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2019, Number 3

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Rev cubana med 2019; 58 (3)

Suffering as a diagnosis of the disease

Blanco AMÁ, Bosch BRI, Hernández AO

Language: Spanish
References: 37
Page: 1-15
PDF size: 274.66 Kb.


ABSTRACT

Introduction: The emotional experiences of diseases and their care receive insufficient attention in the current conditions of highly biologic oriented medicine.
Objective: To deepen the concept of suffering as a component of diagnosis with a psychosocial approach in the clinic.
Methods: A search in PubMed, SciELO and Lilacs databases was performed using suffering; affectation; disease, illness, sickness, disease as keywords.
Discussion: The medical diagnosis focuses on the nosological entity that represents structural and functional alterations. Suffering is linked to the social relations of the patient in which certain degree of disability and suffering are supposed, which is an expression of the psychological dimension whose complexity focuses on the emotional response identifiable by emotions and feelings. Suffering has an individual character according to the personality traits, the patient´s history, the characteristics of the illness (acute or chronic), the context in which the health problem arises and advances and the qualities of the care process. Coping with the patient's suffering can be better understood from an allostatic view.
Conclusions: Suffering from diseases, also known as internal symptoms of the disease, is centered on the emotional response but it is not just limited to it. Knowing the patient as a whole person and their support network is required to facilitating beneficial adaptive response to the new condition.


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