“Total pain” is the term used within hospice, palliative, and end-of-life care to describe pain which is complex and overwhelming, and which encompasses physical, psychological, social, and spiritual dimensions. It is an attempt to encapsulate experiences of suffering that are unique to advancing life-limiting illness, the end of life, and dying. The term was first… Continue reading →
The recent Lancet Commission into the Value of Death reports endemic suffering at the end of life in both global North and South countries and calls for the further expansion of holistic philosophies and practices of end of life care. Here at the End of Life Studies Group, we believe that one way to do… Continue reading →
The authors of this blog have both been involved in palliative care for over a decade, albeit for different reasons. Claire Morris is a global palliative care advocate within a palliative care international non-governmental organisation and Lucy Watts has been accessing palliative care services since she was 17 years old as a result of a rare,… Continue reading →
‘Total Pain’ as the Pain of a Lifetime This post looks at Cicely Saunders’ influential term ‘total pain’ in terms of endings and limits. ‘Total pain’ articulates how pain for someone whose life is ending is a whole overwhelming experience which combines physical, psychological, social and spiritual elements. My own PhD project looks at how… Continue reading →
Coronavirus is changing the way we live in a way that is repeatedly said to be unprecedented. We say we are living through strange times, extraordinary times, difficult times. For some of us lucky enough to be able to work from home time might be stretching out in lockdown into an endless series of Thursday… Continue reading →
A new approach to suffering in life-limiting illness: Total pain, the brain-gut axis, and the human microbiome. Dr Marian Krawczyk talks about her new Carnegie Research Incentive Grant: This grant enables her to conduct a targeted review of literature across social, medical, and biological research to develop an innovative transdisciplinary theory that considers the connection… Continue reading →
We don’t often post pieces of this kind on our blog, but I was so struck by the simplicity of this tribute when I read it, that I asked its writer if we could post it here. Dr Suresh Kumar, a good friend to our group and active collaborator, is well known for his work… Continue reading →
People with life-limiting illnesses report exceptionally high rates of psychosocial and existential suffering in conjunction with bodily pain. Cicely Saunders famously conceptualized this cumulative distress as ‘total pain’. As you may already know, we’re pretty interested in total pain around here. Professor David Clark has written extensively about it (see here for an overview), and… Continue reading →
