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SPECIAL ARTICLE An Approach to the Suffering Patient Emil P. Lesho, DO Our compassion must stem from a recognition of their suffering. The Dalai Lama uffering, or spiritual pain, receives little attention in medical education, research, or prac- 1 2 tice. Institutional standards for pain management often address only physical pain, the 3-5 inadequate treatment of which is widespread and well documented. However, suffering 6,7 S is more individualized, more elusive than pain. Suffering, like physical pain, may go un- 1,3,8 recognized and undertreated even in the best settings and amidst very compassionate caregivers, simply because of inadequate diagnostic skills and knowledge about the nature of suffering. While we may not be able to alleviate suffering in the same manner or to the same degree as we can physical pain, the simple recognition of suffering in the patient is the first step in a truly holistic approach, allowing the patient to feel the therapeutic power of compassion and begin healing. No specialty or subspecialty is free from the whole person cannot occur unless we patients who are suffering. Although over address concurrent suffering. And even 2500 clinical practice guidelines pervade when there is no cure or treatment, sim- medical
JAMA Internal Medicine – American Medical Association
Published: Nov 10, 2003
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