{"id":3737,"date":"2020-11-19T12:50:13","date_gmt":"2020-11-19T20:50:13","guid":{"rendered":"https:\/\/keck.usc.edu\/news\/an-intersectional-approach-to-treating-chronic-pain\/"},"modified":"2023-11-26T08:35:14","modified_gmt":"2023-11-26T16:35:14","slug":"an-intersectional-approach-to-treating-chronic-pain","status":"publish","type":"post","link":"https:\/\/keck.usc.edu\/news\/an-intersectional-approach-to-treating-chronic-pain\/","title":{"rendered":"An Intersectional Approach to Treating Chronic Pain"},"content":{"rendered":"\n  \n    \n\n\n\n\n\n\n<div\n  class=\"cc--component-container cc--article-hero \"\n\n  \n  \n  \n  \n  \n  \n  >\n  <div class=\"c--component c--article-hero\"\n    \n      >\n\n    \n  <div class=\"text-container\">\n              \n<div class=\"f--field f--eyebrow\">\n\n    \n  <span>Press Release<\/span>\n\n\n\n<\/div>\n    \n              \n<div class=\"f--field f--page-title\">\n\n    \n      <h1>An Intersectional Approach to Treating Chronic Pain<\/h1>\n\n\n<\/div>\n    \n    \n          <div class=\"meta\">\n        \n                  <span class=\"date\">November 19, 2020<\/span>\n              <\/div>\n    \n              \n<div class=\"f--field f--embed\">\n\n    \n  <div class=\"heateor_sss_sharing_container heateor_sss_horizontal_sharing\" data-heateor-ss-offset=\"0\" data-heateor-sss-href='https:\/\/keck.usc.edu\/news\/an-intersectional-approach-to-treating-chronic-pain\/'><div class=\"heateor_sss_sharing_ul\"><a aria-label=\"Facebook\" class=\"heateor_sss_facebook\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fkeck.usc.edu%2Fnews%2Fan-intersectional-approach-to-treating-chronic-pain%2F\" title=\"Facebook\" rel=\"nofollow noopener\" target=\"_blank\" style=\"font-size:32px!important;box-shadow:none;display:inline-block;vertical-align:middle\"><span class=\"heateor_sss_svg\" 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2.004.382 2.75 1.146l2.777 2.79c.75.747 1.12 1.66 1.12 2.737 0 1.105-.392 2.045-1.183 2.817l1.186 1.186c.774-.79 1.708-1.186 2.805-1.186 1.078 0 1.995.377 2.75 1.132l2.804 2.804c.754.755 1.13 1.672 1.13 2.75z\"\/><\/svg><\/span><\/a><\/div><div class=\"heateorSssClear\"><\/div><\/div>\n\n\n<\/div>\n        \n  <\/div>\n\n          \n<div class=\"f--field f--image\">\n\n    \n    \n    \n    \n    \n    \n              \n      <img\n                            data-src=\"https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2023\/11\/intersectional-theory-treating-chronic-pain-online-postgraduate-degree-768x432.jpg\"\n          data-srcset=\"https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2023\/11\/intersectional-theory-treating-chronic-pain-online-postgraduate-degree-1280x720.jpg 1280w,https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2023\/11\/intersectional-theory-treating-chronic-pain-online-postgraduate-degree-768x432.jpg 768w\"          data-sizes=\"(min-width:1200px) 75vw, (min-width:768px) 83vw, 100vw\"          class=\"lazyload\"\n        \n                alt=\"intersectional-theory-treating-chronic-pain-online-postgraduate-degree\"\n\n        \n                \n                                      \/>\n\n    \n    \n  \n  \n\n<\/div>\n  \n\n  <\/div><\/div>\n\r\n\r\n\n\n  \n    \n\n\n\n\n\n\n<div\n  class=\"cc--component-container cc--rich-text white\"\n\n  \n  \n  \n  \n  \n  \n  >\n  <div class=\"c--component c--rich-text\"\n    \n      >\n\n    \n  <div class=\"inner-wrapper\">\n        \n<div class=\"f--field f--wysiwyg\">\n\n    \n  <p>The medical records of chronic pain patients generally identify patient demographics including race, age, gender, or employment.\u00a0 Sometimes, the patient\u2019s gender orientation status is also included.<!--more--><\/p>\n<p>Except for racial\/ethnic-specific reference intervals for laboratory tests, these medical records rarely reveal how else these variables come into play in the patient\u2019s <a href=\"https:\/\/ostrowon.usc.edu\/2020\/08\/12\/functional-restoration-program\/\">treatment of chronic pain<\/a>.\u00a0 In fact, except for a \u201ccut and paste,\u201d into a future note, there will be no further mention of these items.\u00a0 This documentation illustrates that more progress is needed for clinicians to identify how to interweave complex patient variables into their standard treatment protocols.<\/p>\n<p>Like what you\u2019re learning?