By Harriet M. Wittink PhD PT, Theresa Hoskins Michel MS PT CCS
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Extra resources for Chronic Pain Management for Physical Therapists, Second Edition
Minority cancer patients and their providers: pain management attitudes and practice. Cancer 2000;88(8):1929–1938. Barr RG, Hopkins B, Green JA. Crying as a Sign, a Symptom, and a Signal: Clinical, Emotional, and Developmental Aspects of Infant and Toddler Crying. London: Mac Keith Press, 2000. Sociocultural Considerations in Chronic Pain and Its Management Baszanger I. Inventing Pain Medicine: From the Laboratory to the Clinic. Piscataway, NJ: Rutgers University Press, 1998. Bates MS, Edwards WT, Anderson KO.
To build and maintain the trust of your patient, for better compliance, and ideally for better health care, the physical therapist should show respect for the patient’s culture, traditional healers, and remedies. The importance of cultural sensitivity in the provision of care to patients from cultures other than one’s own is brought poignantly home in a book about Lia Lee, a Hmong child with epilepsy, entitled The Spirit Catches You and You Fall Down, by Anne Fadiman (Fadiman 1998). Ms. Fadiman, a journalist, spent years talking to and observing Lia’s family and her American doctors, and wrote a very readable, heart-wrenching book about Lia’s caregivers’ challenges in and opportunities for understanding the Hmong culture as Lia moved through diagnosis, episodes of care, and eventually death.
It was only in 1986 that textbooks asserted (and clinician practices and attitudes reinforced) the notion that infants could not experience pain as adults do (Barr et al. 2000). In the United States, 2000–2010 has been called The Decade of Pain, reﬂecting the fact that pain is increasingly considered an important component in the delivery of health care and the education of health care professionals. , in press). Nowhere is this more the case than in the management of chronic pain. Educating professionals to better manage pain has been processed through a sociohistoric ﬁlter that only recently is being examined with an eye to changing the ways we manage chronic pain.