626
state99959201104780133167220
of1249592011074114
a1393592011067
person1490592011074127167213273333
experiencing1853592011069128189243282316369429483515575635
psychological2517592011075121184235294354388448509541594648681
pain?3228592011075128161222274
Is3534592011056100
pain3664592011074127160220
always3914592011068101187241303347
associated4291592011069115162222275308363395449509
with48305920110100134167227
damage?5087592011075128221274335387439
Relate999753011080134166220253306
the133575301103393147
concepts1512753011053112172225279339372419
of1961753011060100
"pain"2091753011050109163196256305
and2425753011054113173
"suffering."262875301105096156197234288328361421481510560
2.81991301106090
The999913011073133187
term121591301103891131224
"palliative1469913011054113167200234267321354387447501
care"2000913011057110150203252
(from228191301104585125185278
the258991301103898152
Latin2776913011074125158192252
pallium,3058913011065118151184218278371401
meaning3493913011094147200260293353413
"covering,3935913011055107167227281320354414475504
cloak")446991301105890150205265313353
was4857913011087140186
coined5073913011058117151211264324
in542791301103898
19739991073011060120180240
by12691073011067128
Canadian14311073011080133193248307341394454
surgeon19151073011054114154212264325385
and23301073011060120180
scientist25401073011053107140193253286320366400
Balfour29771073011080133166206266326366
Mount.337910730110107167227287320350
What376510730110114174228260
associations40551073011061107154214267301354387420480540587
do46721073011067127
you48291073011069125185
have50441073011067120180233
with53141073011086120153213
the999123201103393147
image11761232011039132186245298
of15041232011066106
a16401232011059
blanket1729123201106699153213273326359
covering21181232011059120180233272306366426
a25741232011059
seriously26621232011053106147180240300347380442
ill3131123201103973106
patient?32671232011067120154187241300334386
What369112320110113174227260
characteristics39811232011059119172211265317350403443476523556590643690
of47011232011066106
palliative48371232011065118151185218272305338398452
care53191232011059112152206
does9991392011060120173219
the1248139201103494147
term1425139201103387126220
refer1675139201104092133186225
to?1930139201103494147
3.819155301106090
The9991553011073133187
phrase12151553011081141181235281334
"Just15781553011072118179226259
because18671553011082135188241300347401
someone22981553011068128222275335395448
can't27751553011075129189211243
be30481553011082135
cured32131553011075134174228289
doesn't35321553011081141195241301322355
mean391715530110115171225284
they42311553011055115168230
can't44891553011075129189211243
be47621553011082135
helped"49271553011081135168228282342391
has53471553011082135181
become9991712011060113166226319372
a14011712011066
motto15091712011093153186220280
in18191712011046106
palliative19551712011072126159192226279313346406459
care.24441712011065119159212241
Does27281712011087147200246
this30051712011045105139186
mean32331712011093146201260
that35231712011045105159192
a37451712011066
physician38411712011072132194238272325358412471
should43431712011059119179239273333
use47061712011073119172
all4908171201106598132
means50831712011093147200259306
to54191712011045105
save9991872011047100160213
a12411872011054
patient's13241872011060113146180233293326349395
life,1749187201103366107160189
even19681872011055114167227
if2225187201103474
it2329187201103467
compromises24261872011054113206266306366460493540593640
their3096187201103393146180220
quality33461872011060120173206239273334
of3708187201106099
life?3837187201103467107160213
4.819203001106090
How9992030011087147233
does12622030011060120173219
the1511203001103494147
presence16892030011060100153199253313366419
of21392030011060101
the2270203001103393146
death24462030011060113167200260
factor2736203001104093147180240280
in3046203001103393
palliative31692030011060113146180213268301334395448
medicine36462030011094147207240294326386440
change41162030011054115169228289341
the4488203001103393147
physician's46652030011060120182226259313346399459481527
tactics5222203001103387141174207261307
when9992168011087147200259
managing12882168011094147207260320353413474
a17912168011053
terminally1874216801103388127220254314367400433495
ill2397216801103366100
patient?25272168011060113147180233293327380
5.819230601106090
Palliative9992306011067120153187220274307340400454
care14832306011055108147201
is1714230601103582
considered18262306011056115175222256316369410463522
an23782306011056115
alternative2524230601105689122176215275329362395456509
to3063230601103595
euthanasia.31882306011057117150210263323377423456509539
However,37592306011087147234288347400441466
when42572306011087147201260
treating4547230601103676130183216249310370
severe49472306011048102161215255309
pain,52852306011062116149209239
all999244401105386120
life-supporting1149244401105689130183222270330390450510550583617677737
systems19152444011069131176209262357403
are23482444011077116169
often25462444011083124158211270
suppressed,28462444011070130190250290344390437490550581
