Copyright © Diane Gainey -

"Observe the wonders as they occur around you. Don’t claim them. Feel the artistry moving through, and be silent."


Total Pain

Total pain is physical pain, complicated and exacerbated by fear. It is a situation of great suffering and anguish for the patient and for everyone around the patient. It is a palliative care emergency.

It is a crisis at every level:

It requires intervention at every level and the skill and experience of a multi-professional team. Unless the emotional and spiritual aspects are addressed, physical pain control can be impossible.

Get help early
Use the MDT
Use specialist resources/consider admission to a specialist bed.
Support each other - total pain is stressful for the whole team to manage.
It is an emergency, but rarely a 'quick-fix'.

Useful Links

Helping someone with spiritual pain

© Dr. Eileen Palmer, Dr John Howarth Palliative Care for the Primary Health Care Team (2004) Quay Books ISBN 1856422291

Important News

Important Changes in Cumbria Palliative Care Prescribing Practice

Cumbria is changing practice, from 1st April 2011.

The Area Prescribing Committee has recommended the following changes:

  • All strong opioids are to be prescribed by brand name
  • "Just in Case" prescribing is to be encouraged and promoted
  • Morphine is to replace diamorphine as the subcutaneous injectable strong opioid of choice for palliative care patients in Cumbria


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North Cumbria Pallative Care website

The award winning North Cumbria Palliative Care website continues to receive around 30,000 page views a year. This is 82 page views every single day of the year, 2,500 hits every month, without any publicity or advertising program.


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