Chapter 5 Psychological and Cultural Influences on Pain and Recovery from Landmine Injury
| Autor: | Ken Rutherford, N. Timothy Lynch, Kathy Lasch, Crystal Sherman, Donovan Webster |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
business.industry Human factors and ergonomics Poison control General Medicine medicine.disease Social support Anesthesiology and Pain Medicine Sexual dysfunction Injury prevention medicine Abandonment (emotional) Neurology (clinical) Social isolation medicine.symptom Psychiatry business Psychological trauma |
| Zdroj: | Pain Medicine. 7:S213-S217 |
| ISSN: | 1526-4637 1526-2375 |
| DOI: | 10.1111/j.1526-4637.2006.00234_7.x |
| Popis: | Beyond the dismemberment, physical injuries, and infection that accompanies landmine injury, substantial pain and psychological trauma must be treated before the individual can return to a productive life. Psychological and cultural factors can modulate the pain response to bodily injury [1,2]. It is essential to take these factors into account when assessing and managing the pain problems associated with landmine injuries. Most landmine survivors have a major affective disorder and post-traumatic stress disorder (PTSD) [3]. In developing countries, these injuries may result in marked social isolation and stigmatization, abandonment by family, the loss of a meaningful role in society, divorce, unemployment, the loss of income, reduced access to food and water supplies, sexual dysfunction, and crime, all of which may exacerbate the pain experience [4–10]. One study found that anatomic problems were present in 51% of amputees and that social problems were present in 56%[11]. Landmine injuries can include the loss of limb and eyes, plus massive debilitation from multiple wounds. Although nearly all survivors with amputations experience phantom sensations, phantom limb pain (pain in the body part that has been amputated) has been estimated to occur in 50–80% of all amputees [12]. The preamble and Article 6/paragraph 3 of the Ottawa Treaty provides for the social and economic reintegration of survivors into society at large. This legally recognized right emphasizes the need to provide assistance to survivors beyond emergency medical care and prosthetics. Pain control is an important part of the reintegration process. Studies on return to work after injury suggest that those survivors with the highest levels of pain would be the least likely to successfully re-join general society [13]. Landmine injury is traumatic for anyone, but appropriate and expedient medical care delivery, social support, and … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|