Pain

Paper Summary:

This well-researched, two-part paper examines the cause, effect and treatment of self-reported pain in patients of varying ethnicities and cultures. When healthcare providers are faced with patients who are experiencing pain, there may be a number of confounding factors that serve to constrain developing an effective treatment modality, including the clinician's own cultural bias, prejudice or ignorance. This in-depth research paper identifies the cultural factors that play a role in influencing healthcare providers' decisions to medicate patients based on their ethnicity. The writer of this paper also details which, if any, cultural influences within the patients themselves may serve to constrain their ability to adequately communicate their respective levels of pain in self-reports. This paper details the various focus groups and clinical studies and their results which provide a framework for clinicians to better understand the treatment of pain based on the race and ethnicity of the patient.

Table of Contents:
Introduction
Part One: Development of a Pain Assessment Tool Relevant to Clinical Background.
Epidemiology of Pain
Ecological Perspective
Developmental/Temporal Perspective
Epidemiology Measures
General Pain Assessment Tool Considerations
Part Two: Application of Assessment Tool
Conclusion
Bibliography

From the Paper:

"Although pain is a virtually universal phenomenon, it is also a highly subjective experience that is characterized by a wide range of epidemiological considerations that will vary according to the individual, of course, but the cultural setting within which the pain management experience takes place as well. In the increasingly multicultural society that characterizes the United Kingdom today, clinicians are hard-pressed to understand the complex relationship of how organic processes interrelate with cultural factors that may be unapparent or unknown to them. Furthermore, compounding the problem of developing an effective pain assessment tool that can be used across-the-board is the fact that occupational, socioeconomic, psychosocial, and possibly geographic, cultural, and cohort differences, as well as differences in lifestyle risk factors such as smoking may be so powerful for pain management purposes that the influences of other factors such as age and gender are difficult to identify."

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