Pain or suffering? And joys
There are many definitions of pain, but I have been a nurse long enough to know that pain is a response to some sort of wound, injury or assault, and that it is a warning sign to tell us that something is wrong. There is a great amount of science as to the why and how of pain, but then there is also the experience of pain, which is a different entity. Pain is subjective. B never had an anaesthetic before having a tooth filled, he thought the pain was less troublesome than the side-effects of the anaesthetic, whereas I would never contemplate having a filling without having the injection first. When I used to teach about pain control, I liked to use the definition by McCaffery (1968) 1 , that says pain is "whatever the experiencing person says it is, existing whenever and wherever the person says it does". In palliative care, we may not be able to get rid of the cause of the pain, but we can relieve the suffering it causes. It hadn’t occurred to me, though (duh!), until I read...