David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Developing World Bioethics 9 (3):99-104 (2009)
This paper examines pain and pain relief in the Caribbean, where pain is widely perceived as an unavoidable part of life, and where unnecessary suffering results from untreated and under treated pain. Barriers to pain relief in the Caribbean include patient and family attitudes, inadequate knowledge among health professionals and unduly restrictive regulations on the medical use of opioids. Similar barriers exist all over the world. This paper urges medical, nursing and public health professionals, and educators to examine attitudes towards pain and pain relief and to work towards making effective pain relief and palliation more accessible. It recommends that i) health professionals and officials be better educated about pain, palliation and opioids, ii) regulatory restrictions be updated in light of clinical and scientific evidence, iii) opioid procurement policies be adjusted to facilitate increased medical use, iv) medical charts and records be modified to routinely elicit and document patients levels of pain, and v) educational campaigns be developed to inform the public that moderate and severe pain can be safely relieved at the end of life and other stages of life. The professional, respectful, and beneficent response to patients in pain is to provide rapid and aggressive pain relief or to urgently consult a pain or palliative specialist. When a health system hinders such efforts the ethical response is to identify, facilitate and advocate for overcoming barriers to improvement.
|Keywords||medical ethics practice guidelines education duties developing world treatment healthcare|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Nico H. Frijda (2002). What is Pain Facial Expression For? Behavioral and Brain Sciences 25 (4):460-460.
Rohini Terry, Eric E. Brodie & Catherine A. Niven (2007). Exploring the Phenomenology of Memory for Pain: Is Previously Experienced Acute Pain Consciously Remembered or Simply Known? Journal of Pain 8 (6):467-475.
Irwin Goldstein (1983). Pain and Masochism. Journal of Value Inquiry 17 (3):219-223.
Donald F. Gustafson (2000). On the Supposed Utility of a Folk Theory of Pain. Brain and Mind 1 (2):223-228.
David E. Weissman & Sandra Matson (1999). Pain Assessment and Management in the Long-Term Care Setting. Theoretical Medicine and Bioethics 20 (1):31-43.
Sandra H. Johnson (1996). Disciplinary Actions and Pain Relief: Analysis of the Pain Relief Act. Journal of Law, Medicine & Ethics 24 (4):319-327.
William Ruddick (1997). Do Doctors Undertreat Pain? Bioethics 11 (3-4):246-255.
David B. Resnik & Marsha Rehm (2001). The Undertreatment of Pain: Scientific, Clinical, Cultural, and Philosophical Factors. Medicine, Health Care and Philosophy 4 (3):277-288.
Added to index2009-10-15
Total downloads6 ( #302,951 of 1,700,311 )
Recent downloads (6 months)1 ( #362,609 of 1,700,311 )
How can I increase my downloads?