Palliative care main aim is to reduce suffering for patients with progressive illnesses and create a supportive net around them and their families. To achieve this more than use of drugs and non-pharmacologic measures for symptom management is needed. But suffering in past mankind history and sadly even in present history comes not just through disease but also induced to human fellows through war, torture in political prisons and many more actions. And hopefully lesson learned when reflecting on collective suffering help us grow wiser and stronger as nations. When confronted with suffering the questions that arise at personal level and collective level are: why this suffering? what is the purpose of this suffering? Victor Frankl (1905 \u20131997), founder of logotherapy, has experienced extreme suffering in the concentration camps where he lost all his family except his sister. In his book \u201cMan\u2019s search for meaning\u201d (1), he explains the experience which led him to his discover logotherapy, a school of psychotherapy that describes a search for a life’s meaning as the central human motivational force. He has a whole chapter dedicated to meaning of suffering and his messages are fully applicable to palliative care \u201cWe must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed. For what then matters is to bear witness to the uniquely human potential at its best, which is to transform a personal tragedy into a triumph, to turn one’s predicament into a human achievement. When we are no longer able to change a situation – just think of an incurable disease such as inoperable cancer – we are challenged to change ourselves.\u201d (pg 135) For palliative care practice out of Logotherapy several assessment tools and counseling programs have emerged like for example the Meaning-centred group therapy proposed by Breitbart (2) in US at Memorial Sloan-Kettering Cancer Center in the United States. At present a trial run in Turkey, registered on the ClinicalTrials.gov (3) is recruiting patients for Logotherapy Counseling Programme for Palliative Care Patients with Chronic Sorrow to evaluate the effectiveness of logotherapy counseling on chronic sorrow, meaning of life and dignity of palliative care patients. Instruments like The Purpose-in-Life (PIL) test, the Life Purpose Questionnaire (LPQ), The Values Awareness Technique (VAT) are also based on Frankl\u2019s existential analytical therapy (4). Even if our palliative care program is in its early stages and we have limited staff resources and no dedicated person to do psychological or spiritual counselling, teaching our staff members to explore through dialog the main categories through which persons find meaning will make a difference for our patients and their relatives. Patricia Starck (5) defines these categories as follows: 1. Tasks, works, deeds one has accomplished in life 2. Experiences of love and beauty that have enriched their life 3. Attitudes towards circumstances in life especially when faced with fate that cannot be changed (motto on how you live your life) 4. Self-transcendence- getting outside the self to serve a cause greater than oneself. Example: Discussing with a father of our patient with Hunter disease about planning for the child\u2019s future care and what is best treatment at end of life the father remarks I know that the drug that he gets is not helping him anymore but if this information concerning the treatment is helping other children with the same use than it is also worthwhile for us! Asking open question about coping strategies \u2013 what has helped you going through this suffering? – Or meaning associated to it \u2013 has something good come out of this suffering can allow patients to extract meaning and sense from their experience. We are just a sounding board for patient to reflect and identify meaning we can guide the patient but we can not assign the meaning for somebodies\u2019 