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NU 650 Week 2

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NU 650 Week 2

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Within the context of Mexican culture, this investigation aims to investigate the cultural beliefs associated with acute and chronic pain. Individuals’ views of pain and their methods for coping with it are significantly influenced by the cultural legacy of Mexico, which includes a wide variety of concepts and practices that have been passed down through the generations.

Pain and spirituality are deeply intertwined in Mexican culture, which reveals a fundamental connection between the two. Many people in Mexico have a profound religious faith and commonly believe that affliction can have redeeming qualities. However, this faith is held by only a small percentage of the total population(Hollingshead et al., 2021). Pain being regarded by an individual as a means of achieving spiritual enlightenment or as a trial of their faith is a phenomenon that occurs rather frequently in people’s lives. This concept can result in an improved capacity to tolerate pain since the act of surviving adversity may be regarded as a means to display dedication or spiritual fortitude, and this idea can result in an expanded capacity to withstand anguish(Kentor et al., 2021).

In addition, the importance of family ties and helping one another in the community is highly valued in Mexican culture. When someone in the family is going through a difficult time, other family members frequently step forward to play an important role in providing care and emotional support. Because of this phenomenon, people tend to suffer in silence to fulfill what they believe to be a moral obligation to relieve their loved ones of any burdens they may cause. This tendency affects people’s ability to cope with suffering(Cancio, 2018).

Traditional Mexican medicine, which frequently involves the consumption of medicinal plants and participation in religious rituals, is pervasive throughout society(Redvers & Blondin, 2020). Along with traditional Western medicine, these methods are utilized by a sizeable percentage of people of Mexican ancestry for pain management. Integrating medical and psychological approaches in pain treatment is a prime example of a holistic approach to well-being since it acknowledges the interconnectedness of a person’s physical, emotional, and spiritual qualities(Redvers & Blondin, 2020).

The cultural ideas pervasive throughout Mexican society can impact individuals’ views and experiences of acute and chronic pain. These beliefs can exert an influence both positively and negatively. People in particular situations may have a stronger tendency to play down the severity of their pain, adopt a stoic attitude in response to it, and place a larger emphasis on the effectiveness of traditional treatments or spiritual pursuits (Cancio, 2018). Disparities can occur in the management of pain when medical professionals underestimate the severity of the condition or fail to recognize the significance of the role that spiritual and cultural factors play.

Healthcare professionals should ask culturally sensitive questions during the pain evaluation to better understand a Mexican patient’s beliefs and experiences with pain.These questions include:

  1. Could you describe any cultural or spiritual beliefs that impact how you experience and manage pain?
  2. How does your family or neighborhood usually help you when you’re hurt? Do they adhere to any particular traditions or customs?
  3. Do you feel comfortable sharing your pain with others, or would you rather keep it to yourself? Are there any cultural justifications for your method?
  4. Have you tried any of the pain-relieving methods or traditional Mexican remedies? How well did they perform for you?
  5. Does your spirituality have an impact on how you perceive and handle pain? Do you have any particular rites or prayers that bring you comfort?
  6. What do you anticipate from pain management? Would you like us to consider cultural or spiritual factors when providing for you?

Healthcare professionals should also engage in open and compassionate dialogue with patients and pose the following questions to understand their expectations for pain management better:

  1. How would you like to manage your discomfort together? Making a treatment plan that fits your values and preferences requires input.
  2. Would you like us to include any particular cultural or spiritual elements in your pain treatment plan? Respecting your cultural values is important to us.
  3. Would you like to investigate complementary or alternative therapies besides standard medical care? If so, which do you think are most useful?
  4. Would you wish your family or community to help you manage your pain? We may cooperate to make sure they are actively involved.
  5. What are your main objectives in terms of pain management? We can create a customized plan that matches your needs if we clearly understand your expectations.

By addressing these cultural beliefs and expectations, healthcare providers can build trust with their patients, improve communication between themselves and their patients, and establish a more effective and culturally sensitive pain management approach. This helps provide greater pain treatment and ensures that the patient’s cultural values and beliefs are respected and considered when caring for them.

