporting pain following injury, or who have developed chronic pain often experience a range of physical and psychological symptoms, therefore the need to treat patients within a bio-psychosocial model is of paramount importance. Selfmanagement is a common approach when treating patients who experience musculoskeletal pain and goal setting is an essential, and indispensable component of this. Appropriate use of goal setting has been shown to be an effective tool in pain management by improving therapeutic alliance, selfefficacy and patient adherence. Aim: The primary aim of this paper is based on the principle researcher's (Jenny) personal and professional experiences of goal setting to explore patient needs within contemporary physiotherapy practice. Design: This study is centred on an evocative autoethnography. Results: Two distinct themes emerged from the narrated experiences. A physiotherapy mandated approach with little regard of the patient concerned was evident and that goal setting practices appeared to lack any process, which may not give patients an appropriate platform to effectively selfmanage. Conclusion: Establishing a therapeutic rapport is essential to improve the implementation of goal setting in pain management. Following a thorough process when setting goals ensures that all important aspects of the goal setting process are considered to enable patients to self-manage. These two areas are underpinned by numerous psychological theories, therefore having a better understanding of these theories may help physiotherapists to adapt and implement goal setting, as well as utilise communication more effectively when treating patients reporting pain.
- Subjects
COMMUNICATION; FEAR; GOAL (Psychology); MEDICAL needs assessment; PATIENT-professional relations; MUSCULOSKELETAL system diseases; PHYSICAL therapists; PHYSICAL therapy; REFLECTION (Philosophy); HEALTH self-care; ETHNOLOGY research; PAIN management; PSYCHOSOCIAL factors; THEMATIC analysis; PHYSICAL therapists' attitudes
- Publication
Pain & Rehabilitation - the Journal of Physiotherapy Pain Association, 2018, Issue 45, p20
- ISSN
2051-0047
- Publication type
Article