Exploration Of Pain Research Articles

'Unmasking Pain' through creativity: A phenomenological study of person-centred pain exploration for people living with chronic pain.

'Unmasking Pain' is an innovative artist-led project to explore creative approaches for telling stories of life with persistent pain. The purpose of this qualitative study was to explore and describe the lived experience of taking part in 'Unmasking Pain' from the perspectives of people living with pain (workshop attendees), artists (workshop facilitators) and pain rehabilitation specialists. Informed by descriptive phenomenology, data was collected via semi-structured interviews with three artists (workshop facilitators), five workshop attendees (all living with persistent pain) and one pain rehabilitation specialist. Data was analysed using thematic analysis for descriptive phenomenology. Three themes emerged from the analysis: Theme 1 Space to Breathe, reflects the context of 'Unmasking Pain' such as the conditions, environment and setting that people experienced; Theme 2 Flexibility to Participate, reflects the experience of the process of 'Unmasking Pain' such as the actions or internal workings/behaviours of the experience; and Theme 3 Possibility for Change, reflects the cognitive or emotional experience of 'Unmasking Pain'. There were nine sub-themes: 1(a) Dissolved hierarchy, 1(b) Human connection, and 1(c) Personally meaningful; 2(a) Go with the flow, 2(b) Enjoyable experience, and 2(c) Curiosity to step into the unknown; and 3(a) Reforming pain, 3(b) Liberating in the moment (now), and 3(c) Gives you a boost (future). In conclusion, the uniqueness of 'Unmasking Pain' was to creatively facilitate curiosity and exploration of pain in a non-clinical, sociocultural, humanised context, to enable the possibility of a different pain experience. The findings from this qualitative study exploring the lived experience of taking part in 'Unmasking Pain' demonstrates the power and opportunity of the Arts sector and artist-led activities to support people with chronic pain to have a better pain experience.

Pain Pleasure Principle in Joy Harjo's Poetry: The Foundation of Personal Choices and Identity

This article examines Joy Harjo’ journey, the renowned poet and musician, has navigated a tumultuous life filled with pain and adversity. The pain pleasure principle is a fundamental aspect of human decision-making. Beliefs, values, actions, and decisions are all shaped by this principle, but it is crucial to examine them critically through a postcolonial lens to better understand the power dynamics and social structures that influence our interpretation of pain and pleasure. A lot of studies have been conducted on Indigenous literature, but very little has delved into the exploration of pain and pleasure, specifically in the works of Joy Harjo. However, the current study argues that when examining Indigenous literature, it is essential to approach it through the lens of post-colonial theory and consider concepts such as identity, hegemony, and hybridity in order to fully understand the hidden motives behind these literary works. In her literature, Harjo's poetry serves as a testament to the transformative nature of language and its ability to heal. Harjo's work, particularly her book "Conflict Resolution for Holy Beings," emphasizes the importance of language in bridging cultural and linguistic gaps. Joy Harjo ‘literature reflects the pleasure serves as a driving force in our lives, motivating us to make certain choices and take specific actions. These choices and actions, in turn, shape our individuality and help us develop a unique identity. The study stresses on Pain pleasure principle that plays a crucial role in Indian American literature, particularly evident in the works of Joy Harjo

An exploration of pain through wastewater

An exploration of pain through wastewater

Oral Pain in Elderly Tunisian Patients: A Cross-Sectional Study

Through this study we aim firstly, to understand the correlation between pain, intensity of pain and different clinical Data. Secondly, to highlight the accurate etiological diagnosis and be able to take the adequate decison for pain managment. This study was carried out on 200 edentulous patients who came to the departement of complete denture of dental clinic at Monastir Tunisia from february to june2019.All the patients were examined and assessed by one prosthodontist under the supervision of a professor. A questionnaire was used to record information wich was taken directly from the patient when they attend the dental clinic. The patient consent were taken verbally. The questionnaire included 19 questions divided in 3 heading: Medical history, exploration of pain and its intensity and Management strategies. The statiscal analysis were done with an SPSS's logiciel version 22.0. The results are presented in form of tables and graphics. Moreover, in this study the most common chief complaint was pain 63% of the sample. This result corroborate with other studies in litterature. Besides, a statistically significant relationship was observed between pain and patient’s satisfaction with their prosthesis (P=0.044<0,05). However, no significant difference was found between pain and other differents clinical Data (age, gender, general condition ….) (P>0.05). Neither between intensity of pain and different clinical data (P<0.05). This result came in argument with results of other worldwide researches. Finally, we came to the conclusion that management strategy of pain must follow a comprehensive, multidisciplinary and systemic approach.

