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Pain Disparity: Assessment and Traditional Medicine

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Treatment of Chronic Pain by Integrative Approaches

Abstract

Millions of people in the world have acute and chronic pain because of (1) ignorance of clinicians, (2) lack of a standardized scientific approach, (3) failure to facilitate adequate treatment of pain by legitimate use of opiates, (4) inadequate balance between use of controlled substances for medical purposes and the prevention of their abuse, and (5) lack of appropriate use of the new non-opiate pharmaceuticals and integrative medicine armamentaria which has expanded over the past decade. Of ten developed countries, the World Health Organization (WHO) has estimated that 37 % of adults in these populations have constant pain conditions. Pain is a public health concern because of its prevalence and increasing incidence. In 2010, in the United States, adults with constant pain were conservatively estimated at 16 million.

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References

  1. WHO normative guidelines on pain management. 2011. http://www.who.int/medicines/areas/quality_safety/delphi_study_pain_guidelines.pdf. Accessed 5 June 2011.

  2. International Association for the Study of pain declaration of Montreal. 2011. http://www.iasp-pain.org/Content/NavigationMenu/Advocacy/DeclarationofMontr233al/default.htm. Accessed 10 Aug 2011.

  3. Tsang A, Von Korff S, Lee J, et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders.J Pain. 2008;9:883–9.

    Article  PubMed  Google Scholar 

  4. Blyth FM. The demography of chronic pain: an overview. In: Croft P, Blyth FM, van der Windt D, editors. Chronic pain epidemiology: from aetiology to public health. Oxford: Oxford University Press; 2010. p. 19–27.

    Chapter  Google Scholar 

  5. Bonham V. Race, thnicity and pain treatment: striving to understand the causes and solutions to the disparities in pain treatment. J Law Med Ethics. 2001;29:52–68.

    Article  CAS  PubMed  Google Scholar 

  6. Whittle J, et al. Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system. N Engl J Med. 1993;329:621–7.

    Article  CAS  PubMed  Google Scholar 

  7. National healthcare disparities report, 2003 summary AHRQ 2002. 2011. http://www.ahrq.gov/qual/nhdr03/nhdrsum03.htm. Accessed 24 June 2011.

  8. Bial A, Levine S. UNIPAC three: assessment and treatment of physical pain associated with life limiting illness. In: Storey CP, Levine S, Shega JW, editors. Hospice and palliative care training for physicians: a self study program: a self study program (UNIPAC). Glenview: American Academy of Hospice and Palliative Medicine; 2008.

    Google Scholar 

  9. Casarette D, Pickard A, Baily F, et al. Do palliative consultations improve outcome? In: Meier D, Issacs S, Hughes R, editors. Palliative care: transforming the care of serious illness. San Francisco: Jossey-Bass; 2010. p. 369–81.

    Google Scholar 

  10. Bodenheimer T, Grumback K, Berenson R. A lifeline for primary care. N Engl J Med. 2009;360(26):2693–6.

    Article  CAS  PubMed  Google Scholar 

  11. DeNavas-Walt C, Proctor D, Smith J. Income poverty and health insurance coverage in the united states. In: US census bureau current population reports 2007. Washington, DC: U.S. Government Printing Office; 2008. p. 235.

    Google Scholar 

  12. Nielsen-Bohlman L, Panzer A, Kindig A. What is health literacy. In: Committee on Health Literacy, Institute of Medicine, editor. Health literacy: a prescription to end confusion. Washington, DC: National Academic Press; 2004. p. 31–58.

    Google Scholar 

  13. Sadore R, Meta K, Simon E. Limited literacy in older people and disparities in health and health care access. J Am Geriatr Soc. 2006;54:770–6.

    Article  Google Scholar 

  14. Quill T, Holloway R, Shah M, et al. Pain management. In: Quill T, editor. Primer of palliative care. 5th ed. Glenview: American Academy of Hospice and Palliative Care; 2010. p. 11–2.

    Google Scholar 

  15. Huckenberry MJ, Wilson D. Wong-baker faces pain rating scale. In: Wong’s essentials of pediatric nursing. 8th ed. St Louis: Mosby; 2008. p. 12–80.