else experience! As professional caregivers we also have to be mindful of what is the value and meaning of our work in palliative care and what consist for each of us a job well done. G\u0103sirea unui sens \u00een suferin\u021b\u0103 Scopul principal al \u00eengrijirii paliative este de a reduce suferin\u021ba pacien\u021bilor cu boli progresive \u0219i de a crea o re\u021bea de sus\u021binere \u00een jurul acestora \u0219i al familiilor lor. Pentru a realiza acest lucru este nevoie de mai mult dec\u00e2t de utilizarea medicamentelor \u0219i de m\u0103suri nefarmacologice pentru gestionarea simptomelor. Dar suferin\u021ba \u00een istoria trecut\u0103 a omenirii \u0219i, din p\u0103cate, chiar \u0219i \u00een istoria prezent\u0103, nu se datoreaz\u0103 doar bolilor, ci \u0219i suferin\u021bei provocate semenilor prin r\u0103zboi, tortur\u0103 \u00een \u00eenchisorile politice \u0219i multe alte ac\u021biuni. S\u0103 sper\u0103m c\u0103 lec\u021bia \u00eenv\u0103\u021bat\u0103 atunci c\u00e2nd reflect\u0103m asupra suferin\u021bei colective ne ajut\u0103 s\u0103 devenim mai \u00een\u021belep\u021bi \u0219i mai puternici ca na\u021biuni. Vol 16 \/ Nr. 2 \/ Aprilie 2023 https:\/\/www.paliatia.eu ISSN 1844 \u2013 7058 4 Funda\u021bia HOSPICE Casa Speran\u021bei Atunci c\u00e2nd ne confrunt\u0103m cu suferin\u021ba, \u00eentreb\u0103rile care apar la nivel personal \u0219i la nivel colectiv sunt: de ce aceast\u0103 suferin\u021b\u0103? care este scopul acestei suferin\u021be? Victor Frankl (1905 -1997), fondatorul logoterapiei, a experimentat o suferin\u021b\u0103 extrem\u0103 \u00een lag\u0103rele de concentrare, unde \u0219i-a pierdut toat\u0103 familia, cu excep\u021bia surorii sale. \u00cen cartea sa “Man’s search for meaning” (“Omul \u00een c\u0103utarea sensului”)(1), el explic\u0103 experien\u021ba care l-a condus la descoperirea logoterapiei, o \u0219coal\u0103 de psihoterapie care descrie c\u0103utarea sensului vie\u021bii ca fiind for\u021ba motiva\u021bional\u0103 central\u0103 a omului. El are un \u00eentreg capitol dedicat sensului suferin\u021bei, iar mesajele sale sunt pe deplin aplicabile \u00eengrijirii paliative: “Nu trebuie s\u0103 uit\u0103m niciodat\u0103 c\u0103 putem, de asemenea, s\u0103 g\u0103sim un sens \u00een via\u021b\u0103 chiar \u0219i atunci c\u00e2nd ne confrunt\u0103m cu o situa\u021bie f\u0103r\u0103 speran\u021b\u0103, c\u00e2nd ne confrunt\u0103m cu o soart\u0103 care nu poate fi schimbat\u0103. Pentru c\u0103, ceea ce conteaz\u0103 atunci este s\u0103 fim martori ai poten\u021bialului unic al omului \u00een cea mai bun\u0103 versiune a sa, care const\u0103 \u00een a transforma o tragedie personal\u0103 \u00eentr-un triumf, \u00een a transforma situa\u021bia dificil\u0103 a cuiva \u00eentr-o realizare uman\u0103. Atunci c\u00e2nd nu mai suntem capabili s\u0103 schimb\u0103m o situa\u021bie – g\u00e2ndi\u021bi-v\u0103 doar la o boal\u0103 incurabil\u0103, cum ar fi un cancer inoperabil – suntem provoca\u021bi s\u0103 ne schimb\u0103m pe noi \u00een\u0219ine.” (pag. 135) Pentru practica \u00eengrijirii paliative, din logoterapie au ap\u0103rut mai multe instrumente de evaluare \u0219i programe de consiliere, cum ar fi, de exemplu, terapia de grup centrat\u0103 pe semnifica\u021bie propus\u0103 de Breitbart (2) \u00een SUA, la Memorial Sloan-Kettering Cancer Center din Statele Unite. \u00cen prezent, un studiu derulat \u00een Turcia, \u00eenregistrat pe site-ul ClinicalTrials.gov (3) recruteaz\u0103 pacien\u021bi pentru Programul de consiliere logoterapeutic\u0103 pentru pacien\u021bii cu suferin\u021b\u0103 cronic\u0103 din \u00eengrijiri paliative pentru a evalua eficacitatea consilierii logoterapeutice asupra suferin\u021bei cronice, a sensului vie\u021bii \u0219i a demnit\u0103\u021bii pacien\u021bilor cu \u00eengrijiri paliative. Instrumente, precum testul The Purpose-in-Life (PIL), chestionarul Life Purpose Questionnaire (LPQ), The