Search results

"Contemporary medical models focus predominantly on the technical and financial aspects of care. While these are important aspects of care, they fail to include what may be the most critical need of patients and families - that is, the whole-person approach to care where psychosocial and spiritual needs are viewed as essential and just as important as the physical. Cecily Saunders, the founder of hospice, was one of the first to describe the concept of 'total pain', which led to the biopsychosocial and spiritual model of care. In 2014, the World Health Assembly for the WHO passed a resolution which included spiritual care as an essential domain of palliative care, stating that Palliative Care is an approach that improves the quality of life of patients "through the prevention and relief of suffering by means of early identification and correct assessment and treatment of pain and other problems, whether physical, psychosocial or spiritual." WHO also noted that "it is the ethical duty of health care professionals" to alleviate pain and suffering, whether physical, psychosocial or spiritual and further supported an interdisciplinary model by noting the need for collaboration between professional palliative care providers and support care providers, including spiritual support and counseling"--

Until very recently, health care in conflict settings was based on a model developed in the second half of the twentieth century. Things have changed, and present civil wars, such as those that are currently taking place in the Middle East, do not address the complexity of the ongoing armed conflicts in countries such as Syria, Iraq, and Afghanistan. These conflicts have caused a significant increase in the number of refugees in the region, as well as in Europe. Hundreds of thousands of refugees succeed in settling in mid- and north-European countries, and their health issues are becoming of great importance. Refugees in Europe in the twenty-first century do not suffer so much from infectious diseases but more from noninfectious chronic diseases such as diabetes, cardiac disease, and cancer. These facts profoundly alter the demographics and disease burden of hostility-derived migrants. Thus, host European countries face situations they have never faced before. Hence, new approaches and strategies are urgently needed to cope with this new situation. The efforts to absorb refugees of different traditions and cultural backgrounds often cause increasing ethnic and religious tensions, which frequently escort the emergence of social violence. To date, little attention has been paid to the overall load of distress being experienced, especially among the first-generation refugees. The current ongoing hostilities in the Middle East induce a long-term health impact on people expelled from their homes, communities, traditions, and cultural environment. The realization of collective suffering forces communities and governmental health agencies to develop new programs that include social determinants to overcome the severe cultural gaps of the newcomers in their new European host countries.