201 | P a g e 17. FLEMMING 2010: The intersubjectivity of pain - The Management of Pain by the Patient B. I don’t tell everyone when I am in pain. I don’t want to frighten or burden anyone. Pain is private and it is difficult for others to understand if you haven’t had it. I will talk to my HCP about my pain if we have a good relationship and if this helps to choose the right treatment. I won’t tell the HCP if we don’t get on, even if my pain is really bad. At times, I feel abandoned by my HCP when they say that nothing can be done about my pain. CANCER PAIN 18. FLEMMING 2010: The intersubjectivity of pain - The Management of Pain by the Patient B My cancer has given new meaning, strength, potential, and control. It is part of my life now. CANCER PAIN 19. FLEMMING 2010 : Using Opioids Is a Balancing Act and a Trade-Off. There is a trade-off I want to get rid of pain but also be able to do things. Taking opioids makes me feel that I have lost my dignity, my autonomy, and my sense of self. My life has lost its meaning. When the pain increases I feel that it is in control. Although I continue to take opioids I feel conflicted. At times I choose pain over side effects. There comes a point when you have no choice. At that point I will take opioids because I am worried about others seeing me in pain. CANCER PAIN
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