Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins.

IF 2 4区 医学 Q2 REHABILITATION
Donald R Murphy, Brian D Justice, Jeffrey Borkan
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引用次数: 0

Abstract

Objectives: Low back pain (LBP) is the number one cause of disability world-wide. It is also the most expensive area in healthcare. Patient-centered innovations are needed. This paper uses medical storytelling to illustrate the common problems that often lead to unnecessary suffering for patients, and costs to society. We present innovative solutions, including narrative interventions.

Methods: We use medical storytelling to present a scenario in which hypothetical twin patients with identical LBP episodes enter the healthcare system, with one twin managed in an appropriate manner, and the other inappropriately.

Results: One twin becomes a chronic LBP sufferer, while the other experiences quick resolution, despite identical conditions. Recommendations are made to de-implement inappropriate action and to implement a more productive approach.

Conclusions: Many patients with LBP descend into chronic pain. This is rarely inevitable based on clinical factors. Much of chronic LBP results from how the condition is handled within the healthcare system. Medical narrative may be one innovation to illustrate the problem of current LBP management, recommend solutions and foster changes in clinical behavior.

Practical implications: The starkly different outcomes for each identical twin are illustrated. Recommendations are made for reframing the situation to de-implement the inappropriate and to implement a more appropriate approach.

Abstract Image

用医学故事来沟通腰痛难题的问题和解决方案:一个基于证据的双胞胎故事。
目的:腰痛(LBP)是世界范围内致残的头号原因。它也是医疗保健领域最昂贵的领域。需要以患者为中心的创新。本文使用医学故事来说明经常导致患者不必要的痛苦和社会成本的常见问题。我们提出了创新的解决方案,包括叙事干预。方法:我们使用医学故事来呈现一个场景,假设双胞胎患者有相同的腰痛发作进入医疗保健系统,其中一个双胞胎以适当的方式管理,而另一个不适当。结果:双胞胎中的一个成为慢性腰痛患者,而另一个经历了快速解决,尽管相同的条件。建议取消不适当的行动,并采取更有成效的办法。结论:许多腰痛患者进入慢性疼痛状态。基于临床因素,这很少是不可避免的。许多慢性腰痛的结果是如何处理条件在医疗保健系统。医学叙事可能是一种创新,说明当前腰痛管理的问题,建议解决方案和促进临床行为的改变。实际意义:每个同卵双胞胎的结果截然不同。提出了重新规划局势的建议,以取消不适当的做法,并采取更适当的办法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Chiropractic & Manual Therapies
Chiropractic & Manual Therapies Medicine-Complementary and Alternative Medicine
CiteScore
3.20
自引率
15.80%
发文量
48
审稿时长
20 weeks
期刊介绍: Chiropractic & Manual Therapies publishes manuscripts on all aspects of evidence-based information that is clinically relevant to chiropractors, manual therapists and related health care professionals. Chiropractic & Manual Therapies is an open access journal that aims to provide chiropractors, manual therapists and related health professionals with clinically relevant, evidence-based information. Chiropractic and other manual therapies share a relatively broad diagnostic practice and treatment scope, emphasizing the structure and function of the body''s musculoskeletal framework (especially the spine). The practices of chiropractic and manual therapies are closely associated with treatments including manipulation, which is a key intervention. The range of services provided can also include massage, mobilisation, physical therapies, dry needling, lifestyle and dietary counselling, plus a variety of other associated therapeutic and rehabilitation approaches. Chiropractic & Manual Therapies continues to serve as a critical resource in this field, and as an open access publication, is more readily available to practitioners, researchers and clinicians worldwide.
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