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Reassurance for patients with non-specific conditions – a user's guide
INTRODUCTION: Reassurance is the removal of fears and concerns about illness. In practice reassurance for non-specific conditions, where a diagnosis is unclear or unavailable, is difficult and can have unexpected effects. Many clinical guidelines for non-specific conditions such as low back pain rec...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Departamento de Fisioterapia da Universidade Federal de Sao Carlos
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537438/ https://www.ncbi.nlm.nih.gov/pubmed/28442069 http://dx.doi.org/10.1016/j.bjpt.2016.12.007 |
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author | Traeger, Adrian C. O’Hagan, Edel T. Cashin, Aidan McAuley, James H. |
author_facet | Traeger, Adrian C. O’Hagan, Edel T. Cashin, Aidan McAuley, James H. |
author_sort | Traeger, Adrian C. |
collection | PubMed |
description | INTRODUCTION: Reassurance is the removal of fears and concerns about illness. In practice reassurance for non-specific conditions, where a diagnosis is unclear or unavailable, is difficult and can have unexpected effects. Many clinical guidelines for non-specific conditions such as low back pain recommend reassurance. Until recently, there was little evidence on how to reassure patients effectively. RESULTS: High distress causes patients to consult more often for low back pain. To reduce distress, clinicians should provide structured education, which is effective in the short- and long-term. A newly developed online prognostic tool has the potential to improve the quality of reassurance and reduce the number of inappropriate interventions provided for low back pain. CONCLUSION: Targeted reassurance, including enhanced, prognosis-specific education, could optimize reassurance and possibly prevent disabling symptoms. |
format | Online Article Text |
id | pubmed-5537438 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Departamento de Fisioterapia da Universidade Federal de Sao Carlos |
record_format | MEDLINE/PubMed |
spelling | pubmed-55374382017-08-14 Reassurance for patients with non-specific conditions – a user's guide Traeger, Adrian C. O’Hagan, Edel T. Cashin, Aidan McAuley, James H. Braz J Phys Ther Masterclass INTRODUCTION: Reassurance is the removal of fears and concerns about illness. In practice reassurance for non-specific conditions, where a diagnosis is unclear or unavailable, is difficult and can have unexpected effects. Many clinical guidelines for non-specific conditions such as low back pain recommend reassurance. Until recently, there was little evidence on how to reassure patients effectively. RESULTS: High distress causes patients to consult more often for low back pain. To reduce distress, clinicians should provide structured education, which is effective in the short- and long-term. A newly developed online prognostic tool has the potential to improve the quality of reassurance and reduce the number of inappropriate interventions provided for low back pain. CONCLUSION: Targeted reassurance, including enhanced, prognosis-specific education, could optimize reassurance and possibly prevent disabling symptoms. Departamento de Fisioterapia da Universidade Federal de Sao Carlos 2017 2017-01-14 /pmc/articles/PMC5537438/ /pubmed/28442069 http://dx.doi.org/10.1016/j.bjpt.2016.12.007 Text en © 2017 Associac¸˜ao Brasileira de Pesquisa e P´os-Graduac¸˜ao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved. |
spellingShingle | Masterclass Traeger, Adrian C. O’Hagan, Edel T. Cashin, Aidan McAuley, James H. Reassurance for patients with non-specific conditions – a user's guide |
title | Reassurance for patients with non-specific conditions – a user's guide |
title_full | Reassurance for patients with non-specific conditions – a user's guide |
title_fullStr | Reassurance for patients with non-specific conditions – a user's guide |
title_full_unstemmed | Reassurance for patients with non-specific conditions – a user's guide |
title_short | Reassurance for patients with non-specific conditions – a user's guide |
title_sort | reassurance for patients with non-specific conditions – a user's guide |
topic | Masterclass |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537438/ https://www.ncbi.nlm.nih.gov/pubmed/28442069 http://dx.doi.org/10.1016/j.bjpt.2016.12.007 |
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