hastening34572444011082136182215268328362422483
death.39692444011083136190223283313
Why433424440110114174235
is45972444011057104
hastening47312444011083136182216269329362422482
death52432444011083137189222282
justified999258301103393140173207247281334393
in1422258301103494
palliative15462583011060113146180213267300333393447
care,20222583011054106146199229
while22812583011087147180214267
it2578258301103367
is2675258301103380
unethical27852583011060120173206266300353406439
in3254258301103394
euthanasia?33782583011053113146206259319372418452505558
6.819272101106090
What99927210110113174227260
does12892721011060120173220
the1539272101103393147
concept17152721011054113173226279339372
of21172721011060100
"quality22482721011049108168221254287321384
of26592721011060100
life"2789272101103467107160210
include3028272101103393146180240300353
in3410272101103495
relation3535272101104093126179212246306366
to3931272101103394
terminal4055272101103386126219252313366399
patients?44842721011060113146180233293326373425
7.819285901106090
One9992859011087147200
of12282859011071111
the13702859011044104157
principles15572859011070110144204258291351384438484
of20712859011071111
the22122859011046106159
hospice24012859011070130177237270324377
movement28182859011093153213268361414474507
is:3355285901104491126
"Hospice35112859011060146206252312346399453
is3993285901104491
a41142859011066
home42092859011071131224277
of45162859011071112
LIFE,46582859011085125190263293
not49812859011071131164
death."51772859011070124176209269299350
Give9992997011087120180233
examples12622997011053113167260320353407453
of17452997011061101
how18762997011060120206
this2112299701103393127173
principle23162997011060100133193246279339372426
is2771299701103480
implemented28812997011034128188221275368421481514567627
in3538299701103393
hospice36612997011060120167227261314367
work.40572997011087147187246276
Task6393274010880130176243
3.912327401086696
Fill1008327301106799133166
in1204327301103595
the1329327301103696149
table.1508327301103689149182236265
What180532730110114174228260
problem20953273011063103163223256310402
does25273273011063123176222
a27793273011056
comprehensive28653273011055115209269309362422475534581615675728
approach36233273011055115175216276329382441
to4094327301103696
providing42213273011062102162222256316349409469
palliative47193273011062115148182215269302335395449
care51983273011055109148202
to5430327301103696
a6393411011053
terminally722341101103386126219253313366399432494
ill1244341101103366100
patient13743411011060113147180233293327
solve?17313411011046106141201254307
Aspects6393696010887133200253307346393
of10623696010860100
palliative11923696010867127161194228288328361421474
care16963696010853113166218
Goals30813696010893152212246292
and34033696010860127194
objectives36283696010860127167220273312345405459505
Medical63938340110107160220253306360392
assistance10613834011053100147180227260314374427481
Social6393978011067127180213267300
assistance969397801105399146179226260313373426479
Psychological6394121011067114175226285345379439500532585639671
help13404121011060114147207
Spiritual6394264011067127160200234267327381414
help10834264011060113146206
Task6394547010880130176243
4.912454701086090
Read10024545011080134186246
an12784545011053113
excerpt14214545011053112167220259319352
from1803454501104081141234
E.20674545011074104
Küble-Ross's22014545011086146206239292334414474521567589635
book28664545011060120180240
"On31364545011049134194
Death33604545011087141194227287
and36774545011053113173
Dying":38804545011087148179239301350382
At6394829011087120
the7894829011050110163
age9824829011070131184
of11954829011077117
fifty-one,1343482901105690130163225265324384438467
Mr.185848290110107147169
P.20574829011084101
was218848290110103157202
admitted24224829011070129223256290323377436
to28884829011050110
the30284829011050112165
hospital32234829011076136183243276310363397
with365048290110103136170230
rapidly39104829011056110169202262296358
progressing42974829011077117177238276330375422455516577
amyotrophic49034829011071164225283316357417477537571624
lateral639496701103387120173213266299
sclerosis9684967011050103136190230290337370417
affecting1415496701105796134188241274307367429
the1874496701103696150
medulla20574967011093147207267300333387
oblongata.24744967011063123156216276336388421475505
He30134967011087140
was31864967011086140186
unable34024967011063123176236269324
to3755496701103797
breathe38824967011064104157210243303356
on42694967011063123
his4422496701106497144
own,45964967011064150210240
suffered48664967011050110150187241280333392
from5288496701104585144239
mucus6395105011093153207267313
in9825105011048108
his11205105011074108154
lungs,13045105011048108168228274304
and16385105011068127187
after18555105011068107141194233
a21185105011068
tracheotomy,2215510501104888142195254309368401461555616637
developed28825105011074127188241274334394447507
infectious34195105011048108148201254287320380440487
pneumonia.39365105011074134188247342402462495549578
The45445105011088148201