Values Awareness Technique (VAT) se bazeaz\u0103, de asemenea, pe terapia analitic\u0103 existen\u021bial\u0103 a lui Frankl (4). Chiar dac\u0103 programul nostru de \u00eengrijiri paliative se afl\u0103 la \u00eenceput \u0219i avem resurse limitate de personal \u0219i nu avem o persoan\u0103 dedicat\u0103 consilierii psihologice sau spirituale, \u00eenv\u0103\u021b\u00e2ndu-i pe membrii personalului nostru s\u0103 exploreze prin dialog principalele categorii prin care persoanele g\u0103sesc sens va face diferen\u021ba pentru pacien\u021bii no\u0219tri \u0219i rudele lor. Patricia Starck (5) define\u0219te aceste categorii dup\u0103 cum urmeaz\u0103: 1. Sarcini, lucr\u0103ri, fapte pe care cineva le-a realizat \u00een via\u021b\u0103 2. Experien\u021be de percepere a iubirii \u0219i a frumuse\u021bii care le-au \u00eembog\u0103\u021bit via\u021ba 3. Atitudini fa\u021b\u0103 de circumstan\u021bele vie\u021bii, \u00een special atunci c\u00e2nd se confrunt\u0103 cu soarta care nu poate fi schimbat\u0103 (motto despre cum \u00ee\u021bi tr\u0103ie\u0219ti via\u021ba) 4. Auto-transcenden\u021b\u0103 – ie\u0219irea din sine pentru a servi o cauz\u0103 mai mare dec\u00e2t sine. Exemplu: Discut\u00e2nd cu tat\u0103l unui pacient cu boala Hunter despre planificarea \u00eengrijirii viitoare a copilului \u0219i despre care este cel mai bun tratament la sf\u00e2r\u0219itul vie\u021bii tat\u0103l remarc\u0103 \u0218tiu c\u0103 medicamentul pe care \u00eel prime\u0219te nu \u00eel mai ajut\u0103, dar dac\u0103 aceste informa\u021bii referitoare la tratament \u00eei ajut\u0103 \u0219i pe al\u021bi copii cu aceea\u0219i afec\u021biune atunci merit\u0103 \u0219i pentru noi! Folosirea unei \u00eentreb\u0103ri deschise despre strategiile de adaptare – ce v-a ajutat s\u0103 trece\u021bi prin aceast\u0103 suferin\u021b\u0103? – sau sensul asociat acesteia – a ie\u0219it ceva bun din aceast\u0103 suferin\u021b\u0103 poate permite pacien\u021bilor s\u0103 extrag\u0103 sens \u0219i semnifica\u021bie din experien\u021ba lor. Noi suntem doar o cutie de rezonan\u021b\u0103 pentru ca pacientul s\u0103 reflecteze \u0219i s\u0103 identifice semnifica\u021bia, putem ghida pacientul, dar nu putem atribui semnifica\u021bia experien\u021bei altcuiva! \u00cen calitate de \u00eengrijitori profesioni\u0219ti, trebuie, de asemenea, s\u0103 fim con\u0219tien\u021bi de valoarea \u0219i sensul muncii noastre \u00een domeniul \u00eengrijirii paliative \u0219i de ceea ce \u00eenseamn\u0103 pentru fiecare dintre noi o munc\u0103 bine f\u0103cut\u0103. References 1. Frankl V, Man\u2019s search for meaning, Washington Square Press, 1985, https:\/\/ia601809.us.archive.org\/19\/items\/mans-search-formeaning_202104\/Man%27s%20Search%20For%20Meani ng.pdf, accesat in 21 aprilie 2023 2. Breitbart W, Gibson C, Poppito SR, Berg A. Psychotherapeutic Interventions at the End of Life: A Focus on Meaning and Spirituality. The Canadian Journal of Psychiatry. 2004;49(6):366-372. doi:10.1177\/070674370404900605 3. https:\/\/beta.clinicaltrials.gov\/study\/NCT05129059 , accesat in 21 aprilie 2023 4. Robert R. Hutzell (1986) Meaning and Purpose in Life: Assessment Techniques of Logotherapy, The Hospice Journal, 2:4, 37-50, DOI: 10.1080\/0742- 969X.1986.11882574) 5. Starck PL. The Theory of Meaning in Hospice Care. J Hosp Palliat Care 2017;20:221- 225. https:\/\/doi.org\/10.14475\/kjhpc.2017.20.4.221<\/p>\n
