A Comprehensive Approach to the Patient at End of Life: Assessment of Multidimensional Suffering
Department of Psychiatry; Department of Medicine, Division of Palliative Medicine; Department of Quantitative Health Sciences
Alternative and Complementary Medicine | Bioethics and Medical Ethics | Pain Management | Palliative Care
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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Citation: South Med J. 2016 Apr;109(4):200-6. doi: 10.14423/SMJ.0000000000000439. Link to article on publisher's site
Wachholtz, Amy B.; Fitch, Christina E.; Makowski, Suzana; and Tjia, Jennifer, "A Comprehensive Approach to the Patient at End of Life: Assessment of Multidimensional Suffering" (2016). University of Massachusetts Medical School Faculty Publications. 1144.