References

Cancio, R. (2018). Pain and masculinity: A cohort comparison between Mexican American Vietnam and post–9/11 combat veterans. Men and Masculinities, 23(3-4), 725-748. https://doi.org/10.1177/1097184×18761779

Hollingshead, N. A., Vrany, E. A., Hsueh, L., Stewart, J. C., & Hirsh, A. T. (2021). Language use and generation status are associated with chronic pain differences in Mexican Americans. Journal of Immigrant and Minority Health, 24(2), 342-350. https://doi.org/10.1007/s10903-021-01160-4

Kentor, R. A., Krinock, P., Placencia, J., Cousins, D., & Hellsten, M. (2021). Interdisciplinary symptom management in pediatric palliative care: A case report. Clinical Practice in Pediatric Psychology, 9(3), 242-250. https://doi.org/10.1037/cpp0000413

Redvers, N., & Blondin, B. (2020). Traditional Indigenous medicine in North America: A scoping review. PLOS ONE, 15(8), e0237531. https://doi.org/10.1371/journal.pone.0237531

NU 650 Week 2

Due: Create your initial post by Day 3. Reply to at least two of your classmates by Day 7.

Grading Category: Assignments: Discussions/Journal

Please refer to the Grading Rubric for details on how this activity will be graded.

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria that which exceed expectations.

Objective

The purpose of this discussion is to consider how individual factors can impact a patient’s response and beliefs about pain.

**Please note the following:

  1. Scholarly sources include current peer-reviewed sources, practice guidelines from professional organizations, and databases used for clinical decisions making (such as UpToDate). Your course materials, textbooks, and websites do not count as scholarly sources.
  2. In order to obtain full credit you must interact on more than three days. Posting your initial post and each peer post on a different day for three days total is only an 8/10 for this section of the rubric. An additional post that is substantive and adds to the conversation (not just “I agree” or “nice work”) is required to get 10/10 in this area of the rubric.
  3. A 100 in the discussion means you have exceeded the minimum requirements and the faculty does not have any suggestions for room for improvement for you.

Initial Post

Examine another culture other than your own. What are common beliefs from this culture surrounding acute and chronic pain? Explain how this culture’s beliefs could potentially impact how an individual from this culture feels about acute and chronic pain. When taking into account these potential beliefs, what are some questions you would ask the patient during their pain assessment to become informed about their personal beliefs? How might you explore their expectations regarding your treatment of pain?

Your initial post should use at least three scholarly sources to support your description of how the relationship and/or assessment may be affected.

 

Week 2: Learning Materials

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Open course index

Completion requirements

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Readings

Required

Bickley, L. (2021). Bates’ guide to physical examination and history taking (13th ed.). Lippincott, Williams, & Wilkins.

  • Chapter 4: Physical Examination
  • Chapter 8: General Survey, Vital Signs, and Pain
  • Chapter 25: Assessing Children: Infancy Through Adolescence
  • Chapter 26: The Pregnant Woman
  • Chapter 27: The Older Adult

Dains, J. E., Baumann, L. C., & Scheibel, P. (2020). Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier.

  • Chapter 16: Fatigue
  • Chapter 17: Fever
  • Chapter 39: Weight Gain/Loss (unintentional)

Bates Video Lectures

Please view the mini-videos below to learn more about the specific components of the physical exam. We have listed each mini-video here so that students can better manage their time as well as have quick access to revisit a specific component of the exam. However, when students enter the Bates Physical Exam website, they will be able to choose a “play all” option that allows all videos to be viewed in succession by each system.

History Taking:

Vol 1: Head-to-Toe Assessment: Adult

Vol 2: Head-to-Toe Assessment: Infant

Vol 3: Head-to-Toe Assessment: Child

Vol 4: Head-to-Toe Assessment: Older/Adult

Vol 5: General Survey and Vital Signs