Despite the need to concentrate on the services of people, the needs perceived by experts, and those who are manifested, differ, write these scientists from several institutions in Quebec who oversee the title of their studies of key phrases “How can I help you?” »»
“They are people living with a lot of pain and with special problems.” What led us is the impression that we are not always able to meet these needs and various impacts caused by pain, whether these impacts are emotional, social or others, ”says the doctoral candidate in rehabilitation sciences at Montreal University and chief author Jonathan Gervis-Hué.
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The team conducted scientific literature to identify various physiotherapeutic services offered to painful people, depending on the applications they expressed, and on the needs of the care team.
Chronic pain is defined as an evil that lasted at least three months. This evil would not follow the development of injury or pathology – and therefore its recovery, which would normally lead to disappearance of pain – and may take more forms (musculoskeletal, neurological, etc.), according to the areas of the affected body.
So many can leave a person with strong recurring migraines; The accident can cause mobility fragility because some movements come with pain in certain times. “It’s very diverse” and the result is a direct impact on the quality of life of a person, “because there is no reaction or development to treatment and care,” notes the researcher.
In order to meet the needs of patients, we must initially try to understand them, starting at what they testify about how they experience their situation. And in the list of expressed needs, we find the importance of an empathetic relationship, under the supervision of an exercise program that is modified, clear and personalized.
“Good” physiotherapist
Scientists wanted to understand the good care to be given, but rather to find out whether the identified needs arose from patients or experts.
Because there is no physiotherapeutic protocol for these patients, Mr. Gervais-Hué notes: “There is no recipe. It is a generally personalized care that includes cooperation between the professional and his patient to adapt to his daily life ”.
There are exercises and manual therapies (such as massage), education and advice, as well as learning to self -government.
“You have to be attentive, but also take the time to be interested in people specific, create room for expressing, and engage patients in studies.” The more of them we make a place, the better they will be better, ”the young researcher thinks.
What’s more, people with chronic pain often live several health unevenness. Their needs are therefore felt.
“Our results emphasize the importance of listening and cooperation with the patient to try to improve his daily life. Patients should feel listened and considered to be people, not numbers. »»
So he noted the basic contribution of partners of two partners, who participated in the research team from the beginning, representing two Quebec Association of People with Chronic Pain. They are what -studys of the study. “Their participation was very important to be closer to the reality of people suffering,” he adds.
Useful results
It is a relevant and well -conditioned article whose results can be useful, comments on the holder of the Faculty of Pharmacy at Laval University, Line Guénette, who did not participate in this research.
It positively affects this addition to the research team of these two people with chronic pain and physiotherapeutic services, as well as the fact that “were involved in the whole process”.
Anyone who is also a researcher in the medical axis of optimal health populations and practices in the Quebec Chu Research Center is numerous strengths: “As solid research in four databases and gray literature”-these means all documents that were not the subject of formal publications in the Scientific Diary. The authors performed a thematic analysis of articles to clearly identify the needs of patients included in these studies and their results are detailed and well referred to. Their classification according to various dimensions helps fully understand the results. »»
Its disadvantage is that the model used to classify needs in these different dimensions can reduce the interpretation of the results: possible lack of results on certain aspects “less reflects the needs of patients, but rather perceived carers’ needs,” says the expert.