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      Conventional medical attitudes to using a traditional medicine vodou-based model of pain management: survey of French dentists and the proposal of a pain model to facilitate integration

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          Abstract

          Objectives

          The purposes of this study were to develop a pain management model using traditional medicine (TM) vodou healing methods; to survey a sample of French dentists to rate components of conventional and proposed TM vodou-based pain management model; and to assess the possibility of conventional, allopathic providers to integrate TM or complementary and alternative medicine concepts.

          Methods

          From a set of 30 fact sheets collected from TM African healers (vodou healers), main clinical concepts and terminology were extracted. Twenty vodou-based pain management concepts were collected from an interview with a TM vodou practitioner. From this information, a 7-step vodou-based pain management model was created. A sample of 40 French dentists from Nantes, France, whose practices focused on the clinical treatment of dental pain, was surveyed to assess the importance of both TM (vodou) and conventional biomedical components.

          Results

          Seventy percent of the dentists sampled rated the rational components of the TM model as “very important” or “important” for pain treatment, whereas 2 other traditional concepts were considered to be “supernatural” or beyond understanding.

          Conclusion

          This study showed that traditional healers used conventional concepts and conventional practitioners could use traditional concepts. This suggests that conventional allopathic medical providers have the capacity to integrate biomedical concepts and other therapeutic and explanatory models. This information may be helpful to understand and improve risk management by anticipating and preventing potential reasons for failure in TM integration strategies and to enhance communication between patients, healers, and physicians to optimize TM or complementary and alternative medicine integration.

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          Most cited references40

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          Engel's biopsychosocial model is still relevant today.

          Rolf Adler (2009)
          In 1977, Engel published the seminal paper, "The Need for a New Medical Model: A Challenge for Biomedicine" [Science 196 (1977) 129-136]. He featured a biopsychosocial (BPS) model based on systems theory and on the hierarchical organization of organisms. In this essay, the model is extended by the introduction of semiotics and constructivism. Semiotics provides the language which allows to describe the relationships between the individual and his environment. Constructivism explains how an organism perceives his environment. The impact of the BPS model on research, medical education, and application in the practice of medicine is discussed.
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            A capsule history of pain management.

            Pain is a complex clinical problem. Assessment depends on verbal report, and the patient's physical perceptions may be modified by cognitive and affective factors. The salience of pain as a problem in its own right has grown since 1945 and new therapeutic alternatives have developed from research and from new theoretical perspectives. This short historical review of the highlights of the history of pain management gives particular emphasis to the 20th century and to chronic and cancer pain.
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              Drugs for pain management in dentistry.

              Pain is one of the most common reasons patients seek dental treatment. It may be due to many different diseases/conditions or it may occur after treatment. Dentists must be able to diagnose the source of pain and have strategies for its management. The '3-D's' principle--diagnosis, dental treatment and drugs--should be used to manage pain. The first, and most important, step is to diagnose the condition causing the pain and identify what caused that condition. Appropriate dental treatment should then be undertaken to remove the cause of the condition as this usually provides rapid resolution of the symptoms. Drugs should only be used as an adjunct to the dental treatment. Most painful problems that require analgesics will be due to inflammation. Pain management drugs include non-narcotic analgesics (e.g., non-steroidal anti-inflammatory drugs, paracetamol, etc) or opioids (i.e., narcotics). Non-steroidal anti-inflammatory drugs (NSAIDs) provide excellent pain relief due to their anti-inflammatory and analgesic action. The most common NSAIDs are aspirin and ibuprofen. Paracetamol gives very effective analgesia but has little anti-inflammatory action. The opioids are powerful analgesics but have significant side effects and therefore they should be reserved for severe pain only. The most commonly-used opioid is codeine, usually in combination with paracetamol. Corticosteroids can also be used for managing inflammation but their use in dentistry is limited to a few very specific situations.
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                Author and article information

                Contributors
                Journal
                J Chiropr Humanit
                J Chiropr Humanit
                Journal of Chiropractic Humanities
                National University of Health Sciences
                1556-3499
                12 July 2012
                December 2012
                : 19
                : 1
                : 24-35
                Affiliations
                [a ]Doctor of Dentistry, ERT 2004-INSERM U791, Nantes, France
                [b ]Professor of Dentistry, PU-PH UFR d'Odontologie, Nantes, France
                [c ]Professor of Medicine, UFR Médecine, Laboratoire Pathologie Exotique, Nantes, France
                [d ]Professor, Sociologist and Philosopher, IHT-Polytech'Nantes, France
                [e ]Doctor of Medicine, Algologist, Physical Medicine and Rehabilitation Specialist, CETD, CHU de Nantes, France
                [f ]Natural Language Processing Specialist, LINA, UMR CNRS 6241, Nantes, France
                [g ]Doctor of Medicine, Biostatistics and Pharmacoepidemiology Specialist, PIMESP, CHU de Nantes, France
                [h ]Professor of Social Rights, UFR Droits et sciences politiques, Nantes, France
                Author notes
                [* ]Corresponding author. ERT 2004-INSERM U791, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France. Tel.: + 33 6 64 72 55 53. martins@ 123456lavima.org martinsanou@ 123456gmail.com
                Article
                ECHU31
                10.1016/j.echu.2012.10.005
                3748328
                23966886
                0de623bc-a130-4f6c-ba52-cbb85fa2d4ad
                © 2012 National University of Health Sciences. All rights reserved.
                History
                : 7 February 2012
                : 15 September 2012
                : 1 October 2012
                Categories
                Original Article

                Complementary & Alternative medicine
                traditional medicine,complementary therapies,integrative medicine,pain management,cultural characteristic,communication,dentists,medicine, african traditional

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