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Caring for Special Populations: Total Pain Theory in Advanced Heart Failure: Applications to Research and Practice |
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| Authors: | Joy R Goebel RN PhD Lynn V Doering RN DNS Karl A Lorenz MD MSHS Sally L Maliski RN PhD Adeline M Nyamathi RN PhD Lorraine S Evangelista RN PhD |
| Institution: | Department of Nursing, California State University, Long Beach, CA; School of Nursing, University of California, Los Angeles, CA; David Geffen School of Medicine, University of California, Los Angeles, CA, and with the Veterans Integrated Palliative Program, Veterans Administration Greater Los Angeles Healthcare System |
| Abstract: | TOPIC. Total pain theory. PURPOSE. Describe total pain theory and apply it to research and practice in advanced heart failure (HF). SOURCE OF INFORMATION. Total pain theory provides a holistic perspective for improving care, especially at the end of life. In advanced HF, multiple domains of well-being known to influence pain perception are adversely affected by declining health and increasing frailty. A conceptual framework is suggested which addresses domains of well-being identified by total pain theory. CONCLUSION. By applying total pain theory, providers may be more effective in mitigating the suffering of individuals with progressive, life-limiting diseases. |
| Keywords: | Conceptual framework palliative care psychological well-being spirituality symptom |