Palliative care 2017

Total pain…?

Causes for suffering (that need palliative care) include :

-Disease/therapy-mediated physical symptoms (pain, dyspnea, and fatigue…) PAIN, DYSPNEA & FATIGUE

 feeling of uselessness

- Psychological symptoms

(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.