DOI
10.17077/etd.24u1qwwj
Document Type
Dissertation
Date of Degree
Spring 2017
Access Restrictions
.
Degree Name
PhD (Doctor of Philosophy)
Degree In
Social Work
First Advisor
Sanders, Sara
First Committee Member
Butcher, Howard
Second Committee Member
Guo, Man
Third Committee Member
Landsman, Miriam
Fourth Committee Member
Bianchi, Alison
Abstract
Older adults (65+) are one of the fastest growing segments of the population in the United States. Chronic pain is common among this population, and chronic low back pain (CLBP) in particular is the number one pain complaint among older adults. In addition to larger societal and fiscal costs, CLBP is associated with a host of personal negative consequences such as physical disability, poor psychosocial functioning, and decreased quality of life. Despite being a leading health problem in older adulthood, little is known about how older adults actually experience this type of pain. Thus, the purpose of this dissertation was to understand older adults’ lived experience of CLBP.
To improve understanding of CLBP in this understudied population, a qualitative study using a phenomenological method was conducted. Phenomenology, rooted in existential philosophy, is the study of the nature and meanings of phenomena, in which experiences related to the phenomena are the main source of insight. van Manen’s Phenomenology of Practice method specifically guided the investigation with regard to study conception, data collection, and data analysis. Participants were 21 older pain clinic patients living with CLBP who engaged in one-on-one in-depth interviews.
Findings suggest that CLBP is an all-encompassing presence in participants’ lives. Seven main themes include: (1) Living a life full of pain; (2) Pain affects everything; (3) With others but a lone in my pain; (4) With pain comes sorrow; (5) Aging painfully; (6) Managing the incurable; (7) You just have to keep going. Implications for social work practice, research, and policy are discussed. By building a deeper understanding of older adult’s experiences and personal meaning of CLBP, social workers may be more able to provide meaningful and effective psychosocial services in the context of interdisciplinary CLBP management.
Public Abstract
Older adults (65+) are one of the fastest growing segments of the United States population, and chronic low back pain (CLBP) is their number one pain complaint. In addition to larger societal and fiscal costs, CLBP is associated with many personal negative consequences like physical disability, poor mental health, and low quality of life. Despite being a leading health problem in older adulthood, very little research has focused on how older adults actually experience this type of pain. The purpose of this dissertation was to understand older adults’ lived experience of CLBP.
A qualitative study using van Manen’s phenomenological method was conducted to understand what it is like to be an older adult and live with CLBP. Phenomenology is the study of the nature and meanings of phenomena, in which experiences related to the phenomena are the main source of insight. A total of 21 older pain clinic patients engaged in one-on-one interviews.
Findings suggest CLBP is an all-encompassing presence in participants’ lives. Seven main themes include: (1) Living a life full of pain; (2) Pain affects everything; (3) With others but a lone in my pain; (4) With pain comes sorrow; (5) Aging painfully; (6) Managing the incurable; (7) You just have to keep going. Implications for social work practice, research, and policy are discussed. By building a deeper understanding of older adult’s experiences and personal meaning of CLBP, social workers may be more able to provide meaningful and effective psychosocial services in the context of interdisciplinary CLBP management.
Keywords
chronic low back pain, older adults, pain clinic, phenomenology
Pages
xi, 336 pages
Bibliography
Includes bibliographical references (pages 294-336).
Copyright
Copyright © 2017 Meredith L. Stensland
Recommended Citation
Stensland, Meredith L.. "“Everything I do is a struggle and everything I do leaves me in pain”: older adults’ lived experience of chronic low back pain." PhD (Doctor of Philosophy) thesis, University of Iowa, 2017.
https://doi.org/10.17077/etd.24u1qwwj