Who benefits from multimodal rehabilitation - an exploration of pain, psychological distress, and life impacts in over 35,000 chronic pain patients identified in the Swedish Quality Registry for Pain Rehabilitation.

BackgroundChronic pain patients frequently suffer from psychological symptoms. There is no consensus concerning the prevalence of severe anxiety and depressive symptoms and the strength of the associations between pain intensity and psychological distress. Although an important aspect of the clinical picture is understanding how the pain condition impacts life, little is known about the relative importance of pain and psychological symptoms for individual’s life impact. The aims of this study were to identify subgroups of pain patients; to analyze if pain, psychological distress, and life impact variables influence subgrouping; and to investigate how patients in the subgroups benefit from treatments.MethodsBackground variables, pain aspects (intensity/severity and spreading), psychological distress (depressive and anxiety symptoms), and two life impact variables (pain interference and perceived life control) were obtained from the Swedish Quality Registry for Pain Rehabilitation for chronic pain patients and analyzed mainly using advanced multivariate methods.ResultsBased on >35,000 patients, 35%–40% had severe anxiety or depressive symptoms. Severe psychological distress was associated with being born outside Europe (21%–24% vs 6%–8% in the category without psychological distress) and low education level (20.7%–20.8% vs 26%–27% in the category without psychological distress). Dose relationships existed between the two psychological distress variables and pain aspects, but the explained variances were generally low. Pain intensity/severity and the two psychological distress variables were significantly associated (R2=0.40–0.48; P>0.001) with the two life impact variables (pain interference and life control). Two subgroups of patients were identified at baseline (subgroup 1: n=15,901–16,119; subgroup 2: n=20,690–20,981) and the subgroup with the worst situation regarding all variables participated less in an MMRP (51% vs 58%, P<0.001) but showed the largest improvements in outcomes.ConclusionThe results emphasize the need to assess both pain and psychological distress and not take for granted that pain involves high psychological stress in the individual case. Not all patients benefit from MMRP. A better matching between common clinical pictures and the content of MMRPs may help improve results. We only partly found support for treatment resistance in patients with psychological distress burden.

Understanding pain physiology and its application to person with intellectual disability.

The issue of pain warrants attention as, by virtue of having an intellectual disability, a person may have associated medical or physical conditions and associated factors increasing their risk of pain disorders. People with intellectual disability experiencing pain need to be provided with the best possible care. The focus of this article is on the exploration of pain: physiology and types; manifestations and responses in the context of intellectual disability in order to promote effective, knowledgeable assessment and management of pain for this client group. Pain is a subjective, complex, physiological and psychological phenomenon that can be acute or chronic and may be classified according to its cause. Within the experience of pain, the concept of total pain describes the physical, psychological, social and spiritual factors that influence the experience of pain.

The Adrenal Oncocytoma: About Two New Cases

The adrenal oncocytoma is an exceptional tumor. Only hundred fifty cases have been descripted to date. We report two new observations of a woman 47 years old and a man 58 years old hospitalized for exploration of adrenal mass discovered incidentally (in the woman, 10 cm) and during the exploration of pain in the right hypochondria (in the man, 7 cm). Both tumors were not secretant. Due to the tumor size, adrenalectomy is performed for both. Histological and immunohistochemical study were in favor of oncocytoma.

Exploration of pain in children on antiretroviral treatment in a regional hospital in South Africa

Background: Patients with human immunodeficiency virus (HIV) disease on antiretroviral therapy (ART) may experience pain for a variety of reasons, including the effects of the virus itself, associated opportunistic infections and the ART. Studies indicate that pain in adults on ART is frequent, can be severe, and is often undertreated. This study sought to explore the experience, and the prevalence of pain in young children aged 3–13 years on ART.Method: Primary caregivers of children aged 3–13 years on ART attending a paediatric ART clinic at a regional hospital in Durban participated in the study. Convenience sampling was used. The Wong-Baker FACES™ Pain Rating Scale and a questionnaire adapted from Hirshefeld were used to investigate variables such as age, cluster of differentiation 4 (CD4) count, ART regimen, ART duration, and site, prevalence and impact of pain during activities. Data were analysed using a standard statistical programme.Results: Four hundred and twenty primary caregivers were interviewed. Most were mothers caring for their HIV-positive children, and the majority of the children were aged 3–7 years. Most children were on a first-line ART regimen, and half reported pain. Nociceptive pain (visceral or somatic) was the most common type of pain, and pain interfered with the daily activities of a third of the children. There was a significant association between CD4 count and pain (p-value = 0.040). Paracetamol was the most commonly used analgesic.Conclusion: Pain was a common problem, and generally was undertreated with analgesia. A need to improve pain assessment and management in this population group was identified.

