A window into pain: American Indian cancer survivors’ drawings

In order to explore the cultural constructs of pain, a series of focus groups were held among adult American Indian (AI) cancer survivors and their caregivers in the Southwest USA. Thirteen focus groups held at four sites (reservation, urban setting, hospital and clinic) elicited information on the...

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Main Authors: Felicia S. Hodge, Tracy Line Itty, Rachel H.A. Arbing, Christine Samuel-Nakamura
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Pain Research
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpain.2022.1031347/full
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author Felicia S. Hodge
Felicia S. Hodge
Tracy Line Itty
Rachel H.A. Arbing
Christine Samuel-Nakamura
author_facet Felicia S. Hodge
Felicia S. Hodge
Tracy Line Itty
Rachel H.A. Arbing
Christine Samuel-Nakamura
author_sort Felicia S. Hodge
collection DOAJ
description In order to explore the cultural constructs of pain, a series of focus groups were held among adult American Indian (AI) cancer survivors and their caregivers in the Southwest USA. Thirteen focus groups held at four sites (reservation, urban setting, hospital and clinic) elicited information on the barriers to cancer pain management. In response to facilitator questions about cancer pain and existing measurement scales, participants drew pictures to better explain their pain type (i.e., “pounding”), intensity (i.e., “spider web-like”), and other more abstract aspects of their pain episodes. Noting this novel outlet, subsequent groups were prompted for illustrations of pain. A total of 17 drawings were collected from focus group participants. We discuss seven of the drawings that best opened a window into the lived experience of pain, reflected through the eyes of cancer survivors. This study provides evidence that self-expression through color, imagery and written personal accounts provides more accurate depictions of pain for Southwest AI cancer survivors than pain scales alone. It is hypothesized that cultural modes of communication (i.e., storytelling) and intergenerational influences of artwork led to the depiction of pain in drawings. Suggestions for further exploration of the use of the pain drawings for pain assessment in healthcare settings are included.
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spelling doaj.art-f964a004c2c7489a9f3b44e6b7d8abd52022-12-22T04:07:24ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2022-10-01310.3389/fpain.2022.10313471031347A window into pain: American Indian cancer survivors’ drawingsFelicia S. Hodge0Felicia S. Hodge1Tracy Line Itty2Rachel H.A. Arbing3Christine Samuel-Nakamura4School of Nursing, University of California Los Angeles, Los Angeles, CA, United StatesFielding School of Public Health, University of California Los Angeles, Los Angeles, CA, United StatesSchool of Nursing, University of California Los Angeles, Los Angeles, CA, United StatesSchool of Nursing, University of California Los Angeles, Los Angeles, CA, United StatesSchool of Nursing, University of California Los Angeles, Los Angeles, CA, United StatesIn order to explore the cultural constructs of pain, a series of focus groups were held among adult American Indian (AI) cancer survivors and their caregivers in the Southwest USA. Thirteen focus groups held at four sites (reservation, urban setting, hospital and clinic) elicited information on the barriers to cancer pain management. In response to facilitator questions about cancer pain and existing measurement scales, participants drew pictures to better explain their pain type (i.e., “pounding”), intensity (i.e., “spider web-like”), and other more abstract aspects of their pain episodes. Noting this novel outlet, subsequent groups were prompted for illustrations of pain. A total of 17 drawings were collected from focus group participants. We discuss seven of the drawings that best opened a window into the lived experience of pain, reflected through the eyes of cancer survivors. This study provides evidence that self-expression through color, imagery and written personal accounts provides more accurate depictions of pain for Southwest AI cancer survivors than pain scales alone. It is hypothesized that cultural modes of communication (i.e., storytelling) and intergenerational influences of artwork led to the depiction of pain in drawings. Suggestions for further exploration of the use of the pain drawings for pain assessment in healthcare settings are included.https://www.frontiersin.org/articles/10.3389/fpain.2022.1031347/fullpaincancerdrawingspicturesAmerican Indianpain assessment
spellingShingle Felicia S. Hodge
Felicia S. Hodge
Tracy Line Itty
Rachel H.A. Arbing
Christine Samuel-Nakamura
A window into pain: American Indian cancer survivors’ drawings
Frontiers in Pain Research
pain
cancer
drawings
pictures
American Indian
pain assessment
title A window into pain: American Indian cancer survivors’ drawings
title_full A window into pain: American Indian cancer survivors’ drawings
title_fullStr A window into pain: American Indian cancer survivors’ drawings
title_full_unstemmed A window into pain: American Indian cancer survivors’ drawings
title_short A window into pain: American Indian cancer survivors’ drawings
title_sort window into pain american indian cancer survivors drawings
topic pain
cancer
drawings
pictures
American Indian
pain assessment
url https://www.frontiersin.org/articles/10.3389/fpain.2022.1031347/full
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