I can identify and describe how cultural, institutional, societal, system, provider, familial, and patient factors can facilitate or interfere with effective pain assessment and management.
Want some more help with this learning outcome? Here are some sample resources to get you started.
- I can describe how my organizational, professional, and social culture influences my personal attitudes and beliefs, and how my beliefs may influence pain assessment and management
- I can explain how language used can influence the experience of pain and how past language experiences may factor into catastrophic thoughts/beliefs
- I can identify barriers to access to care in my practice context and community
- I can describe the concepts of privilege and oppression, and their relationship to health equity and how they influence effective pain assessment and management
- I can reflect on my social location (i.e. my positions of privilege and oppression) and how this could influence my practice
- I can describe the tenets of allyship*, and how they relate to my positions of privilege and oppression
- I use the principles of practicing allyship to inform my work and advocacy as it relates to effective pain assessment and management
- I strive to foster an environment of cultural safety in my practice setting
*allyship: building relationships based on trust, consistency, and accountability with marginalized individuals and/or groups of people (from https://theantioppressionnetwork.com/allyship/)
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Exploring the lived experience of adults using prescription opioids to manage chronic noncancer pain. – Brooks EA, Unruh A, Lynch ME
The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: a systematic review. – Darlow B, Fullen BM, Dean S, Hurley DA, Baxter GD, Dowell A.
Disabling chronic low back pain as an iatrogenic disorder: a qualitative study in Aboriginal Australians. – Lin IB, O’Sullivan PB, Coffin JA, Mak DB, Toussaint S, Straker LM.
A qualitative investigation of physical therapists’ experiences and feelings of managing patients with nonspecific low back pain. – Jeffrey JE, Foster NE.
Belief reinforcement: one reason why costs for low back pain have not decreased. Zusman M.
Indigenous Cultural Safety Training
Privilege 101: Understanding Privilege and Oppression (1.5 min video – Coin analogy)
What is the difference between an ally and an advocate? (2.5 min video)
Pain Management in First Nations, Metis, Inuit People: Through the Lens of Culture, Society and Medicine – free webinar by Jonathan Bertram, MD
Northern Health BC on Cultural Safety: Respect and Dignity in Relationships (5 min video)
BJSM Episode 409: When it comes to pain everything matters with Prof Lorimer Moseley
On considering your role in creating a safe environment for trans populations in physiotherapy
Ever been told to ‘check your privilege?’: Here’s what that really means
Uprooting Medical Violence: Integrated Anti-Oppression Framework for Health Care
On a plate: a short story on privilege
White Privilege: Unpacking the Invisible Knapsack
A Working Definition of Cultural Safety (pg 8, 9)
PSD Blog – Pregnancy Related Pelvic Pain: Words Can Hurt by Susannah Britnell
PSD Blog – Incorporating the Medicine Wheel in the Treatment of Aboriginal Communities by Brad Lafortune
Note:
This list is meant to provide you with some options. It is not meant to be fully comprehensive, nor should you feel like you need to access everything. Explore what works for your learning style and context