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By Gaborit P.

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Extra resources for A bound for certain s-extremal lattices and codes

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In his groundbreaking work on suffering, The Nature of Suffering, Dr. Eric Cassel defined suffering as “a state of severe distress associated with events that threaten the intactness of the person” (Cassel, 1991). The first step in intervening in a patient’s suffering is to understand that it is multidimensional and sometimes difficult for a patient to articulate. For nurses who care for dying patients, suffering needs to be looked at in terms of its physical, personal, family, and spiritual aspects.

Suffering in this area can be related to relationships, unfinished business, grief, or fears 50 To Comfort Always of the future. Some patients have difficulty expressing themselves in this area. Questions you should ask include the following: ❖ How much are you suffering because of loss of enjoyment of life? A patient with chronic obstructive pulmonary disease (COPD) said, “Golf was everything to me. ” ❖ How much are you suffering because of your feelings for and relationships with family and friends?

18 To Comfort Always Will the Patient Lose Hope If I Bring Up the Topic? Many nurses fear that if they bring up the subject of end-of-life care wishes, the patient might lose hope. However, research has shown that the actual process of discussing end-of-life issues stimulates therapeutic conversations between patients and health care professionals, and it leaves patients and families with an increased sense of feeling cared for and understood (Miles, Koepp & Weber, 1996). The most important need of patients and families is assurance that they are not going to be abandoned and that every effort is going to be made to optimize the highest quality of life in their remaining days.

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A bound for certain s-extremal lattices and codes by Gaborit P.

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