The alleviation of suffering is crucial in all of medicine, especially in the care of the dying.
Suffering cannot be treated unless it is recognized and diagnosed.
Suffering involves some symptom or process that threatens the patient because of fear, the meaning of the symptom, and concerns about the future.
The meanings and the fear are personal and individual, so that even if two patients have the same symptoms, their suffering would be different.
The complex techniques and methods that physicians usually use to make a diagnosis, however, are aimed at the body rather than the person.
The diagnosis of suffering is therefore often missed, even in severe illness and even when it stares physicians in the face.
A high index of suspicion must be maintained in the presence of serious disease, and patients must be directly questioned.
Concerns over the discomfort of listening to patients'severe distress are usually more than offset by the gratification that follows the intervention.
Often, questioning and attentive listening, which take little time, are in themselves ameliorative.
The information on which the assessment of suffering is based is subjective ; this may pose difficulties for physicians, who tend to value objective findings more highly and see a conflict between the two kinds of information. (...)
Mots-clés Pascal : Douleur morale, Epidémiologie, Etiopathogénie, Méthodologie, Diagnostic, Homme, Perspective, Système nerveux pathologie, Psychopathologie, Organisation santé
Mots-clés Pascal anglais : Mind pain, Epidemiology, Etiopathogenesis, Methodology, Diagnosis, Human, Perspective, Nervous system diseases, Psychopathology, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0504096
Code Inist : 002B18C14. Création : 22/03/2000.