Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
70
Analgesia and Pain Management01:25

Analgesia and Pain Management

504
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
504
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

4.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.7K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The complementary roles of oversight, education, and collaboration in the responsible integration of artificial intelligence in radiation medicine: White paper of CADRA.

Journal of applied clinical medical physics·2026
Same author

Updated 2026 Comprehensive Evidence-Based Guidelines for Facet Joint Interventions in the Management of Chronic Spinal Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines.

Pain physician·2026
Same author

The complementary roles of oversight, education, and collaboration in the responsible integration of artificial intelligence in radiation medicine: White paper of (CADRA).

Journal of medical imaging and radiation sciences·2026
Same author

Baseline Inflammatory Cytokines Moderate Associations Between Intraoperative Oxidative Stress and Chronic Postsurgical Pain After Total Knee Arthroplasty: An Exploratory Study.

Journal of pain research·2026
Same author

Evaluating Large Language Models for Translating Multimodal Phenotype Documentations into Executable EHR Phenotyping Algorithms.

Research square·2026
Same author

Evaluating Large Language Models for Translating Multimodal Phenotype Documentations into Executable EHR Phenotyping Algorithms.

medRxiv : the preprint server for health sciences·2026

Related Experiment Video

Updated: Jun 5, 2025

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
08:33

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research

Published on: January 5, 2024

1.1K

Difficult Encounters in Chronic Pain Patients: A Cohort Study.

Steven P Cohen1, Winnie L Liu2, Tina L Doshi3

  • 1Departments of Anesthesiology, Neurology, Physical Medicine and Rehabilitation, Psychiatry and Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Departments of Anesthesiology and Physical Medicine and Rehabilitation, Walter Reed National Military Medical Center, Uniformed Services University of the Health Sciences, Bethesda, MD, USA; Department of Anesthesiology & Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD; Deparments of Anesthesiology & Critical Care Medicine, Neurology, Physical Medicine & Rehabilitation and Psychiatry & Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Mayo Clinic Proceedings
|December 6, 2024
PubMed
Summary

Difficult clinical encounters in pain management are often linked to visit-related factors like communication issues and unrealistic patient expectations, not solely patient history. Further research should explore interventions to improve these interactions.

More Related Videos

A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
07:14

A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery

Published on: January 18, 2018

9.3K
Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

12.6K

Related Experiment Videos

Last Updated: Jun 5, 2025

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
08:33

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research

Published on: January 5, 2024

1.1K
A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
07:14

A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery

Published on: January 18, 2018

9.3K
Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

12.6K

Area of Science:

  • Pain Medicine
  • Clinical Psychology
  • Healthcare Management

Background:

  • Understanding factors contributing to difficult clinical encounters is crucial for improving patient care and physician well-being.
  • Previous research has explored various patient and visit-related factors, but specific associations in pain management settings require further elucidation.

Purpose of the Study:

  • To identify demographic, clinical, social, and visit-related variables associated with physician-perceived difficult clinical encounters in a pain management setting.

Main Methods:

  • A cross-sectional study involving 428 new pain patients and their physicians.
  • Data collected included patient demographics, social history, visit characteristics, and physician ratings of encounter difficulty on a 6-point Likert scale.

Main Results:

  • Multivariable analysis revealed that requesting opioids, longer-than-expected visits, hostile behavior, refusal of recommended treatment, unrealistic expectations, and communication difficulties were significantly associated with difficult encounters.
  • Physician and patient demographics, such as gender, race, and physician experience, were not associated with encounter difficulty.

Conclusions:

  • Visit-related factors, rather than certain patient-specific social history elements, appear to be more influential in defining difficult encounters in pain management.
  • Future research should focus on developing and evaluating interventions to mitigate encounter difficulty and assess their impact on both patients and physicians.