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CE Understanding of the Concept of ‘‘Total Pain’’

Understanding of theConcept of total pain A Prerequisite for pain ControlAnita Mehta, RN, MSc(A)Lisa S. Chan, RN, MSc(A)vPain is one of the most common anddistressing symptoms described by palliativecancer patients. Despite the fact that pain canbe controlled, poor pain relief continues to be achallenge in palliative care. The lack of clarity inhow to understand pain for this populationcontributes to the persistence of poor painmanagement. Dame Cicely Saunders coinedthe term total pain to characterize themultidimensional nature of the palliativepatient s pain experience to include thephysical, psychological, social, and spiritualdomains.

CE 26 JOURNAL OF HOSPICE AND PALLIATIVE NURSING v Vol. 10, No. 1, January/February 2008 Author Affiliations: Anita Mehta, RN, MSc(A), is a Doctoral Candidate, McGill University, Montreal, ... ment of pain, and the sensory nerve patterns evoked by the physical stimulation.23 Cohen and Boisvert24 and

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