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Douleur et Analgésie

, Volume 30, Issue 4, pp 230–238 | Cite as

Peut-on mesurer la souffrance liée à la douleur ?

Mise Au Point / Update
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Résumé

La demande faite aux médecins d’être plus attentifs à l’évaluation de la souffrance de leurs patients a été introduite par Eric Cassell comme l’un des objectifs fondamentaux de la médecine. Cette préoccupation prise en compte par les professionnels de la santé est pourtant difficile à combler en l’absence de mesures appropriées. En outre, l’accent mis sur la souffrance en fin de vie, notamment en soin palliatif, a écarté pour la plupart des cas les patients présentant une pathologie chronique et en particulier ceux atteints de douleur chronique dont la souffrance est inscrite dans le quotidien. Pour pallier ce manque, ma recherche intégrative propose une approche interdisciplinaire qui s’appuie à la fois sur des concepts philosophiques, psychobiologiques et cliniques cherchant à fournir une mesure accompagnée d’une interprétation du souffrant. Le but pratique consiste à proposer un outil clinique simple et efficace permettant d’évaluer le degré de souffrance liée à la douleur et de caractériser sa nature spécifique chez chaque patient, permettant un diagnostic plus fin et une prise en charge plus individualisée des patients douloureux chroniques. En répondant à la question « peut-on mesurer la souffrance liée à la douleur ? », cet article aborde les enjeux principaux, à la fois conceptuels et méthodologiques, attachées à l’évaluation de la souffrance afin d’instruire le développement de son outil de mesure.

Mots clés

Souffrance humaine Douleur chronique Mesure Sens Définition Maladies chroniques Philosophie Étude expérimentale Étude clinique 

Can we measure pain-related suffering?

Abstract

The demand made to physicians to be more attentive to assessing the suffering of their patients was introduced by Eric Cassell as one of the fundamental goals of medicine. This call was indeed taken into account by health professionals but remained difficult to satisfy in the absence of appropriate measures. In addition, the focus on end-of-life suffering in palliative care has excluded in the vast majority of cases patients with chronic medical conditions and in particular those suffering from chronic pain whose on-going suffering is part of everyday life. To fill this gap, my integrative research proposes an interdisciplinary approach that relies on both philosophical, psychobiological and clinical concepts seeking to provide a measure accompanied by an interpretation of the person’s suffering. The practical goal is to provide a simple and effective clinical tool to assess the degree of suffering related to pain and to characterize its specific nature in each patient, allowing a more precise diagnosis and more individualized management of chronic pain patients. In answering the question « Can we measure Painrelated Suffering? » this paper addresses the main issues, both conceptual and methodological, attached to the evaluation of suffering in order to instruct the development of its assessment tool.

Keywords

Human suffering Chronic pain Measurement Meaning Definition Chronic illnesses Philosophy Experimental studies Clinical studies 

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Copyright information

© Lavoisier 2017

Authors and Affiliations

  1. 1.INSERM U-987, Pathophysiology and Clinical Pharmacology of Pain, centre d’évaluation et de traitement de la douleurhôpital Ambroise ParéBoulogne-BillancourtFrance

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