Article ; Online: Physical pain among Indigenous Peoples in Canada: a scoping review.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
2023 Volume 70, Issue 6, Page(s) 1047–1063
Abstract: Purpose: Pain is a multifaceted experience shaped by various factors including context of pain, previous life events, and ongoing ethnocultural circumstances. Moreover, the definition of pain is inconsistent across cultures. Western medicine views ... ...
| Title translation | La douleur physique chez les peuples autochtones au Canada : une étude de portée. |
|---|---|
| Abstract | Purpose: Pain is a multifaceted experience shaped by various factors including context of pain, previous life events, and ongoing ethnocultural circumstances. Moreover, the definition of pain is inconsistent across cultures. Western medicine views physical pain (e.g., associated with a bone fracture) and nonphysical mental pain (e.g., depression) as two distinct conditions. Indigenous perspectives are often more wholistic, encompassing mental, spiritual, emotional, and physical hurt. The subjective nature of pain invites ample opportunity for discrimination in both its assessment and management. As such, it is important to consider Indigenous perspectives of pain in research and clinical practice. To investigate which aspects of Indigenous pain knowledge are currently considered by Western research, we conducted a scoping review of the literature on pain in Indigenous Peoples of Canada. Source: In June 2021, we searched nine databases and downloaded 8,220 papers after removal of duplicates. Two independent reviewers screened abstracts and full-text articles. Principle findings: Seventy-seven papers were included in the analysis. Using grounded theory, five themes emerged: pain measures/scales (n = 7), interventions (n = 13), pharmaceuticals (n = 17), pain expression/experiences (n = 45), and pain conditions (n = 70). Conclusion: This scoping review shows that there is a paucity of research on pain measurement in Indigenous Peoples of Canada. This finding is concerning in light of numerous studies reporting that Indigenous Peoples experience their pain as ignored, minimized, or disbelieved. Furthermore, a clear disconnect emerged between pain expression in Indigenous Peoples and assessment in medical professionals. We hope that this scoping review will serve to translate current knowledge to other non-Indigenous academics and to initiate meaningful collaboration with Indigenous partners. Future research led by Indigenous academics and community partners is critically needed to better address pain needs in Canada. |
| MeSH term(s) | Humans ; Canada ; Indigenous Peoples ; Chest Pain ; Pain Measurement |
| Language | English |
| Publishing date | 2023-06-21 |
| Publishing country | United States |
| Document type | Journal Article ; Review |
| ZDB-ID | 91002-8 |
| ISSN | 1496-8975 ; 0832-610X |
| ISSN (online) | 1496-8975 |
| ISSN | 0832-610X |
| DOI | 10.1007/s12630-023-02461-y |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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