Caring for special populations: total pain theory in advanced heart failure: applications to research and practice.

Goebel JR, Doering LV, Lorenz KA, Maliski SL, Nyamathi AM, Evangelista LS. Caring for special populations: total pain theory in advanced heart failure: applications to research and practice. Nursing Forum. 2009 Jul 1; 44(3):175-85.

Related HSR&D Project(s)

• IIR 02-294 – Randomized Trial of Care Management to Improve End of Life Care

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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.