title: [Social pain].
abstract: This chapter focuses on what social pain is and how it should be managed. In order to understand social pain in a cancer patient, it is necessary to recognize the change in the patient's daily life after the diagnosis of cancer. Because the degree of suffering and the relationships with family members and the people he or she worked with differ from patient to patient, it is important to note that the context of social pain is different in each patient. Five points shown below are essential in managing social pain. 1. Economical suffering may be alleviated by utilization of the social security system while taking into account each patient's standard of living. 2. Burdens on family members should be lessened, such as by not having them stay at the patient's bedside every day and letting them go home occasionally. 3. The normal patterns of communication, support, and conflict in the family should be identified, and the extent to which they have been disrupted by the illness should be assessed. 4. It is important to understand the ethnic, cultural, and religious background of the patient and the potential impact of their influence on the individual and the illness. 5. Practical or emotional unfinished business that the patient has needs to be identified, and efforts should be made to support fulfillment.
authors.affiliation: Department of Palliative Medicine, Tokyo Medical University Ibaraki Medical Center, Ibaraki 300-0395.
authors.forename: Naohito
authors.initials: N
authors.lastname: Shimoyama
authors.forename: Megumi
authors.initials: M
authors.lastname: Shimoyama
mesh_terms: D006801:Humans; D007398:Interpersonal Relations; D009369:Neoplasms / Q000191:economics / Q000523:psychology*; D012380:Role