pneumonia47745105011075135188248341401461494548
left53515105011048101141174
him639524301106093187
speechless.8565243011056116170222275335368421468515545
Unable14405243011087147201261294347
to18175243011043104
articulate19515243011063102136169222282315369402455
his24365243011069103149
needs,26155243011070124177237283313
thoughts,29585243011043103165225285344377424454
and34425243011063122182
feelings,36555243011050103157189223283343389419
the41045243011043103157
patient42925243011069123155189246305339
simply4661524301105689183243277338
lay5027524301104296158
in52125243011043103
bed53455243011070124185
and6395381011053113173
listened842538101104074121154207267321380
to12525381011040100
the13825381011041101154
frightening1566538101104787120180239272327386420480540
noise21355381011067127160207260
of24255381011067107
the25625381011040100153
artificial27455381011060101134168208241294328382415
respirator.31905381011047100146206239279333366426466488
We371553810110114158
likely3903538101104073134187220282
would42205381011087147207240300
never45505381011067120180233273
have48535381011066120179232
heard51155381011067121174214274
of54195381011068108
him639551901106093187
if856551901103878
one9645519011065125178
of11715519011065105
his1306551901106498144
attending1480551901105992125179238298332392452
physicians19615519011064124187231264317351404464510
had25015519011065118178
not27095519011065125158
sought28975519011052112173233292325
our32525519011065125165
help.34475519011064117150210240
He37225519011087141
came38935519011058110203258
to4180551901103898
us43085519011065112
on44505519011065125
a46055519011058
Friday46925519011072111144204258319
and50395519011058117177
asked52465519011059106166220280
for6395657011040100140
support.8085657011068128188248308348382412
He125056570110108161
was144056570110108162208
not16785657011081141175
so18845657011068128
much204256570110115175228289
talking23615657011055108142202235295355
about27455657011075134194254288
the30635657011055115168
patient32615657011081135168201255314347
as36385657011075122
about37905657011075134194254287
himself.41075657011082115209256309342382412
The45495657011095155208
doctor's47865657011082142195228288328351396
words521256570110108168208269315
expressed6395795011053113174214267313360413473
feelings11425795011066119173206239299359405
rarely15775795011067121160214247307
spoken19115795011075135195255309369
out23105795011086146179
loud.25195795011060120180240270
Having281957950110113167226260320380
become32285795011087140194253347400
Mr.365857950110133174196
P.'s38845795011093111133179
attending40935795011079112146200260320353413473
physician,45955795011087147209253287340373428487517
he51425795011087140
was531157950110114169215
shocked6395933011047107167220280333392
by10615933011063125
his1216593301106093140
suffering.13865933011049109149186240280313373434463
The18825933011074134187
patient20985933011063116149182236295329
was24595933011087140186
relatively2675593301104497130183216250310363396457
young,31605933011065122183243304333
and35235933011057116176
the3729593301103696149
nature39085933011062116148208248303
of42405933011064104
his4374593301106295142
neurological45465933011062116175215275308368429461515568601
disease5177593301106296146200254301354
required639607101104093152212246286339398
a10686071011078
great11756071011085125178231264
deal14706071011084137190223
of17246071011084124
attention18796071011077110143197256290323383443
and23526071011078137197
care25806071011077130171224
from28336071011065105164259
nurses,31226071011084144184231284330360
although35126071011078111145205265325385444
this,39866071011057117150197227
unfortunately,42456071011084144183243283316376436489523576609671692
could49676071011077136196230290
only52886071011084144178240
prolong6396209011060100160193253313373
his10416209011071104151
life1222620901104477118171
for14226209011051111152
a16046209011063
short16976209011057117178218252
time.1979620901104377171224254
The22636209011084144197
patient's24896209011071124157190244304337360405
wife29356209011087121161214
had31796209011070124183
multiple34036209011093153187220254314347401
sclerosis38346209011057110143196236296342376424
and42886209011064123183
had45016209011071124184
been47156209011071124178237
completely49826209011064124217277310364397450484546
paralyzed6396347011060113153206239301351406465
for11346347011043103143
the1306634701103595149
past14856347011062115161195
three1710634701103696136190243
years.19826347011065116169209256286
The23006347011073133186
patient25166347011062115148182235295328
longed2874634701103696156218270330
to3234634701103595
die,3359634701106396150180
terrified3569634701103588128168201241274328388
by39876347011062123
the4138634701103696150
thought4318634701103595155215275334368
of47166347011062102
two48486347011035122182
paralyzed50606347011062116155208241303353408468
people6396485011060113173233266319
in9886485011053113
the11316485011052112166
house,13276485011078138198245298328
one16856485011079139193
forced19086485011059119159212265325
to22636485011052112
simply24056485011066100193254287348
