{"id":1549,"date":"2018-06-14T13:00:25","date_gmt":"2018-06-14T12:00:25","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=1549"},"modified":"2019-06-27T13:28:40","modified_gmt":"2019-06-27T12:28:40","slug":"optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/06\/14\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\/","title":{"rendered":"Optimal Relief for Pain at the End of Life: A Caregiver&#8217;s Tale"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1552\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Medhum_44_2_Cover-224x300.jpg\" alt=\"\" width=\"224\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Medhum_44_2_Cover-224x300.jpg 224w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Medhum_44_2_Cover-768x1028.jpg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Medhum_44_2_Cover-640x857.jpg 640w\" sizes=\"auto, (max-width: 224px) 100vw, 224px\" \/><\/p>\n<p>In his article for our June special issue, &#8220;Pain and its Paradoxes&#8221;, <a href=\"http:\/\/mh.bmj.com\/content\/early\/2018\/04\/18\/medhum-2017-011427\">David B. Morris offers a heartfelt account<\/a> of his experience occupying a \u201cthird-person position\u201d as an end-of-life caregiver to his late wife, Ruth C. Morris, and a reflection on the role of palliative pain-relief for the dying. Remarking on how biomedicine is often blind to \u2018permutations of human value and human desire\u2019 and reflecting on recent debates regarding the over-prescription of opioids in the US and elsewhere, Morris asks whether \u2018physicians, patients and cultures are now growing more fearful of opioids than attentive to pain relief at the end of life\u2019 (2). End-of-life pain-relief is a global issue for Morris with psychosocial repercussions which involve not only patients and their physicians, but their families and caregivers. Morris underscores how biomedicine often fails to recognise the ethical dimensions of palliative pain-relief. Drawing on Edmund D Pellegrino\u2019s assertion that the failure to offer pain-relief to the dying \u2018is tantamount to moral and legal malpractice,\u2019 Morris offers the formulation, \u2018<em>optimal pain relief for the dying!<\/em>\u2019 as a clearly articulated ethical value worthy of support (3).<\/p>\n<p>In the soundbite below, Morris describes how his experience as a caregiver leads him to argue against overlooking the benefits of opioids for end-of-life pain-relief.<\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-1549-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Soundbite-Morris.m4a?_=1\" \/><a href=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Soundbite-Morris.m4a\">https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Soundbite-Morris.m4a<\/a><\/audio>\n<p>Read the full article on the <em>Medical Humanities<\/em> Journal <a href=\"https:\/\/mh.bmj.com\/content\/44\/2\/120\">website<\/a>.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In his article for our June special issue, &#8220;Pain and its Paradoxes&#8221;, David B. Morris offers a heartfelt account of his experience occupying a \u201cthird-person position\u201d as an end-of-life caregiver to his late wife, Ruth C. Morris, and a reflection on the role of palliative pain-relief for the dying. Remarking on how biomedicine is often [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/06\/14\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028,15047],"tags":[15044],"class_list":["post-1549","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","category-special-issues","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Optimal Relief for Pain at the End of Life: A Caregiver&#039;s Tale - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/06\/14\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Optimal Relief for Pain at the End of Life: A Caregiver&#039;s Tale - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"In his article for our June special issue, &#8220;Pain and its Paradoxes&#8221;, David B. Morris offers a heartfelt account of his experience occupying a \u201cthird-person position\u201d as an end-of-life caregiver to his late wife, Ruth C. Morris, and a reflection on the role of palliative pain-relief for the dying. Remarking on how biomedicine is often [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/06\/14\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2018-06-14T12:00:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-06-27T12:28:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/06\/Medhum_44_2_Cover-224x300.jpg\" \/>\n<meta name=\"author\" content=\"Chris Pak\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Chris Pak\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/06\\\/14\\\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/06\\\/14\\\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\\\/\"},\"author\":{\"name\":\"Chris Pak\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/0e11c1a9a0f1f9f2aa898a719652c44c\"},\"headline\":\"Optimal Relief for Pain at the End of Life: A Caregiver&#8217;s Tale\",\"datePublished\":\"2018-06-14T12:00:25+00:00\",\"dateModified\":\"2019-06-27T12:28:40+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/06\\\/14\\\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\\\/\"},\"wordCount\":244,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/06\\\/14\\\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/files\\\/2018\\\/06\\\/Medhum_44_2_Cover-224x300.jpg\",\"keywords\":[\"research\"],\"articleSection\":[\"Journal Announcements\",\"Special Issues\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/06\\\/14\\\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/06\\\/14\\\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/06\\\/14\\\/optimal-relief-for-pain-at-the-end-of-life-a-caregivers-tale\\\/\",\"name\":\"Optimal Relief for Pain at the End of Life: A Caregiver's Tale - 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