Privacy, Publicity, Pornography: Restif de la Bretonne's Ingénue Saxancour, ou La Femme séparée

Privacy, Publicity, Pornography: Restif de la Bretonne 's Ingénue Saxancour, ou La Femme séparée Rori Bloom In his preface to the most recent edition oíIngénueSaxancour, ou La Femme séparée, Daniel Baruch raises RestiFs novel to the status ofa "livre de combat que les féministes auraient dû depuis longtemps mettre à sajuste place, la première."1 As an impassioned plea of a battered wife against her sadistic husband, La Femme séparée (1789) addresses the plight ofwomen's rights (or the lack thereof) at the end of the Old Regime before the Revolution allowed unhappy partners to avail themselves of divorce. However, in an age when the term "philosophical books" included both socio-political tracts and pornographic texts, Restifs novel belongs to both genres, founding a discourse of liberation for women on the literary exploitation of one woman's story in an exploration of pain and punishment reminiscent ofthe works ofthe Marquis de Sade.2 1 Daniel Baruch, "Notice" for Ingénue Saxancour in Restifde ta Bretonne II (Paris: Laffont, 2002), 471. References are to diis edition. 2 See Robert Darnton, Edition et sédition: l'Univers de la littérature clandestine au KVIIf siècle (Paris: Gallimard, 1991), 13-16. EIGHTEENTH-CENTURY FICTION, Volume 17, Number 2,January 2005 232 EIGHTEENTH-CENTURY FICTION As author ofa 1769 tract entided LePomographe, Restifintroduced die word "pornographer" into French, but he did so with characteristic ambiguity in a text thatproposes to reform prostitution but at the same time titillates readers with a detailed description of this profession.3 Twenty years later, in La Femme séparée, the pretence of the philosophic is again undercutby Restifs penchantfor the pornographic , but in a less obvious and more problematic way. Ingénue Saxancour is not a prostitute, exposing herselfto the violence oflife on the streets, but rather awife exposed to sexual violence in her own home. In showing this second situation to bejust as dangerous as the first, La Femme séparée exposes the secrets of spousal abuse, crossing the line between private and public.4 This central tension between the private and the public spheres5 is expressed in the story's telling, as the victim becomes the vigorous agent of her own defence and the text moves from private complaint to public outcry, defining itself doubly as a mémoireand a mémoirejudiciaire. When die question ofauthorship is closely examined, however, this duality is resolved by its own impossibility, for the ingenuous Ingénue seems incapable of composing a sophisticated legal argument. The text thus deconstructs its narrator's claim to authorship, constandy hinting that it is not the product ofan amateur but ofa professional author. The presence ofthis third person in the private problems of a couple seems strangely invasive, but, while critics have found this external perspective aesthetically interesting, they have more or less dismissed it as morally unproblematic.6 However, when the sexual brutality endured by Ingénue is not recounted by the victim but by 3 The entry "pomographe" in the Petit Robertdictionary refers to Restifs as the first known usage ofdie word. 4 See Mary Trouille, "Truth Stranger Than Fiction: Wife-Abuse in Restifde la Bretonne's Ingénue Saxancour," SVEC: Studies on Voltaire and theEighteenth Century 1 (January 2003), 311-44. Trouille concludes that "Restifs is still one of the most powerful depictions of spousal abuse ever written" (344). 5 Jürgen Habermas has situated an important "structural" transformation of the public sphere in the eighteendi century and uius a new distinction between private and public life. See Habermas, TheStructural Transformation ofthePublicSphere, trans. Thomas Burger (Cambridge: MlT Press, 1989). 6 Isabel Herrero explains die intrusion of the audiorial presence in die novel as characteristic ofdie internal intertextuality ofRestivian writing. Herrero, "Ingénue Saxancour de Restifde la Bretonne ou l'ambiguïté du point de vue," Eludes rétiviennes 13 (December 1990), 21-40. Frank Houriez describes the presence ofdie father's voice in die daughter's story as a textual effort at reconciling their relationship, strained by Ingenue's unauthorized marriage. Houriez, "Collage et coherence dans IngénueSaxancour" Étudesrétiviennes 15 (December 1991), 15-30. INGÉNUE SAXANCOUR233...