Palliative Care: The Social Pain | Chapter 09 | Current Research in Education and Social Studies Vol. 3

This article intends to carry out an analysis on Palliative Care and its relationship with human rights, considering the multidimensional conceptions inherent to pain as advocated by Cicely Saunders. The author delves into the concept of total pain by understanding it as a set of symptoms that can contribute to a pain picture that encompasses the physical, psychological, social and spiritual dimensions that affect a patient’s life. In this way, the field in question is presented from the concept of total pain, revealing its dimensions of social pain. Thus, it is based on bibliographical research, using the method of narrative revision. Emphasis is placed on the study of Michel Foucault, in his last phase, in the reflexive process on pain and finitude as practices of freedom. The purpose of palliative care is to give meaning to pain in order to re-signify life in a limiting condition imposed by the non-prospect of healing. It also provides a vital redirection of care for the maximization of the quality of life. It is concluded that social pain is exacerbated by a tense and contradictory daily life, which often imposes a harsh reality that threatens the right of universal access to health (without discrimination and social security) and makes it become distant, almost utopian. This is certainly a dilemma of the all Brazilian health professionals.

Author(s) Details

Andrea Frossard
Brazilian National Cancer Institute, Palliative Care, Rio de Janeiro, Brazil.

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Aminoff Suffering Syndrome: A Challenge for Medical and Nursing Staff during End-of-Life Care: Open Letter and Proposals | Chapter 07 | New Insights into Disease and Pathogen Research Vol. 1

The diagnosis of Aminoff Suffering Syndrome in advanced dementia determined by measuring the suffering level of patients according to the Mini Suffering State Examination (MSSE) scale—facilitates acceleration and intensity of care by the nursing staff in order to prevent and relieve suffering. Relief of Suffering Units for patients with Aminoff Suffering Syndrome should be an integral part of any medical department or nursing home that specializes in caring for elderly people. Aminoff Suffering Syndrome at the end of life could, and should be diagnosed, prevented and diminished. The treatment of patients with Aminoff Suffering Syndrome at the end of life is a genuine challenge for medical and nursing personnel. Our proposals for further experimental studies at the end of life are the diagnosis of Aminoff Suffering Syndrome in dying patients with cancer, AIDS, cardiac, pulmonary, kidney, liver and other terminal diseases. We recommend that such studies should be performed at the St Christopher’s Hospice and all other settings.

Author(s) Details

Professor Bechor Zvi Aminoff

The Minerva Center for the Interdisciplinary Study of End-of-Life, Tel Aviv University, Ramat Aviv, Israel.

Geriatric Division, The Chaim Sheba Medical Center, Tel Hashomer, Israel.

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