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An Integrative Approach to Pain at the End of Life 

An Integrative Approach to Pain at the End of Life
Chapter:
An Integrative Approach to Pain at the End of Life
Author(s):

Kevin B. Mathews

DOI:
10.1093/med/9780199315246.003.0056
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date: 26 June 2019

This chapter reviews Dr. Cicely Saunders’ proposed a model of “Total Pain” which is synonymous “End of Life Pain.” A “Mindful Practitioner” with clear, honest, concise communication benefits patients and families facing decisions including end of life pain management. Palliative Care and Hospice Care provide interdisciplinary care for patients with incurable illness at different phases of the disease process. Hope and transformation are possible for patients and families when a cure is not. Early introduction of palliative care can improve quality of life and longevity in patients with advanced cancer. Mind Body techniques are essential adjuvant therapies in treating end of life pain. Health care providers can and learn to amplify the placebo effect and mitigate the nocebo effect in interactions with patients and families.

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