    Google Scholar 

  16. Dula A, Williams S. When race matters. Clin Geri Med. 2005;21:239–53.

    Article  Google Scholar 

  17. Emanuel L, editor. Palliative care II: improving care. Philadelphia: Saunders; 2005.

    Google Scholar 

  18. WHO Expert Committee. Cancer pain relief and palliative care: report of a WHO expert committee. Geneva: World Health Organization; 1990. p. 7–21.

    Google Scholar 

  19. Osteoarthritis pain relief “only a phone call away?”. 2011. http://www.niams.nih.gov/Recovery/chronicles/osteoarthritis_phone_call.asp. Accessed 3 July 2011.

  20. Karnofsky and ECOG scores. http://www.aboutcancer.com/karnofsky.htm. Accessed 10 Aug 2011.

  21. Emanuel LL, Ferris FD, von Gunten CF, Von Roenn J. EPEC-O: Education in Palliative and End-of-life Care for Oncology. Module 2 © The EPEC Project,™ Chicago, IL, 2005. p.12–14.

    Google Scholar 

  22. Passik S, Kirsh K, Whitcomb L, et al. A new tool to assess and document pain outcomes in chronic pain patients receiving opioid therapy. Clin Ther. 2009;26(4):552–6.

    Article  Google Scholar 

  23. Screening for drug use in general medical settings resource guide. http://www.nida.nih.gov/nidamed/resguide/resourceguide.pdf. Accessed 3 July 2011.

  24. Todd KH. Ethnicity and analgesic practice. Ann Emerg Med. 2000;35:11–6.

    Article  CAS  PubMed  Google Scholar 

  25. WHO normative guidelines on pain management. 2011. http://www.who.int/medicines/areas/quality_safety/delphi_study_pain_guidelines.pdf. Accessed 5 June 2011.

  26. Pizzo P, Clark M. Summary. In: Institute of Medicine, editor. Reliving pain in America: a blueprint for transforming prevention, care, education and research. Washington, DC: National Academy of Science; 2011. p. S1–16.

    Google Scholar 

  27. Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH. Arthritis self-management education programs. Arthritis Rheumatol. 2003;48:2207–13.

    Article  Google Scholar 

  28. Kroenke K, Spitzer RL, Williams JBW, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatic. 2009;50:613–21.

    Google Scholar 

  29. Bruce B, Lorig K, Laurent D. Participation in patient self-management programs. Arthritis Care Res. 2007;57(5):851–4.

    Article  Google Scholar 

  30. Park S, Sonty N. Positive affect mediates the relationship between pain-related coping efficacy and interference in social functioning. J Pain. 2010;11(12):1267–73.

    Article  PubMed  Google Scholar 

  31. Bair MJ, Wu J, Damush TM, Sutherland JM, Kroenke K. Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosomataic Med. 2008;70(8):890–7.

    Article  CAS  Google Scholar 

  32. Okifuji A, Turk D, Curran S. Anger in chronic pain: investigations of anger targets and intensity. J Psychosom Res. 1999;47(1):1–12.

    Article  CAS  PubMed  Google Scholar 

  33. Community engagement: definitions and organizing concepts from the literature. In: Principles of community engagement. 2011. http://www.cdc.gov/phppo/pce/. 27 July 2011.

  34. World Health Organization. WHO fact sheet no. 134: traditional medicine. 2011. http://www.who.int/mediacentre/factsheets/fs134/en/2008-12-01. Accessed 5 July 2011.

  35. Integrative Medicine and Patient-Centered Care. Commissioned for the IOM summit on integrative medicine and the health of the public. 2011. http://www.iom.edu/~/media/Files/Activity%20Files/Quality/IntegrativeMed/Integrative%20Medicine%20and%20Patient%20Centered%20Care.pdf. Accessed 14 July 2011.

  36. Wenger AF. Cultural meaning of symptoms. Holist Nurs Pract. 1993;7:22–35.

    Article  CAS  PubMed  Google Scholar 

  37. Zborowski M. People in pain. San Francisco: Jossey-Bass; 1969. p. 30–2.

    Google Scholar 

  38. Puchalaski CM, Carlson DB. Developing curricula in spirituality in medicine. Acad Med. 1997;73(9):970–4.

    Article  Google Scholar 

  39. Colt H, Quadrelli S, Friedman L. Picture of health: medical ethics and the movies. New York: Oxford University Press; 2011. p. 1–560.

