Related Experiment Video
Updated: Jun 11, 2025
A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
A Scoping Review of Social Determinants of Health and Pain Outcomes in Sickle Cell Disease
Juanita E Darby1, Ivy C Akpotu1, Dahee Wi1
1College of Nursing, University of Illinois Chicago, Chicago, IL.
Background:
Sickle cell disease (SCD) is a hereditary blood disorder with chronic pain that affects over 100,000 people in the United States. Previous research suggests a complex interaction between SCD pain outcomes and social determinants of health (SDOH).
Objective:
To explore the impact of SDOH on pain outcomes in SCD.
Design:
We used a scoping review design to explore the broad topic of social factors that affect SCD pain.
Data Sources:
We searched the PubMed/MEDLINE, CINAHL, and Embase databases using combined search and Medical Subject Headings terms ("social determinants of health," "sickle cell," and "pain").
Review Methods:
We used a content analysis with a summative approach to identify and describe interactions between SDOH and SCD pain outcomes.
Findings:
Eight articles reporting studies with 7,992 total participants and a focus on SCD pain outcomes met the inclusion criteria. Three themes related to SDOH and pain were produced: education and employment, social and emotional functioning, and healthcare access.
Conclusion:
The key findings highlight the complex interplay between socioeconomic, psychological, and biological factors in SCD pain experiences. This underscores the need for nursing care to consider SDOH in an integrated, holistic approach to SCD pain.
Implications For Nursing:
To improve pain management among their SCD patients, nurses can assess pain holistically, develop customized individual pain management plans with educational and health literacy support options, and strengthen social support.
More Related Videos
08:33Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
Related Concept Videos
01:21Dimensions of Health and Illness
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:22Nursing Diagnosis
The nursing diagnosis focuses on evidence-based...
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:23Peripheral Artery Disease V: Postoperative Nursing Management