Palliative care main aim is to reduce suffering for patients with progressive illnesses and create a supportive net around them and their families. To achieve this more than use of drugs and non-pharmacologic measures for symptom management is needed. But suffering in past mankind history and sadly even in present history comes not just through disease but also induced to human fellows through war, torture in political prisons and many more actions. And hopefully lesson learned when reflecting on collective suffering help us grow wiser and stronger as nations. When confronted with suffering the questions that arise at personal level and collective level are: why this suffering? what is the purpose of this suffering? Victor Frankl (1905 \u20131997), founder of logotherapy, has experienced extreme suffering in the concentration camps where he lost all his family except his sister. In his book \u201cMan\u2019s search for meaning\u201d (1), he explains the experience which led him to his discover logotherapy, a school of psychotherapy that describes a search for a life’s meaning as the central human motivational force. He has a whole chapter dedicated to meaning of suffering and his messages are fully applicable to palliative care \u201cWe must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed. For what then matters is to bear witness to the uniquely human potential at its best, which is to transform a personal tragedy into a triumph, to turn one’s predicament into a human achievement. When we are no longer able to change a situation – just think of an incurable disease such as inoperable cancer – we are challenged to change ourselves.\u201d (pg 135) For palliative care practice out of Logotherapy several assessment tools and counseling programs have emerged like for example the Meaning-centred group therapy proposed by Breitbart (2) in US at Memorial Sloan-Kettering Cancer Center in the United States. At present a trial run in Turkey, registered on the ClinicalTrials.gov (3) is recruiting patients for Logotherapy Counseling Programme for Palliative Care Patients with Chronic Sorrow to evaluate the effectiveness of logotherapy counseling on chronic sorrow, meaning of life and dignity of palliative care patients. Instruments like The Purpose-in-Life (PIL) test, the Life Purpose Questionnaire (LPQ), The Values Awareness Technique (VAT) are also based on Frankl\u2019s existential analytical therapy (4). Even if our palliative care program is in its early stages and we have limited staff resources and no dedicated person to do psychological or spiritual counselling, teaching our staff members to explore through dialog the main categories through which persons find meaning will make a difference for our patients and their relatives. Patricia Starck (5) defines these categories as follows: 1. Tasks, works, deeds one has accomplished in life 2. Experiences of love and beauty that have enriched their life 3. Attitudes towards circumstances in life especially when faced with fate that cannot be changed (motto on how you live your life) 4. Self-transcendence- getting outside the self to serve a cause greater than oneself. Example: Discussing with a father of our patient with Hunter disease about planning for the child\u2019s future care and what is best treatment at end of life the father remarks I know that the drug that he gets is not helping him anymore but if this information concerning the treatment is helping other children with the same use than it is also worthwhile for us! Asking open question about coping strategies \u2013 what has helped you going through this suffering? – Or meaning associated to it \u2013 has something good come out of this suffering can allow patients to extract meaning and sense from their experience. We are just a sounding board for patient to reflect and identify meaning we can guide the patient but we can not assign the meaning for somebodies\u2019 else experience! As professional caregivers we also have to be mindful of what is the value and meaning of our work in palliative care and what consist for each of us a job well done. G\u0103sirea unui sens \u00een suferin\u021b\u0103 Scopul principal al \u00eengrijirii paliative este de a reduce suferin\u021ba pacien\u021bilor cu boli progresive \u0219i de a crea o re\u021bea de sus\u021binere \u00een jurul acestora \u0219i al familiilor lor. Pentru a realiza acest lucru este nevoie de mai mult dec\u00e2t de utilizarea