watch278164850110106160193246307
the31186485011052112165
other33136485011079113173226266
suffer,36086485011066126166205258297322
powerless39606485011079139227280320354407453500
to44906485011052112
help.46326485011080133166226256
This49186485011092152186232
double51806485011080140200260293346
tragedy639662301103373127186239299361
caused10286623011062115175221275334
the13936623011042102155
doctor15786623011068128183216276316
great19246623011069108161215247
anxiety22016623011062122182216269303364
and25926623011063123183
a28056623011063
resolute28976623011048102148210243303336390
desire33176623011068121167201241294
to36406623011042102
save37736623011055109168222
the40256623011042102155
patient's42106623011069123155189242302335357403
life4643662301104175115169
"regardless4842662301105897151212264303363397450496543
of54166623011069109
his639676101106093140
condition."8096761011056115175235269302336396456486535
At13746761011087120
the1524676101103696149
same17036761011049102195248
time,1981676101103669163216246
the2257676101103696149
doctor24366761011062122175208268308
knew27746761011062122175260
perfectly30646761011062116155195248302335368429
well35236761011087140173206
that3760676101103595149182
this3972676101103696129176
was41796761011087140186
contrary43956761011056115175209249302341403
to4824676101103696
the4950676101103696149
patient's51296761011062116148182235296329351397
wishes.6396899011087120167227280326356
His102568990110110143190
efforts12456899011076115153213253287333
were160868990110110163202256
successful18956899011069129182235288334381421481514
despite24396899011083136183243276309363
the28326899011056116169
development30316899011083137196250282342402496549609642
of37036899011083123
coronary38566899011076135176236296350389449
artery43336899011077118151204244306
occlusion,46666899011083137190223283330363424484514
which521068990110109169202256316
significantly639703701104780140199233273306359412472505538601
complicated12687037011096156249309342376429483515568629
the19277037011076136189
course21467037011095154214255302355
of253270370110102141
the27037037011075135189
disease.292270370110102136184237290336389419
The337170370110116176230
doctor363270370110102162217249309349
overcame401170370110102162217256310363456509
this45507037011075135168215
difficulty479570370110102136177214248301360394427490
and53127037011097156217
pneumonia,6397175011060120173233326386446480533563
but12327175011061121154
as14167175011055101
the1547717501103494148
patient17257175011061114146179233292325
began20807175011062115175227286
to2396717501103595
recover2521717501104194147206266320360
from2911717501104181140234
the3175717501103595148
complications,33537175011054114207267301334388441474507567627674704
the4087717501103595148
question42657175011060120173219252286346406
arose:4701717501105594154201254287
what50197175011087147200233
to5282717501103494
do54067175011062120
now?6397313011060120207260
The9307313011074134187
patient11467313011061115148181235294327
could15037313011055115175208268
only18017313011061121155216
live2045731301103467128181
with22577313011086120153213
the2500731301103595148
help26787313011061114147207
of29157313011061101
artificial3046731301105494127160200234287320373407
respiration,3483731301104194140200233273327360394454514544
under40577313011061121181234274
24-hour43617313011061121165224284344384
supervision.47757313011048108168221261321354401434494554584
He53907313011087140
could6397451011053113173206266
not9357451011069129162
speak11277451011055115169223282
or14397451011069109
even15787451011062121176235
move18537451011093153213266
a21497451011062
finger,2240745101105083143204256296320
yet25917451011071122155
he27767451011068123
retained29287451011050103136190223283336396
his33547451011068102148
sanity35327451011056109169202235298
and38587451011062122182
was40797451011087140186
acutely42977451011061114173207260293356
aware46807451011063149203243296
of50067451011069109
the51457451011042102155
dire53307451011068102142196
state639758901104780133167220
of8897589011061101
his1020758901106094140
condition.11907589011055115175235268301335395455485
The17067589011074134186
doctor19217589011061121175207267307
quickly22587589011061121155208268301362
noted26497589011060120153207267
the2946758901103494149
patient's31247589011061114147181234294327349395
obvious35497589011061121181214274334381
skepticism39607589011048108161221254287341374421514
regarding4504758901104195154207247307340400461
attempts4994758901105487120174267327360407
to5431758901103595
save6397727011047100160213
his8817727011071104151
life.1062772701104578118171201
Moreover,130377270110107167207260320380434473498
he18317727011072125
realized19867727011051104156189222276330390
the24067727011044104157
patient25937727011070124156190243303336
was29707727011087141187
angered31877727011064124185237276330390
by36077727011071133
these37687727011044107160206259
attempts.4057772701106598131185279339372419449
What454777270110114174227260
else4837772701106497144197
could50647727011064124184217277
the53717727011044104158