Canine Caregivers: Paradoxical Challenges and Rewards.

Companion dogs are increasingly popular, 38.4% of households in the United States include at least one dog. There are numerous benefits to sharing one's home with a dog, but because they age more rapidly than people and have shorter lifespans, acquiring a dog often includes caring for it during its senior years.

Motivations and expectations for using cannabis products to treat pain in humans and dogs: a mixed methods study.

Background: Social media and academic literature suggest that more people are using cannabis to treat their own or their dog's chronic pain. This study identifies the reasons people use cannabis products to treat their own pain or their dog's pain and explores whether these products have fulfilled their expectations.

Methods: An anonymous, online survey was used to collect quantitative and qualitative self-report data on respondents' perceptions, motivations and expectations about their or their dog's chronic pain and cannabis use.

Models of Arthritis Care: A Systems-level Evaluation of Acceptability as a Dimension of Quality of Care.

Objective: To describe a systems-level baseline evaluation of central intake (CI) and triage systems in arthritis care within Alberta, Canada. The specific objectives were to (1) describe a process for systems evaluation for the provision of arthritis care; (2) report the findings of the evaluation for different clinical sites that provide arthritis care; and (3) identify opportunities for improving appropriate and timely access based on the findings of the evaluation.

Methods: The study used a convergent mixed methods design.

Co-design of a patient experience survey for arthritis central intake: an example of meaningful patient engagement in healthcare design.

Background: To describe the process of patient engagement to co-design a patient experience survey for people with arthritis referred to central intake.

Methods: We used a participatory design to engage with patients to co-design a patient experience survey that comprised three connected phases: 1) Identifying the needs of patients with arthritis, 2) Developing a set of key performance indicators, and 3) Determining the survey items for the patient experience survey.

Results: Patient recommendations for high quality healthcare care means support to manage arthritis, to live a meaningful life by providing the right knowledge, professional support, and professional relationship.

Evaluating the Relationship between Well-Being and Living with a Dog for People with Chronic Low Back Pain: A Feasibility Study.

Chronic low back pain is a significant societal and personal burden that negatively impacts quality of life. Dog ownership has been associated with health benefits. This study evaluated the feasibility of surveying people with chronic low back pain to assess the relationship between dog ownership and well-being.

Qualitative study of owner perceptions of chronic pain in their dogs.

OBJECTIVE To understand the experiences of owners of dogs with chronic pain and explore owner perceptions of their pets' pain. DESIGN Observational study. SAMPLE 10 owners of dogs with chronic pain.

Factors influencing orthopedic nurses' pain management: A focused ethnography.

: The aim of this study was to explore the factors influencing orthopedic surgery nurses' decisions to administer pro re nata (PRN) opioid analgesia for postoperative pain. : Fast-track surgery programs reduce length of stay by identifying and addressing factors causing patients to remain in hospital, including pain (H. Kehlet, Lancet.

The suffering of chronic pain patients on a wait list: Are they amenable to narrative therapy?

: Chronic pain affects one in five Canadians. People with chronic pain frequently experience loss in their lives related to work, relationships, and their independence. They may be referred to a chronic pain program, which aims to strengthen coping through medical intervention and self-management skills.

Firefighter willingness to participate in a stem cell clinical trial for burns: A mixed methods study.

Unlabelled: Adult stem cells represent a potentially renewable and autologous source of cells to regenerate skin and improve wound healing. Firefighters are at risk of sustaining a burn and potentially benefiting from a split thickness skin graft (STSG). This mixed methods study examined firefighter willingness to participate in a future stem cell clinical trial, outcome priorities and factors associated with this decision.

The quest of pain education leaders in Canada and the United States: a qualitative study.

Aims: To determine key factors that stimulate and drive the ongoing interests of leaders in the field of pain to continue to work for change and to explore how they use their own experiences in their teaching.

Background: The assessment and management of acute and chronic pain remains a challenge and the pain education of pre-licensure/undergraduate health professionals (e.g.

Physical Functioning and Opioid use in Patients with Neuropathic Pain.

Objective: To evaluate the association between opioid dosage and ongoing therapy with physical function and disability in patients with neuropathic pain (NeP).

Design: Secondary analysis of a prospective cohort.

Setting: Multicenter clinical NeP registry.

An adaptive role for negative expected pain in patients with neuropathic pain.

Objectives: To study the relationship between expected pain and future outcomes along with the moderating effects of expected pain in neuropathic pain patients.

Methods: Study participants were recruited for the Canadian Neuropathic Pain Database. To examine the relationship between expected pain and 6-month pain intensity, pain-related disability, and catastrophizing, multiple regressions were performed.

Pain: a quality of care issue during patients' admission to hospital.

Aim: To determine the extent of clinically significant pain suffered by hospitalized patients during their stay and at discharge.

Background: The management of pain in hospitals continues to be problematic, despite long-standing awareness of the problem and improvements, e.g.

Back pain management in primary care: development and validity of the Patients' and Doctors' Expectations Questionnaire.

Background: Back pain is a common disorder, with the doctor being the first point of contact for help. Biopsychosocial management of back pain has been shown to be problematic. Meeting patients' expectations is alleged to play a vital role in concordance, adherence and satisfaction.

Met or matched expectations: what accounts for a successful back pain consultation in primary care?

Background: Patients' as well as doctors' expectations might be key elements for improving the quality of health care; however, previous conceptual and theoretical frameworks related to expectations often overlook such complex and complementary relationship between patients' and doctors' expectations. The concept of 'matched patient-doctor expectations' is not properly investigated, and there is lack of literature exploring such aspect of the consultation.

Aim: The paper presents a preliminary conceptual model for the relationship between patients' and doctors' expectations with specific reference to back pain management in primary care.

Survey of undergraduate pain curricula for healthcare professionals in the United Kingdom.

The prevalence and burden of pain has long been reported as problematic. Comprehensive pain education in undergraduate programmes is essential for developing knowledgeable, skilled and effective healthcare professionals. This cross-sectional survey describes the nature, content and learning strategies for pain curricula in undergraduate healthcare programmes in major universities in the United Kingdom (UK).

Making sense of patients' use of analgesics following day case surgery.

Aim: This paper is a report of a study exploring patients' use of analgesics following day case surgery, with particular focus on patients' decision-making about analgesic use.

Background: Day case and ambulatory surgery continue to be the preferred format for many elective surgical procedures. However, many patients' experience unacceptable postoperative pain when they return home after day surgery.

Understanding inadequate pain management in the clinical setting: the value of the sequential explanatory mixed method study.

Aim: The purpose of this paper is to critically explore the sequential explanatory mixed method research design and how it can enhance our understanding of pain management.

Background: The general prevalence of pain after surgery has not changed significantly over several decades despite the widespread introduction of new pain relieving technologies. The majority of postoperative pain studies use quantitative methods which offer little understanding of the underlying processes of care.

Patient experiences of anxiety, depression and acute pain after surgery: a longitudinal perspective.

This study sought to explore the impact of the psychological variables anxiety and depression, on pain experience over time following surgery. Eighty-five women having major gynaecological surgery were assessed for anxiety, depression and pain after surgery. To gain further understanding, 37 patients participated in a semi-structured taped telephone interview 4-6 weeks post-operatively.

Refusing analgesics: using continuous improvement to improve pain management on a surgical ward.

Despite advances in pain control many patients experience moderate to severe pain whilst in hospital. Contributory factors include inadequate assessment and documentation of pain, as well as patient and professional misconceptions. A 28-bedded surgical ward in a District General Hospital in the South of England was the setting for the project.