Date of Award

Spring 1987

Document Type

Thesis - Restricted

Degree Name

Master of Science (MS)

Department

Nursing

Abstract

Chronic pain is a growing health problem in the adult population. Nurses working with patients with chronic pain have a responsibility to help them manage a health problem that has often eluded medicine's attempts to find a cure. Chronic pain, unlike acute pain, is very difficult to resolve. The interventions for chronic pain are all too often aimed at the sensory mechanisms of pain. Little regard is given for the influence of psychological factors which individualize any pain experience, and make resolution of chronic pain a new challenge each time it is encountered by a nurse. One hope for more effective interventions in the management of chronic pain lies in complete assessment of the psychological component of the pain experience. The psychological component includes; personality traits, emotional state, and a cognitive dimension. After reviewing the literature it is apparent that assessment instruments are particularly needed for factors in the cognitive dimension of the psychological component . This review of the literature culminated in the development of an interview guide for assessing the influence of the cognitive dimension in the experience of chronic pain.

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