History of the Concept of Total Pain and Reflections on Humanization of Assistance for Terminal Patients

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6773

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Published: May 24, 2018
Issue: Vol. 16 No. 2 (2018): Ciencias de la Salud
Section Articles of Reflection


Keywords: history pain communication and humanization of assistance.

Main Article Content

Authors

Juan Rafael López Sánchez
Universidad Distrital Francisco José de Caldas, Universidad Nacional de Colombia, Universidad del Salvador, Escuela de Medicina y Ciencias de la Salud Colegio Mayor de Nuestra Señora del Rosario, Hospital Universitario Mayor Mederi.
Silvia Rivera-Largacha
Escuela de Medicina y Ciencias de la Salud Colegio Mayor de Nuestra Señora del Rosario.

Abstract

Introduction: In this paper we study the concept of ‘Total Pain’ to open a reflection on the theoretical and practical contributions that this category can offer in terminal patients care, emphasizing in the need of humanize the attention, as a way to restore the quality of life and the dignity of the patients, their families, their friends and as way to dignify and improve the quality and the work conditions of the clinical professionals who keep company to these patients in their transit to death. Development: Through this paper, we analyze the historical and epistemological process from which arises the term ‘Total Pain’ as a category that provides theoretical tools that allow direct diagnosis and the therapeutic approach of pain in the particular conditions of the terminal illness. Conclusions: The concept of ‘total pain’ allows to understand the process of end of life as an experience of disease, a condition (illness) and a social dysfunction (sickness) which involves different forms of suffering that may need to be treated in a holistic manner. Holistic care means that the healthcare professional should focus more on the patient, and not on its pathology, offering a better quality of life, and support in the process of dying.
How to Cite
López Sánchez, J. R., & Rivera-Largacha, S. (2018). History of the Concept of Total Pain and Reflections on Humanization of Assistance for Terminal Patients. Revista Ciencias De La Salud, 16(2), 339–354. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6773
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