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Open AccessJournal ArticleDOI

A Comprehensive Approach to the Patient at End of Life: Assessment of Multidimensional Suffering

TLDR
This review explores the relation between the psychospiritual dimensions of suffering and the experience of physical pain, and how to assess and treat pain in a multidimensional framework.
Abstract
Pain is a multidimensional, complex experience. There are many challenges in identifying and meeting the needs of patients experiencing pain. Evaluation of pain from a bio-psycho-social-spiritual framework is particularly germane for patients approaching the end of life. This review explores the relation between the psychospiritual dimensions of suffering and the experience of physical pain, and how to assess and treat pain in a multidimensional framework. A review of empirical data on the relation between pain and suffering as well as interdisciplinary evidence-based approaches to alleviate suffering are provided.

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Journal ArticleDOI

A gap between the philosophy and the practice of palliative healthcare: sociological perspectives on the practice of nurses in specialised palliative homecare.

TL;DR: Nursing practice in specialised palliative homecare is explored, and how it is influenced by organisational and cultural structures shows that nurses consolidate the doxa of medicine, including medical-professional values that configure a control-oriented, positivistic approach.
Journal ArticleDOI

Enhancing meaning in the face of advanced cancer and pain: Qualitative evaluation of a meaning-centered psychosocial pain management intervention

TL;DR: Patient evaluations of the content, structure, and delivery modality of Meaning-Centered Pain Coping Skills Training (MCPC), a novel psychosocial intervention for patients with advanced cancer and pain, were obtained.
References
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Journal ArticleDOI

The need for a new medical model: a challenge for biomedicine

TL;DR: A biopsychosocial model is proposed that provides a blueprint for research, a framework for teaching, and a design for action in the real world of health care.
Book

Man's Search for Meaning

TL;DR: A new edition of Man's Search for Meaning includes a new preface by the author, in which he explains his decision to remain in his native Austria during the Nazi invasion, a choice which eventually led to his imprisonment.
Journal ArticleDOI

Pain mechanisms: A new theory

Ronald Melzack, +1 more
- 01 Mar 1996 - 
Journal ArticleDOI

Patterns of positive and negative religious coping with major life stressors.

TL;DR: This paper identified positive and negative patterns of religious coping methods, developed a brief measure of these religious coping patterns, and examined their implications for health and adjustment, using exploratory and confirmatory factor analyses.
Journal Article

Pain mechanisms: a new theory

Ronald Melzack, +1 more
- 01 Jan 1994 - 
TL;DR: In this paper, a new theory of pain mechanisms is proposed, which is based on the idea that the nerve impulse pattern for pain is produced by intense stimulation of nonspecific receptors since there are no specific fibers and no apecific endings.
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