A Case of “Total Nausea:” An Interprofessional Approach to the Management of Chemotherapy-Induced Nausea/Vomiting Complicated by Anxiety and Existential Distress

Total pain, first described in 1964 by Dame Cicely Saunders, took into account the spiritual, psychosocial, practical, and emotional stressors that contribute to a person's experience of pain 1. Although a similar framework has been described for conceptualizing nausea and vomiting, it has not been formally studied and is not as readily considered in clinical practice. Nausea/vomiting is one of the most distressing symptoms following chemotherapy, affecting up to 90% of patients receiving highly emetogenic chemotherapy 2.

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