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Centre for Policy on Ageing | |
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Influences on older people's decision making regarding choice of topical or oral NSAIDs for knee pain
— qualitative study | | Author(s) | Dawn Carnes, Yasir Anwer, Martin Underwood |
| Journal title | British Medical Journal, vol 336 no 7636, 19 January 2008 |
| Pages | pp 142-145 |
| Source | http://www.bmj.com |
| Keywords | Pain ; Musculoskeletal diseases ; Drugs ; Attitude ; Qualitative Studies. |
| Annotation | As part of a randomised controlled trial and patient preference study comparing advice to use oral or topical oral non-steroidal anti-inflammatory drugs (NSAIDs) for knee pain, 30 people aged 50+ with knee pain at one general practice participated in this qualitative study. Participants' decision-making was influenced by their perceptions of the associated risk of adverse effects, presence of other illnesses, nature of their pain, advice received, and practicality. Although participants' understanding of how medication worked was sometimes poor, their decision making about the use of NSAIDs seemed logical and appropriate. Participants' models for treatment was to use topical NSAIDs for mild, local and transient pain, and oral NSAIDs for moderate to severe, generalised and constant pain (in the absence of other more serious illness or risk of adverse effects). Participants showed marked tolerance and normalisation of adverse effects. Participants had clear ideas about the appropriate use of oral and topical NSAIDs. Taking such views into account when prescribing may improve adherence, judgment of efficacy, and the doctor-patient relationship. Tolerance and normalisation of adverse effects in these patients indicate that closer monitoring of older people who use NSAIDs might be needed. (RH). |
| Accession Number | CPA-080122207 A |
| Classmark | CT7: CL: LLD: DP: 3DP * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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