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Causes for suffering

(that need palliative care)

include

:

-Disease/therapy-mediated

physical

symptoms

(pain, dyspnea, and fatigue…)

-

Psychological

symptoms

è

feeling of uselessness

(depression, anxiety, loss of a sense of purpose in living)

-More difficult to quantify and to treat are:

- the

existential or spiritual

dimensions of suffering.

- progressive loss of function

- dramatic changes in

social

status and roles within family,

in occupational domains …

è

overwhelming sense of despair.

Total pain…?

PAIN, DYSPEA & FATIGUE