Pain is a feature of many common diseases |
Pain is a key aspect of the illness experience |
There is often, but not always, observable evidence of serious pain |
People differ in the extent to which they value the absence of pain |
Pain has ‘meaning’. This meaning is influenced by context and culture |
The meaning of pain for patients is individualized, depending on culture and context |
Certain responses and actions make pain more or less ‘believable’ |
Pain exists within culture and context, sometimes linked to morality |
Pain is often described in vivid terms |
The suffering associated with pain is dynamic and multidimensional |
Careful observation is crucial to providing medical clues about pain |
Clinicians have a moral duty to relieve pain |
There are multiple kinds of pain and it is important to distinguish them |
Mental (psychosocial) pain and physical pain are different |
There is a range of typical responses to pain |
Pain sensitivity is sometimes intertwined with perceived character strength |
‘Others’ have many different reactions to pain; awareness of differences is needed |
There are appropriate and inappropriate responses to pain |
Doctors are in a unique position with respect to the pain of others |
Clinicians need to be aware of their pain-related values and acknowledge those of their patients |
Caring is expressed by others to those in pain, the so-called ‘humane response’ |
There is value in compassionate responses to patients |
Empathetic awareness is necessary to treat those in pain |
The development of compassionate responses is appropriate and perhaps essential |