title: Promoting culturally competent chronic pain management using the clinically relevant continuum model.
abstract: This article reviews the culture of biomedicine and current practices in pain management education, which often merge to create a hostile environment for effective chronic pain care. Areas of cultural tensions in chronic pain frequently involve the struggle to achieve credibility regarding one's complaints of pain (or being believed that the pain is real) and complying with pain medication protocols. The clinically relevant continuum model is presented as a framework allowing providers to approach care from an evidence-based, culturally appropriate (patient centered) perspective that takes into account the highest level of evidence available, provider expertise, and patient preferences and values.
authors.affiliation: School of Nursing, The University of Texas at El Paso, 1101 North Campbell Street, El Paso, TX 79902, USA. dimonsivais@utep.edu
authors.forename: Diane B
authors.initials: DB
authors.lastname: Monsivais
mesh_terms: D002908:Chronic Disease; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003466:Cultural Characteristics; D019468:Disease Management; D055318:Evidence-Based Nursing; D006801:Humans; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D009730:Nursing Assessment / Q000458:organization & administration*; D010146:Pain / Q000451:nursing; D059408:Pain Management; D018802:Patient-Centered Care / Q000458:organization & administration*