medicamentelor \u0219i de m\u0103suri nefarmacologice pentru gestionarea simptomelor. Dar suferin\u021ba \u00een istoria trecut\u0103 a omenirii \u0219i, din p\u0103cate, chiar \u0219i \u00een istoria prezent\u0103, nu se datoreaz\u0103 doar bolilor, ci \u0219i suferin\u021bei provocate semenilor prin r\u0103zboi, tortur\u0103 \u00een \u00eenchisorile politice \u0219i multe alte ac\u021biuni. S\u0103 sper\u0103m c\u0103 lec\u021bia \u00eenv\u0103\u021bat\u0103 atunci c\u00e2nd reflect\u0103m asupra suferin\u021bei colective ne ajut\u0103 s\u0103 devenim mai \u00een\u021belep\u021bi \u0219i mai puternici ca na\u021biuni. Vol 16 \/ Nr. 2 \/ Aprilie 2023 https:\/\/www.paliatia.eu ISSN 1844 \u2013 7058 4 Funda\u021bia HOSPICE Casa Speran\u021bei Atunci c\u00e2nd ne confrunt\u0103m cu suferin\u021ba, \u00eentreb\u0103rile care apar la nivel personal \u0219i la nivel colectiv sunt: de ce aceast\u0103 suferin\u021b\u0103? care este scopul acestei suferin\u021be? Victor Frankl (1905 -1997), fondatorul logoterapiei, a experimentat o suferin\u021b\u0103 extrem\u0103 \u00een lag\u0103rele de concentrare, unde \u0219i-a pierdut toat\u0103 familia, cu excep\u021bia surorii sale. \u00cen cartea sa “Man’s search for meaning” (“Omul \u00een c\u0103utarea sensului”)(1), el explic\u0103 experien\u021ba care l-a condus la descoperirea logoterapiei, o \u0219coal\u0103 de psihoterapie care descrie c\u0103utarea sensului vie\u021bii ca fiind for\u021ba motiva\u021bional\u0103 central\u0103 a omului. El are un \u00eentreg capitol dedicat sensului suferin\u021bei, iar mesajele sale sunt pe deplin aplicabile \u00eengrijirii paliative: “Nu trebuie s\u0103 uit\u0103m niciodat\u0103 c\u0103 putem, de asemenea, s\u0103 g\u0103sim un sens \u00een via\u021b\u0103 chiar \u0219i atunci c\u00e2nd ne confrunt\u0103m cu o situa\u021bie f\u0103r\u0103 speran\u021b\u0103, c\u00e2nd ne confrunt\u0103m cu o soart\u0103 care nu poate fi schimbat\u0103. Pentru c\u0103, ceea ce conteaz\u0103 atunci este s\u0103 fim martori ai poten\u021bialului unic al omului \u00een cea mai bun\u0103 versiune a sa, care const\u0103 \u00een a transforma o tragedie personal\u0103 \u00eentr-un triumf, \u00een a transforma situa\u021bia dificil\u0103 a cuiva \u00eentr-o realizare uman\u0103. Atunci c\u00e2nd nu mai suntem capabili s\u0103 schimb\u0103m o situa\u021bie – g\u00e2ndi\u021bi-v\u0103 doar la o boal\u0103 incurabil\u0103, cum ar fi un cancer inoperabil – suntem provoca\u021bi s\u0103 ne schimb\u0103m pe noi \u00een\u0219ine.” (pag. 135) Pentru practica \u00eengrijirii paliative, din logoterapie au ap\u0103rut mai multe instrumente de evaluare \u0219i programe de consiliere, cum ar fi, de exemplu, terapia de grup centrat\u0103 pe semnifica\u021bie propus\u0103 de Breitbart (2) \u00een SUA, la Memorial Sloan-Kettering Cancer Center din Statele Unite. \u00cen prezent, un studiu derulat \u00een Turcia, \u00eenregistrat pe site-ul ClinicalTrials.gov (3) recruteaz\u0103 pacien\u021bi pentru Programul de consiliere logoterapeutic\u0103 pentru pacien\u021bii cu suferin\u021b\u0103 cronic\u0103 din \u00eengrijiri paliative pentru a evalua eficacitatea consilierii logoterapeutice asupra suferin\u021bei cronice, a sensului vie\u021bii \u0219i a demnit\u0103\u021bii pacien\u021bilor cu \u00eengrijiri paliative. Instrumente, precum testul The Purpose-in-Life (PIL), chestionarul Life Purpose Questionnaire (LPQ), The Values Awareness Technique (VAT) se bazeaz\u0103, de asemenea, pe terapia analitic\u0103 existen\u021bial\u0103 a lui Frankl (4). Chiar dac\u0103 programul nostru de \u00eengrijiri paliative se afl\u0103 la \u00eenceput \u0219i avem resurse limitate de personal \u0219i nu avem o persoan\u0103 dedicat\u0103 consilierii psihologice sau spirituale, \u00eenv\u0103\u021b\u00e2ndu-i pe membrii personalului nostru s\u0103 exploreze prin dialog principalele categorii prin care persoanele g\u0103sesc sens va face diferen\u021ba pentru