Holistic nursing management of pain and suffering: a historical view with contemporary applications

Nursing is rooted in caring for those who suffer and experience pain. As nursing has grown through the ages, technological advances and socioeconomic changes have required nurses to adapt as they continue to provide holistic, patient-centered care. Over the past century, nursing practice has been dominated by Western medical culture, resulting in a relegation of the caring-healing practices of nurses to the margins of healthcare delivery. Recent changes in the ontology of caring-healing practices are rooted in a new knowledge of complimentary practices. Advancements in behavioral sciences and the neurobiology of pain and suffering, together with an acceptance of Eastern and other healing practices, have enriched and enlightened our understanding of pain management. The recent growth of self-help and support programs has enlightened the healthcare consumer in choosing treatments. Contemporary clinical practice may now include methods that reflect the interconnectedness between the mind and body, such as biofeedback, healing touch, aromatherapy, progressive relaxation, meditation, and behavioral therapy. This article examines the historical concepts of pain and suffering that have influenced the approach to pain management and describes significant holistic methods that may be utilized by the nurse in managing pain.