A MULTIDISCIPLINARY APPROACH
Keywords:good communication, multidisciplinary team working, total pain, palliative care, suffering
Through two distinctive case studies the author illustrates the complex nature of total pain. He describes how the physical, psychological social and spiritual elements of what it is to be human are so intertwined that they need the skills of a team of gifted professionals to help the patient and the family in their suffering. The discussion explores the pitfalls for professionals who retreat into their professional boundaries, and the benefits of a multidisciplinary approach.
CASSEL E. J. 1982 The Nature of Suffering and the Goals of Medicine. New England Journal of Medicine 1982; 306:639-45
DE HENNEZEL M. 1995 Intimate Death, Warner Books.
EDMONDS P.M., STUTTAFORD J.M., PENNY J., LYNCH A.M. CHAMBERLAIN J. 1998 Do Hospital Palliative Care Teams improve symptom control? Palliative Medicine. 12: 345-351
KRISTELLER J. L, ZUMBRUN C. S., SCHILLING R.F. 1999 How Oncologists and Oncology nurses address spiritual distress in cancer patients. Psycho-Oncology, 1999;8: 451-458
MCDANIEL J S , MUSSELMAN DL, PORTER MR, REED DA, NEMEROFF CB. 1995 Depression in patients with cancer: diagnosis, biology and treatment. Archives of General Psychiatry, 1995; 52: 89-99
MCKEGNEY F.P., BAILY L.R., YATES J.W. 1981 Prediction and Management of Pain in Patients with Advanced Cancer. General Hospital Psychiatry 3, 95-101.
POMARA N. P. GERSHON S. 1984 Treatment- resistant depression in an elderly patient with pancreatic carcinoma. Journal of Clinical Psychiatry, 1984; 45: 439-40
SAUNDERS C. M. 1978 The Management of Terminal Disease. Arnold SIGN 2000 Control of Pain in Patients with Cancer. Scottish Intercollegiate Guidelines Network No 44.
CSBS 2001 Generic Clinical Standards. Clinical Standards Board for Scotland, Edinburgh.
ZECH DF, GROND S, LYNCH J,HERTEL D, LEHMANN KA. 1995 Validation of World Health Organisation Guidelines for cancer pain relief a 10year prospective study. Pain 1995; 63: 65-76
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