I am Maggie Thurmond Dorsey. I am an Assistant Professor at University of South Carolina Aiken in the School of Nursing. I teach Medical-Surgical Nursing I in the Associate Degree Nursing Program. I have taught at USCA for over 20 years.

The title of the lesson that I am presenting at this web site is The Medical-Surgical Nurse's Care for Culturally Different Patients in Pain.

According to Lewis, Heitkemper, & Dirksen (2003) "pain is a highly complex, subjective, discomforting experience of differing degrees for different people. It is what ever the person experiencing it says that is is; where ever they say it is; when ever they say that it occurs."

According to Lewis, Heitkemper, & Dirksen (2003), culture in general emcompasses the knowledge, values, beliefs, art, morals, law, customs, and habits of the members of a society...Cultural pattern of behavior develop over time and are shared by members of the small cultural group. Culture affects ways of perceiving, behaving, and evaluating the world, and serves as a guide for people's values, beliefs, and practices, including those related to helath and illness (p. 18).

Nurses' responsibilities related to pain and culture are:
A. Recognize barriers to pain control:
age(very young)
cognitively impaired
mentally ill
drug addition history
fear of addiction
lack of understanding
B. Be knowledgeable, caring and competent in the delivery of care to all patients using:
patient assessment
clear communication
C. Implement specific pain-related nursing interventions that address the diverse needs of diverse patient groups using:
Pain as 5th vital sign
Documenting pain assessments, implementations and evaluations

An interesting theory on pain is offered by Dr. Richard W. Hanson. He offers a holistic approach to pain management.

Click here to connect to Dr. Richard W. Hanson

Click here to connect to USCA

Click here to connect to My Title Page

Click here to connect to my My Links Page




http://rpsec.usca.sc.edu/Classwork/731sp2004/Lesson/Dorseyhtml (February, 2004)

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