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Pain is present in the 70-90% of palliative care patients. The biggest complayn is the lose of autonomy in different levels. Pain should be seen as muldimensional sympthom, where different dimensions interact toghether.
Pain is present in the 70-90% of palliative care patients. The biggest complayn is the lose of autonomy in different levels. Pain should be seen as muldimensional sympthom, where different dimensions interact toghether.
Pain is present in the 70-90% of palliative care patients. The biggest complayn is the lose of autonomy in different levels. Pain should be seen as muldimensional sympthom, where different dimensions interact toghether.
Chiara Taboga Author: Chiara Taboga Email: chiarataboga@hotmail.com Is very difficlt to give pain a unique meaning! Is possible to find out in litterature a lot of pain’s definitions, some indicate pain as a sy,mptom, some as s deasease, some as a syndrome, but we Phone believe hat the one wich describes better the multidimensional nature and the subjectivity of pain is the Mc Caffery’s: “Pain is… everthing the patient feel as pain and exsist everytime the patient says it is.” Mobile phone This definition assert peremptorily the central position of patient as the only and one source of information about the pain he feels and this vision gives the patient a double role of subject and object of pain’s management. Pain is present in the 70-90% of palliative care patients, this is why pain assessment and Please underline the most management is one of themain goal in palliative medicine. appropriate category for your In a large number of interwivs patients underline the suffer that disability associated with pain abstract causes.The biggest complayn is the lose of autonomy in different levels: the impossibility of made activities of daily living, the loss of the social role or the part in the family, or in the work. • Pain and other symptoms In this way pain should be seen as muldimensional sympthom, where different dimensions • Palliative care for cancer patients interact toghether. • Palliative care for non cancer Phisical Pain: it is quite easy to perceive, sually we ascribe it to particular situations such as patients invasive practices, wounds or falls… • Paediatric palliative care Psychological Pain: more compless to understand but now the operatort are giving more attention to this dimension. It is usually express with sudden mutation of mood, anger, anxiety, • Palliative care for the elderly frustration. • The actors of palliative care Social Pain: we can identify with the loss of soial role, isolation, segregation or shame. • Latest on drugs Spiritual pain: the big mistery, often confuse with loss of religiose beliefs. • Pain Burocratic Pain: the incredible mass of clinical practice, papers and visits, queques and forms patients and families must do to receive too late the assistence they need now. • Illness and suffering through The influence of pain on the quality of life of the patient and his family, the influence on the media compliance and on he consequent efficacy of the therapy suggest to consider the pain the fifth vital sign, assessed and managed with proper care. • Marginalisation and social stigma This is a very ambitious goal becouse to gain it, we need a cultural change wich involves at the end of life professionists, but also polititians and health’s administrators. They should start to undersatand • Palliative care advocacy projects and propose management of pain as a care prioity made all the services easy to reach for all tha • Prognosis and diagnosis community, the antalgic drugs available, give to the people the rightinformation and to doctors communication in and nurses the right education. different cultures • Communication between doctor- patient and patient- equipe • Religions and cultures versus suffering, death and bereavement Session: Pain • Public institution in the world: palliative care policies Chair: Prof. Alessandro F. Sabato, Prof. Guido Fanelli and law • Palliative care: from villages to metropolies • Space, light and gardens for the terminally ill patient • End-of-life ethics • Complementary therapies • Education, training and research • Fund-raising and no-profit • Bereavement support • Volunteering in palliative care • Rehabilitation in palliative care • Palliative care quality indicators
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