Background: The emotional and intellectual life of human beings is
composed of two principal conditions: a feeling of well-being and a condition
of despair, i.e. a feeling of satisfaction and enjoyment, and a state of
suffering. Human suffering has received limited attention in medical education,
research, and practice.
Objectives: A new definition of human suffering and satisfaction
according to the entropy hypothesis may facilitate comprehension of health,
disease, and the aging process.
Methods: A cohort study of 71 patients (28 females, 43 males),
with very advanced dementia, who died in our ward during the study period. The
intense suffering level of end-stage dementia patients was evaluated by the
Mini-Suffering State Examination (MSSE) scale. Comparisons between the three
levels of MSSE (low, intermediate, and high) with regard to demographic and
clinical variables, were performed using analysis of variance (ANOVA), Kruskal
Wallis non-parametric test, and Fisher’s exact test, where applicable.
Results: Suffering level in end-stage dementia has a significant
correlation with short survival, advancing age, more severe illness,
malnutrition, the existence of decubitus ulcers, and the administration of
medications. Established correlations could be explained by the enhanced level
of the patient’s body entropy.
Discussion: Suffering and satisfaction are functional levels of
human entropy.
An elevated level of human entropy is a measure of disorder, a
process of ageing and torment of the patient.
Author(s)
Details
Bechor Z. Aminoff
Geriatric Division, The Chaim Sheba Medical Center, Tel Hashomer, Human
Suffering and Satisfaction Research Center, El-Ad, Israel.
Please see the link:- https://doi.org/10.9734/bpi/mmrnp/v1/1492
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