Methods of practice: Listening to the story

Physiother Theory Pract. 2017 Jun;33(6):462-474. doi: 10.1080/09593985.2017.1318989. Epub 2017 May 8.

Abstract

This paper views the experience of "hip pain" through the lenses of multiple stakeholders: the patient experiencing such pain, orthopedic surgeons, and physiotherapists. Using an interpretative hermeneutic view, the method by which each encountered and dealt with living with, diagnosing, and managing hip pain is revealed. Stories of seven participants were obtained through personal interviews. These stories provided accounts and the perspectives of the various participants. A gap in the health service emerged, with the expectations of the patients not being met by the healthcare providers. The health professionals focused on the hip, while the patients were more concerned with how to continue living their lives in a manageable way. The surgeons sought to diagnose and judge as to whether the pain was worthy of surgery. No one was helping the patient to manage the "waiting for surgery" or the "not yet bad enough" decision. We argue that there is a place for physiotherapists to support patients within a human-to-human encounter by listening to the patient's story of how their hip has impacted their lives and demonstrating that they have understood and are empathetic to their needs.

Keywords: Hermeneutic; hip; management; pain; relationship.

MeSH terms

  • Adaptation, Psychological
  • Arthralgia / diagnosis
  • Arthralgia / physiopathology
  • Arthralgia / psychology
  • Arthralgia / therapy*
  • Attitude of Health Personnel*
  • Chronic Pain / diagnosis
  • Chronic Pain / physiopathology
  • Chronic Pain / psychology
  • Chronic Pain / therapy*
  • Clinical Competence
  • Clinical Decision-Making
  • Communication
  • Comprehension
  • Cost of Illness
  • Health Knowledge, Attitudes, Practice*
  • Hermeneutics*
  • Hip Joint / physiopathology*
  • Humans
  • Judgment
  • Orthopedic Surgeons / psychology*
  • Patient Care Team
  • Patient Satisfaction
  • Physical Therapists / psychology*
  • Physician-Patient Relations*
  • Qualitative Research
  • Stakeholder Participation
  • Waiting Lists