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Causes for suffering
(that need palliative care)
include
:
-Disease/therapy-mediated
physical
symptoms
(pain, dyspnea, and fatigue…)
-
Psychological
symptoms
feeling of uselessness
(depression, anxiety,…..)
-More difficult to quantify and to treat are:
- the
existential or spiritual
dimensions of suffering
(
loss of a sense of purpose in living)
.
- progressive loss of function
- dramatic changes in
social
status and roles within family,
in occupational domains …
overwhelming sense of despair.
Total pain…?
PAIN, DYSPNEA & FATIGUE