Multifactorial Issues In End Of Life Care

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Pain management is mostly synonymous with the provision of ample and appropriate palliative services. In healthcare, palliative means the alleviation and relief of a patient from his or her underlying disease that causes sufficient distress and immense discomfort, which not only physically disables the patient, but also mentally and emotionally inflicts suffering to both the patient and the family (Prem, Karvannan, Kumar, Karthikbabu, Syed, Sisodia, & Jaykumar, 2012). Attempts in improving practice through adaptive models have since then been an endeavor set forth by different expert entities. Their concerns were geared towards addressing both the biophysical and biopsychosocial aspects affecting effective advocacies in bridging the gap between …show more content…
Multifactorial considerations should be addressed in order for a clinician, such as nurses and doctors, to fully comprehend the complexities revolving around the nature of pain and its implication in palliative care. Nursing curricula in earlier generations has solely focused on the biophysical or biomedical domain of acknowledging pain and the inherent attention it requires to mitigate the affliction on the human body (Prem et al., 2012). However, as living organisms that thrive together as a living community, from time immemorial humans have lived in packs, such that one supports the other and comforts their misfortunes. With that being said, it has been a mission for some researchers to discover the significance of pain in relation to behavioral and psychosocial alterations in patients commonly seen dependent on palliative services. This recent article argues that pain not only manifests as physical objective signs or subjective expressions, but also exhibits through changes in an individual’s conduct, affect, and psychiatric expressions (Prem et al., 2012). Relevant to its clinical application, behavioral or psychosocial mutations should be generously observed and interpreted not as a complication of a pathologic process, but rather a contributing factor to be recognized as a tool directing attention for clinicians to address pain (Prem et al.,

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