\u00a0 Consider enrolling in our online certificate or master\u2019s program in <a href=\"https:\/\/keck.usc.edu\/pain-medicine\/\">Pain Medicine<\/a> in partnership with the Keck School of Medicine of USC.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/cta-redirect.hubspot.com\/cta\/redirect\/2371308\/3b5f3351-cd52-4a4b-84aa-299d202a0ffd\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2023\/11\/3b5f3351-cd52-4a4b-84aa-299d202a0ffd.png\" alt=\"Get More Information\" width=\"198\" height=\"36\" \/><\/a><\/figure>\n<h2>Intersectional Theory and Chronic Pain<\/h2>\n<p>Research clearly demonstrates that <a href=\"https:\/\/www.apa.org\/pubs\/journals\/releases\/amp-amp0000636.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">these variables can impact chronic pain patient\u2019s<\/a> access to treatment, patient-clinician communication, treatment planning, response to treatments as well as health outcomes (1).\u00a0 Additionally, if a chronic pain patient has more than one of these memberships, e.g. minority, disabled, low or no income, this can further complicate the picture of their care.<\/p>\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0277953614001919\">Intersectional theory<\/a> asserts that people are often disadvantaged by multiple sources of oppression.\u00a0 The opportunity to address this oppression exists in all levels of medical care with the goal of increasing accessibility of care, improving the predictability of getting appropriate care, and enhancing feelings of safety for all patients with chronic pain.<\/p>\n<p>In this article, \u201c<a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/15265161.2018.1557275\" target=\"_blank\" rel=\"noopener noreferrer\">Intersectionality in Clinical Medicine: The need for a conceptual framework<\/a>,\u201d(2), the authors discuss how intersectionality may provide a useful framework to address some of the problems created by the interpersonal, social and political structures within which patients with chronic pain exist in the medical setting.<\/p>\n<p>Two clinical scenarios are presented as examples of how intersectionality as an embedded approach would look in patient clinician interactions.\u00a0 They also address a response to objections to the concept of intersectionality.<\/p>\n<p>The authors conclude that the application of intersectionality in the medical setting:<\/p>\n<ul>\n<li>Endorses a patient-clinician partnership.<\/li>\n<li>Helps clinicians understand the individual and societal structures that a patient may need to endure to benefit from treatment.<\/li>\n<li>Creates openness in the clinician to the larger set of influences that affect a patient\u2019s response to illness and chronic pain.<\/li>\n<\/ul>\n<h2>Earn an Online Postgraduate Degree in Pain Medicine<\/h2>\n<p>Like what you\u2019re learning? Consider enrolling in the Herman Ostrow School of Dentistry of USC\u2019s online, competency-based certificate or master\u2019s program in <a href=\"https:\/\/keck.usc.edu\/pain-medicine\/\">Pain Medicine<\/a> in partnership with the Keck School of Medicine of USC.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><a href=\"https:\/\/cta-redirect.hubspot.com\/cta\/redirect\/2371308\/3b5f3351-cd52-4a4b-84aa-299d202a0ffd\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/keck.usc.edu\/news\/wp-content\/uploads\/sites\/68\/2023\/11\/3b5f3351-cd52-4a4b-84aa-299d202a0ffd.png\" alt=\"Get More Information\" width=\"198\" height=\"36\" \/><\/a><\/figure>\n<h2>References<\/h2>\n<p>1. Hirsh, A. T., Anastas, T. M., Miller, M. M., Quinn, P. D., &amp; Kroenke, K. (2020). Patient race and opioid misuse history influence clinician risk perceptions for future opioid-related problems. American Psychologist, 75(6), 784\u2013795.<\/p>\n<p>2. Yolonda Wilson, Amina White, Akilah Jefferson &amp; Marion Danis (2019) Intersectionality in Clinical Medicine: The Need for a Conceptual Framework, The American Journal of Bioethics, 19:2, 8-19<\/p>\n<\/div>\n<\/div>\n\n\n\n<\/div>\n  <\/div>\n\n\n  <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":168,"featured_media":3738,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[146],"class_list":["post-3737","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release","tag-pain-medicine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>An 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