Health Care Experiences when @entity158 and Substance Use Disorder Coexist: "Just Because I'm an Addict Doesn't Mean I Don't Have XXXX ".

@entity1 @entity158 @entity284 @entity1118 @entity734
OBJECTIVE: To report the health care experiences of 34 individuals with coexisting @entity734 ( @entity734 ) and @entity1118 . DESIGN: Narrative inquiry qualitative study of 90-minute interviews. SETTING: Midwest metropolitan @entity284 clinic. SUBJECTS: All individuals had @entity734 and were treated for @entity734 with @entity284 . They all self-identified as having @entity158 longer than 6 months. METHODS: This qualitative design allowed exploration of how @entity1 made sense of events related to living with @entity734 and @entity1118 . Narrative inquiry gives a consistent story from the @entity1 ' perspective, and researchers can perform additional analysis using the storyline. Thematic analysis occurred of their health care experiences. RESULTS: Results revealed that @entity1 1) spoke about how they used deception to obtain opioids when their drug cravings were out of control; 2) were disturbed by health care providers having little understanding or ability to help them with their painful condition; 3) felt they wanted to abuse opioids again when receiving poor treatment by the health care team; 4) related what went well in their health care to help them maintain their sobriety; and 5) recommended improvements on health care interventions that included effective treatment of @entity158 . CONCLUSIONS: Coexisting @entity1118 and @entity734 create unique health care needs by mutually activating and potentiating the other. There are very few comparable studies exploring the experiences of individuals when @entity158 and @entity734 coexist. The health care team can better develop treatment plans and test interventions sensitive to their unique needs when they understand the experiences of this population.
