Psychologists as change agents in chronic pain management practice: Cultural competence in the health care system.

2010 ◽  
Vol 7 (3) ◽  
pp. 115-125 ◽  
Author(s):  
Karl D. Frohm ◽  
Gregory P. Beehler
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Cultural Competence ◽  
Health Care System ◽  
Management Practice ◽  
Change Agents ◽  
Chronic Pain Management ◽  
Care System

Navigating the health care system: perceptions of patients with chronic pain

2009 ◽  
Vol 29 (4) ◽  
pp. 162-168
Author(s):  
AL Dewar ◽  
K Gregg ◽  
MI White ◽  
J Lander
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Care System ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Treatment Compliance ◽  
Care Utilization ◽  
Semistructured Interviews ◽  
The Individual ◽  
Care System

A new framework is needed for patients with chronic pain and their primary care physicians that acknowledges the individual’s experiences and provides evidence-informed education and better linkages to community-based resources. This study describes the experience of 19 chronic-pain sufferers who seek relief via the health care system. Their experiences were recorded through in-depth semistructured interviews and analyzed through qualitative methods. The participants reported early optimism, then disillusionment, and finally acceptance of living with chronic pain. Both individuals with chronic pain and their health care professionals need evidence-informed resources and information on best practices to assist them to manage pain. Empathetic communication between health care professionals and individuals with chronic pain is crucial because insensitive communication negatively affects the individual, reduces treatment compliance and increases health care utilization.

Utilisation of health care system by chronic pain patients who applied for disability pensions

Pain ◽  
1999 ◽  
Vol 82 (3) ◽  
pp. 275-282 ◽  
Author(s):  
Jette Højsted ◽  
Anita Alban ◽  
Karis Hagild ◽  
Jørgen Eriksen
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Care System ◽  
Chronic Pain Patients ◽  
Pain Patients ◽  
Care System

Dental pain management with prescription opioids by nondental health care professionals in a health care system network

2020 ◽  
Vol 129 (1) ◽  
pp. e184-e185
Author(s):  
Jillian M. Rigert ◽  
Joel J. Napenas ◽  
Meghan Wally ◽  
Michael Runyon ◽  
Joseph R. Hsu ◽  
...  
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Health Care System ◽  
Health Care Professionals ◽  
Dental Pain ◽  
Prescription Opioids ◽  
Care System

Painful Reality: Inappropriate Provider Management of Pain as a Determinant of Health Care Avoidance

2016 ◽  
Vol 22 (3) ◽  
pp. 151-160
Author(s):  
Nancy L. Baenziger
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Health Care System ◽  
Health Care Professionals ◽  
Biomedical Knowledge ◽  
Pain Mechanisms ◽  
Patient Pain ◽  
Repeated Pain ◽  
Pain Experiences ◽  
Care System

Although pain is often characterized as a subjective, highly individualized phenomenon, in fact, numerous elements which are simply biological in nature underlie interpersonal differences in pain experience that influence the effectiveness of provider pain management. Elements acting at the level of tissues and cells include signal-transmitting molecules in pain pathways; elements acting at the level of the whole person comprise entire brain networks and anatomic elements fostering pain vulnerability. However, knowledge of these elements and translation of such knowledge into practical means for relieving patient pain is dismayingly sparse across the total spectrum of health care professionals. A serious consequence of this knowledge and action gap is that isolated, or worse yet, repeated, pain experiences may lead to profound mistrust of the health care system and its providers and to health care avoidance (e.g., mammography). This article outlines a biologic knowledge base and proposed remedies to improve pain management across the entire domain of health care. Key components of this approach include enhanced education for providers and informational outreach to health care consumers, clarifying pain mechanisms to both constituencies. Moreover, increased accountability within the health care system is needed, both in knowing and applying well-established biomedical knowledge and in best using technical and interpersonal skills necessary for effective pain management.

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