    Google Scholar 

  40. Azul La Luz W. Hispanios in the valley of death: street-level trauma, cultural-PTSD, overdoses, and suicides in north central New Mexico. 2011. http://repository.unm.edu/handle/1928/10352. Accessed 18 Aug 2011.

  41. Defrain J, et al. Stukkbirb: the invisible death. In: Bertman S, editor. Grief and the healing arts. Amityville: Baywood Publishing Company Inc; 1999. p. 427.

    Google Scholar 

  42. Joe J, Galerita J, Pino C. Cultural health traditions: American Indian perspective. In: Paxton PP, Branch MF, editors. Safe nursing care for ethnic peoples of color. New York: Appleton-Century-Crofts; 1976. p. 81–98.

    Google Scholar 

  43. Vickers J. Medicine wheels: a mystery in stone. Alberta Past. 1992;8(3):6–7, Winter; 93–4.

    Google Scholar 

  44. Katz LK. Liberty among the Indians. In: Black women of the old west. New York: Atheneum; 1995. p. 3–6.

    Google Scholar 

  45. The American Indian Religious Freedom Act, Public Law No. 95-341, 92 Stat. 469. 2011. http://www.nativeamericanchurch.net/Native_American_Church/LS-AmericanIndianReligiousFreedomAct.html. Accessed 2 July 2011.

  46. Canby JC. American Indian law in a nutshell. New York: West Publishing Company; 1988. p. 339, 340.

    Google Scholar 

  47. Rodriquez-Dorsey P. Cultural health traditions: Latino/Chicano perspectives. In: Paxton PP, Branch MF, editors. Providing safe nursing care for ethnic peoples of color by Marie Foster Branch and Phyllis Perry Paxton. New York: Appleton-Century-Crofts; 1976. p. 272.

    Google Scholar 

  48. U.S. Census Bureau, population estimates July 1, internet release date February 08, 2008. 2011. http://www.census.gov/population/www/socdemo/hispanic/hispanic_pop_presentation.html. 5 July 2011.

  49. Shaw R. Beyond the fields: Cesar Chavez, the UFW, and the struggle for justice in the 21st century. Los Angeles: University of California Press; 2008. p. 1–253.

    Google Scholar 

  50. The lynching of persons of Mexican origin or descent in the United States, 1848 to 1928. 2011. http://findarticles.com/p/articles/mi_m2005/is_2_37/ai_111897839/pg_9/. Accessed 1 July 2011.

  51. Roman OI. Carrrismatic medicine, folk healing and folk sainthood. Anthropology. 1965;75:1152.

    Google Scholar 

  52. Jacques G. Cultural health traditions: a black perspective. In: Paxton PP, Branch MF, editors. Safe nursing care for ethnic peoples of color. New York: Appleton-Century-Crofts; 1976. p. 115–44.

    Google Scholar 

  53. Hatch J, Holmes A. Rural and small town African American populations and human rights post industrial society. In: Secundy MG, Dula A, Willimas S, editors. Bioethics research concerns and directions for African Americans. Tuskegee: Tuskegee University, National Center for Bioethics in Research and Health Care; 2000. p. 68–80.

    Google Scholar 

  54. Dula A. The need for a dialogue with African Americans. In: Dula A, Goering S, Secund M, Williams S, editors. It just ain’t fair: westport. Conn: Praeger; 1994. p. 1–315.

    Google Scholar 

  55. Thompson RS. Esthetic of the cool. Afr Art. 1973;2(1):40–67.

    Article  Google Scholar 

  56. Katz LK. Black women of the old west. New York: Atheneum; 1995. p. 1–79.

    Google Scholar 

  57. Gonzales P, Rodriquez R. African roots stretch deep into Mexico. 1996. http://www.mexconnect.com/articles/1935-african-roots-stretch-deep-into-mexico. 4 July 2011.

  58. Karade BI. The handbook of Yoruba religious concepts. York Beech: Samuel Weiser, Inc; 1994. p. 1–23.

    Google Scholar 

  59. Lipson GJ, Dibble ST, editors. Culture and clinical care. San Francisco: UCSF Nursing Press; 2005. p. 1–14.

    Google Scholar 

  60. When we are asked: spirituality (VHS/DVD). Directed by September Williams. USA 2004. USA. Ninth Month Productions/APPEALproject.RWJ. 98 mins. 2011. http://divinity.duke.edu/initiatives-centers/iceol/resources/appeal#details. 25 July 2011.

