Top ten tips palliative care clinicians should know about total pain

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HAMZA HABIB, Muhammad | ZHENG, Jasmine | KOZLOV, Elissa | PENG-KELLER, Simon | CIUREA, Annette | SCHILDMANN, Jan | SCHILDMANN, Eva | GAERTNER, Jan | HOGAN, Joan | VETTER, Marcus | TOLCHIN, Dorothy W. | COYNE, Patrick | ROSA, William E. | CHWISTEK, Marcin | JONES, Christopher A. | SCHLOGL, Mathias

"Total pain" is a fundamental concept in palliative care. It emphasizes the multidimensional nature of pain and suffering in patients with advanced illnesses. Originally introduced by Dame Cicely Saunders, the spectrum of total pain extends beyond pure physical pain to further encompass psychological, social, and spiritual distress. By focusing on the above four components of total pain, clinicians can provide better care for their patients with advanced illnesses and ultimately improve their overall quality of life. Compiled by a multidisciplinary team of experts in the field, this article provides ten key strategies (tips) for palliative care clinicians to enhance their understanding and management of total pain in clinical settings.

http://dx.doi.org/10.1089/jpm.2025.0159

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