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Published on: February 16, 2011
Human suffering: the need for relationship-based research in pediatric end-of-life care
Javier R Kane1, Melody Brown Hellsten, April Coldsmith
1Department of Pediatrics, UTHSC-SA, 7703 Floyd Curl Dr, San Antonio, TX 78229, USA. kane@uthscsa.edu
Insights
Relieving suffering in pediatric advanced cancer requires understanding patient relationships and social networks. Future research should evaluate social and spiritual interventions to improve well-being.
Area of Science:
- Pediatric Oncology
- Palliative Care
- Social Sciences
Background:
- Children with advanced cancer and their families face profound suffering.
- Healthcare professionals have a moral obligation to both cure disease and alleviate suffering.
Purpose of the Study:
- To emphasize the need for research into the link between human relationships and suffering relief in pediatric oncology.
- To guide future research directions in pediatric end-of-life care.
Main Methods:
- Advocates for methodologically sound studies in pediatric oncology research.
- Recommends assessing theoretical models including social networks, perceived support, and provider-recipient interactions.
- Suggests evaluating physical, emotional, behavioral, and spiritual aspects of suffering and their impact on decision-making and outcomes.
Main Results:
- Understanding the multifaceted nature of suffering is crucial for effective relief.
- Interpersonal dynamics significantly influence the mediation between suffering and well-being.
- Current research lacks comprehensive studies on the impact of social and relational factors on pediatric end-of-life suffering.
Conclusions:
- Future pediatric end-of-life care research must incorporate social and relational dimensions.
- Evaluating social and spiritual interventions is essential for improving outcomes for children with advanced cancer.
- A holistic approach considering interpersonal dynamics is vital for alleviating suffering.
Abstract:
Children living with and dying from advanced cancer and their families experience significant suffering. The cure of disease and the relief of suffering are dual moral obligations of our professions. To relieve suffering, health care providers must understand the multiple dimensions of the person who suffers and the complex set of relationships within the natural and the clinical social networks. Pediatric oncology research must include appropriately designed studies with sound methodology and measurement strategies to test and refine theories that account for the link between human relationships and the relief of suffering. Studies should assess as many theoretical models as possible, including the social network, perceptions of support, and provider-recipient interactions; their physical, emotional, behavioral, and spiritual concomitants; and their impact on medical decision making and health outcomes. Future directions in pediatric end-of-life care research must also include evaluating social and spiritual interventions developed on the basis of solid hypotheses regarding the positive and negative influences of interpersonal dynamics on the processes that mediate between suffering and well-being.
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