  61. Cultural diversity: pain beliefs and treatment among Mexican-Americans, African-Americans, Chinese-Americans and Japanese-Americans Alvarado, Anthony pain reliefCultural Diversity: Al. 2011. http://commons.emich.edu/cgi/viewcontent.cgi?article=1126&context=honors. Accessed 1 July 2011.

  62. Cultural diversity: pain beliefs and treatment among Mexican-Americans, African-Americans, Chinese-Americans and Japanese-Americans Alvarado, Anthony pain reliefCultural Diversity: Al. 2011. http://commons.emich.edu/cgi/viewcontent.cgi?article=1126&context=honors. Accessed 25 June 2011.

  63. When we are asked: race, class, culture (VHS/DVD). Directed by September Williams. USA 2004. USA. Ninth Month Productions/APPEALproject.RWJ. 98 mins. 2011. http://divinity.duke.edu/initiatives-centers/iceol/resources/appeal#details. 25 July 2011.

  64. Chinese family life. 2011. http://www.mitchellteachers.org/WorldHistory/AncientChinaCurriculum/ModernChineseFamilyLife. Accessed 5 July 2011.

  65. Yun L. The coolie speaks: Chinese indentured laborers and African slaves in Cuba. Philadelphia: Temple University Press; 2008. p. 1–336.

    Google Scholar 

  66. Japanese occupation of China. 2011. http://factsanddetails.com/china.php?itemid=59. Accessed 20 July 2011.

  67. Veith I. The yellow Emperor’s classic of internal medicine, 1949. Berkeley: University of California Press; 1970.

    Google Scholar 

  68. Lawson-Wood D, Lawson-Wood J. Five elements of acupuncture and Chinese massage. Health Science Press, Wellingborough: UK; 1973.

    Google Scholar 

  69. Chow E. Cultural health traditions: Asian perspectives. In: Paxton PP, Branch MF, editors. Safe nursing care for ethnic peoples of color. New York: Appleton-Century-Crofts; 1976. p. 99–115.

    Google Scholar 

  70. A Chinese funeral. 2011. http://www.bearspage.info/h/tra/ch/fun.html. Accessed 20 July 2011.

  71. Cultural China traditions, myths and legends. Shanghai News and Press Bureau. http://traditions.cultural-china.com/en/13Traditions991.html. 20 July 2011.

  72. Cultural diversity: pain beliefs and treatment among Mexican-Americans, African-Americans, Chinese-Americans and Japanese-Americans Alvarado, Anthony pain reliefCultural Diversity: Al. 2011. http://commons.emich.edu/cgi/viewcontent.cgi?article=1126&context=honors. Accessed 70–79. Accessed 1 July 2011.

  73. IOM (Institute of Medicine). Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington, DC: The National Academies Press; 2011.

    Google Scholar 

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Authors and Affiliations

  1. Clinical Medical Ethics, Palliative Care and Film, Ninth Month Consults, 401 Pine Street, Unit D, Mill Valley, CA, 94941, USA

    September Williams M.D.

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  1. September Williams M.D.
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Correspondence to September Williams M.D. .

Editor information

Editors and Affiliations

  1. President and CEO, Clinical Professor of Anesthesiology, The Center for Pain Relief, West Virginia University School of Medicine, Charleston, West Virginia, USA

    Timothy R. Deer

  2. Clinic Chief, Clinical Associate Professor, Department of Anesthesiology, Stanford Pain Medicine Center, Redwood City, CA, USA, and Stanford University School of Medicine, Stanford, California, USA

    Michael S. Leong

  3. Medical Director, Clinical Associate Professor, The LITE Center, South Miami, FL, USA, and University of Miami Miller School of Medicine, Miami, Florida, USA

    Albert L. Ray

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© 2015 American Academy of Pain Medicine

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Williams, S. (2015). Pain Disparity: Assessment and Traditional Medicine. In: Deer, T., Leong, M., Ray, A. (eds) Treatment of Chronic Pain by Integrative Approaches. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1821-8_15

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  • DOI: https://doi.org/10.1007/978-1-4939-1821-8_15

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