Pain Management Commons^™

Mortality In Medicine, Maren Dougherty

Honors Projects

Practitioners in the medical field attend to health issues across one’s lifespan from birth to death and everything in between. A common conflict in today’s practice of medicine is establishing the true function of medicine. The complete reliance on medicine to ward off death proliferates the biomedicalization of natural life processes, like death. Biomedicalization is the process in which medical authority and its accompanying technology begin to control other aspects of daily life. With medicine’s ultimate goal being to cure disease and fight death, it interferes with the inevitability of human mortality. End-of-life treatment can be taken too far without …

The Association Between Type-2 Diabetes Pathophysiology & Exercise Adherence, Sydney Raymond

Senior Honors Projects

According to the American Diabetes Association, 1 in 3 Americans will be diagnosed with diabetes. While some of these individuals will be prescribed medications as part of their treatment, most will also be advised to begin an exercise program to assist with blood glucose control. Additionally, while regular exercise is associated with lower HbA1C and decreased insulin/medication dependence, it is estimated that only about half of those diagnosed with diabetes will adhere to their exercise plans. Social, psychological, and physiological factors all play roles in affecting ones ability to adhere to an exercise regiment, and individuals with Type 2 Diabetes …

Race, Ethnicity, And Insurance: The Association With Opioid Use In A Pediatric Hospital Setting, Louis Ehwerhemuepha, Candice D. Donaldson, Zeev N. Kain, Vivian Luong, Michelle A. Fortier, William Feaster, Michael Weiss, Daniel Tomaszewski, Sun Yang, Michael Phan, Brooke N. Jenkins

Psychology Faculty Articles and Research

Background

This study examined the association between race/ethnicity and health insurance payer type with pediatric opioid and non-opioid ordering in an inpatient hospital setting.

Methods

Cross-sectional inpatient encounter data from June 2013 to June 2018 was retrieved from a pediatric children’s hospital in Southern California (N = 55,944), and statistical analyses were performed to determine associations with opioid ordering.

Results

There was a significant main effect of race/ethnicity on opioid and non-opioid orders. Physicians ordered significantly fewer opioid medications, but a greater number of non-opioid medications, for non-Hispanic African American children than non-Hispanic Asian, Hispanic/Latinx, and non-Hispanic White pediatric …

Parent Responses To Pediatric Pain: The Differential Effects Of Ethnicity On Opioid Consumption, Candice D. Donaldson, Brooke N. Jenkins, Michelle A. Fortier, Michael T. Phan, Daniel M. Tomaszewski, Sun Yang, Zeev N. Kain

Psychology Faculty Articles and Research

Objective

Within the context of the United States opioid epidemic, some parents often fear the use of opioids to help manage their children's postoperative pain. As a possible consequence, parents often do not dispense optimal analgesic medications to their children after surgery, putting their children at risk of suffering from postsurgical pain. The objective of this research was to assess ethnicity as a predictor of both pain and opioid consumption, and to examine how Hispanic/Latinx and Non-Hispanic White parents alter their child's opioid consumption in response to significant postsurgical pain.

Methods

Participants were 254 children undergoing outpatient tonsillectomy and/or adenoidectomy …

Pediatric Postoperative Pain Medication: Demographic Predictors And Parent Medication Attitudes, Vivian Luong

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience significant pain after surgery. Despite this presence of pain, research suggests that a quarter of these children receive very little pain medication at home. Such poor pain management in children can have harmful long-term consequences. Previous research indicates that the amount of pain medication administered to children in the home may be significantly impacted by the attitudes parents have regarding analgesics. Given this, the purpose of the present study is to identify how demographic factors such as child sex and ethnicity predict certain parent analgesic attitudes and, in turn, the amount of pain medication their …

How To Be The Perfect Asian Wife!, Sophia Hill

Art and Art History Honors Projects

“How to be the Perfect Asian Wife” critiques exploitative power systems that assault female bodies of color in intersectional ways. This work explores strategies of healing and resistance through inserting one’s own narrative of flourishing rather than surviving, while reflecting violent realities. Three large drawings mimic pervasive advertisement language and presentation reflecting the oppressive strategies used to contain women of color. Created with charcoal, watercolor, and ink, these 'advertisements' contrast with an interactive rice bag filled with comics of my everyday experiences. These documentations compel viewers to reflect on their own participation in systems of power.

Helping Elders Living With Pain (Help), Suzanne Leveille, Tongjian You

Office of Community Partnerships Posters

The HELP study, which is a two-year study supported by a R21 grant from National Institute on Aging, is a direct extension of our previous work examining attentional demands of chronic pain in the older population. The HELP study is designed to compare two different exercise programs - simple body exercise and mind-body exercise, in their effects on pain symptoms, cognitive function, dual-task walking ability, and levels of pain-related biomarkers in community-dwelling older adults with multisite pain who are at risk of falling.

Deconstructing Counselling: The Complexity Of Psychosocial Support Services In Nakivale Refugee Settlement, Emily Luba

Independent Study Project (ISP) Collection

This research analyzes the psychosocial social support component of Mental Health and Psychosocial Support (MHPSS) services in Nakivale Refugee Settlement. The objectives are (1) to define psychosocial support (2) to contextualize what services are being provided in Nakivale (3) to analyze what challenges exist for providing adequate support and (4) to discuss some strategies being employed by refugees and service-providers to combat these difficult circumstances.

56 semi-structured individual and group interviews and 2 focus group discussions were conducted to reach 96 respondents. This total includes Congolese, Rwandan, Burundian, Somali, and Ethiopian male and female refugees and organization representatives from the …

Storytelling As Self-Empowerment: A Case Study Of Avega Beneficiaries In Post-Genocide Rwanda, Lauren Garretson

Independent Study Project (ISP) Collection

This project is an assessment of the effectiveness of storytelling as a mechanism of self-empowerment in the context of post-genocide Rwanda. It concentrates on the effects of the storytelling that is done by female survivors of the 1994 genocide within one Rwandan organization, AVEGA Agahozo.[1] The research project aim is to understand how these women in contemporary Rwanda try to counter their oppression through the stories they tell others about themselves and reclaim agency over their own lives. I examine the possibilities for, and limitations of, storytelling as a means of self-empowerment for these women to counter the unjust …

Ouch, That Hurts: Childbirth-Related Pain Management And The Inappropriate Replacement Of Traditional Obstetrical Knowledge In Kumaon, Uttarakhand, India, Sabrina Zionts

Independent Study Project (ISP) Collection

Throughout India, obstetrical knowledge and practice has been developed and passed down by generations of women. In many Indian societies, traditional birth attendants, or dais, remain the gatekeepers of childbirth-related knowledge. Yet with the push towards institutional delivery, traditional knowledge and practices are being increasingly replaced with modern and Western ones. While the trend of hospital deliveries has yielded positive health outcomes, its socio-cultural consequences remain unclear. Situated in Uttarakhand’s Kumaon Himalayas, this study employs a bio-social framework and begins to reveal these consequences. Using labor pain management as an entry point, this study argues that the push towards institutional …

A Resistance, Remembered? Remembrance, Commemoration And The Parallel System In Prishtina, Kosovo, Conner Gordon

Independent Study Project (ISP) Collection

Though the 1999 war that liberated Kosovo from Serbian control is over fifteen years in the past, memories of the 1990s still remain in a state of chaos. This paper approaches the development of these collective memories through interviews with Prishtina residents about the memories and legacy of Ibrahim Rugova’s parallel structures in the 1990s. Though they draw from similar narratives as memories of the Kosovo Liberation Army’s armed resistance, memories of the nonviolent resistance play a vastly different and largely underrepresented role in current Kosovar Albanian public discourse. Through competing deployments of resistance memories, disproportionate memorialization of Kosovo’s violent …

God In Pre- And Post- Genocide Rwanda: Understanding People’S Perspectives, Ben Weinberg

Independent Study Project (ISP) Collection

After the slaughter of over a million Tutsi and moderate Hutu in Rwanda in 1994, God remains an important part in the life of many Rwandans. In this study, 11 Rwandans including survivors, perpetrators, and refugees, were interviewed to provide their perceptions of God before and after the genocide. Through the use of these interviews and various studies on evil, coping, and trauma, this research intends to understand both the shift in belief before to after the genocide and the factors that caused the shift to occur. Informant testimony provides evidence of the way that God and Christian theology has …

The Traumatic State Of Psychology: An Investigation Of The Challenges Psychologists Face When Aiming To Help Trauma Survivors In Post-Apartheid South Africa, Rohan Arcot

Independent Study Project (ISP) Collection

This project will sought to investigate the difficult role that psychologists play in post-apartheid South Africa, particularly when they are trying to create meaningful change for trauma survivors from the apartheid era. Many survivors found the results of the Truth and Reconciliation Commission (TRC) unsatisfactory, and thus still suffer from trauma (Kagee, Naidoo, & Van Wyk, 2013). There is a clear need in the present society of South Africa for a system which helps these trauma survivors find reconciliation and make peace with the atrocities of the past. Part of this system is the counseling psychologists that focus on the …

Youth Narratives Of The Conflict In Northern Uganda, Ellen Eichelberger

Independent Study Project (ISP) Collection

Narratives are an essential method of communication that create windows into human experiences. Narratives are also responsible for generating the societies in which they are told, or are shaped indelibly by the societies generated by more powerful narratives. In a post-conflict environment where society has been destroyed by decades of violence, the power of narratives to influence society is heightened. Such a postconflict environment is that of northern Uganda, as it emerges from the violence of the war between the LRA and the UPDF. Due to the heightened powers of narratives, it is necessary to give attention to what those …

Lessons On Love From The Back Of The Pew, Ann M. Sasala

SURGE

Saturday marked the one year anniversary of the death of the most important man in my life, my paternal grandfather. Despite the desire of each of his grandchildren to be his one and only favorite, somehow, looking back, I now understand that he saw the same amount of value in each of us, and that is not something that can be quantified. I learned so much from him: how to shoot a gun, how to remove a splinter, and how to be a good, kind and compassionate human-being under any circumstances. [excerpt]

A Call To Integrate Religious Communities Into Practice: The Case Of Sikhs, Muninder Kaur Ahluwalia, Anjali Alimchandani

Department of Counseling Scholarship and Creative Works

Sikhs, an ethnic and religious minority group in the United States, have seen a significant shift in their social location since 9/11. They have experienced harassment and violence beyond race and ethnicity to the visible markers of the religion (e.g., turbans). In this article, we address how counseling psychology is uniquely positioned to work with Sikhs given these circumstances. We provide an overview of Sikh Americans, including specific experiences that may affect treatment such as race-based traumatic injury, identification as a part of a visible religious minority group, and the impact of historic community-level trauma. We discuss recommendations for practitioners …