pacien\u021bii no\u0219tri \u0219i rudele lor. Patricia Starck (5) define\u0219te aceste categorii dup\u0103 cum urmeaz\u0103: 1. Sarcini, lucr\u0103ri, fapte pe care cineva le-a realizat \u00een via\u021b\u0103 2. Experien\u021be de percepere a iubirii \u0219i a frumuse\u021bii care le-au \u00eembog\u0103\u021bit via\u021ba 3. Atitudini fa\u021b\u0103 de circumstan\u021bele vie\u021bii, \u00een special atunci c\u00e2nd se confrunt\u0103 cu soarta care nu poate fi schimbat\u0103 (motto despre cum \u00ee\u021bi tr\u0103ie\u0219ti via\u021ba) 4. Auto-transcenden\u021b\u0103 – ie\u0219irea din sine pentru a servi o cauz\u0103 mai mare dec\u00e2t sine. Exemplu: Discut\u00e2nd cu tat\u0103l unui pacient cu boala Hunter despre planificarea \u00eengrijirii viitoare a copilului \u0219i despre care este cel mai bun tratament la sf\u00e2r\u0219itul vie\u021bii tat\u0103l remarc\u0103 \u0218tiu c\u0103 medicamentul pe care \u00eel prime\u0219te nu \u00eel mai ajut\u0103, dar dac\u0103 aceste informa\u021bii referitoare la tratament \u00eei ajut\u0103 \u0219i pe al\u021bi copii cu aceea\u0219i afec\u021biune atunci merit\u0103 \u0219i pentru noi! Folosirea unei \u00eentreb\u0103ri deschise despre strategiile de adaptare – ce v-a ajutat s\u0103 trece\u021bi prin aceast\u0103 suferin\u021b\u0103? – sau sensul asociat acesteia – a ie\u0219it ceva bun din aceast\u0103 suferin\u021b\u0103 poate permite pacien\u021bilor s\u0103 extrag\u0103 sens \u0219i semnifica\u021bie din experien\u021ba lor. Noi suntem doar o cutie de rezonan\u021b\u0103 pentru ca pacientul s\u0103 reflecteze \u0219i s\u0103 identifice semnifica\u021bia, putem ghida pacientul, dar nu putem atribui semnifica\u021bia experien\u021bei altcuiva! \u00cen calitate de \u00eengrijitori profesioni\u0219ti, trebuie, de asemenea, s\u0103 fim con\u0219tien\u021bi de valoarea \u0219i sensul muncii noastre \u00een domeniul \u00eengrijirii paliative \u0219i de ceea ce \u00eenseamn\u0103 pentru fiecare dintre noi o munc\u0103 bine f\u0103cut\u0103. References 1. Frankl V, Man\u2019s search for meaning, Washington Square Press, 1985, https:\/\/ia601809.us.archive.org\/19\/items\/mans-search-formeaning_202104\/Man%27s%20Search%20For%20Meani ng.pdf, accesat in 21 aprilie 2023 2. Breitbart W, Gibson C, Poppito SR, Berg A. Psychotherapeutic Interventions at the End of Life: A Focus on Meaning and Spirituality. The Canadian Journal of Psychiatry. 2004;49(6):366-372. doi:10.1177\/070674370404900605 3. https:\/\/beta.clinicaltrials.gov\/study\/NCT05129059 , accesat in 21 aprilie 2023 4. Robert R. Hutzell (1986) Meaning and Purpose in Life: Assessment Techniques of Logotherapy, The Hospice Journal, 2:4, 37-50, DOI: 10.1080\/0742- 969X.1986.11882574) 5. Starck PL. The Theory of Meaning in Hospice Care. J Hosp Palliat Care 2017;20:221- 225. https:\/\/doi.org\/10.14475\/kjhpc.2017.20.4.221<\/p>\n","protected":false},"excerpt":{"rendered":"
Palliative care main aim is to reduce suffering for patients with progressive illnesses and create a supportive net around them and their families. To achieve this more than use of drugs and non-pharmacologic measures for symptom management is needed. But suffering in past mankind history and sadly even in present history comes not just through […]<\/p>\n","protected":false},"author":431,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/posts\/4710"}],"collection":[{"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/users\/431"}],"replies":[{"embeddable":true,"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/comments?post=4710"}],"version-history":[{"count":2,"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/posts\/4710\/revisions"}],"predecessor-version":[{"id":4713,"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/posts\/4710\/revisions\/4713"}],"wp:attachment":[{"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/media?parent=4710"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/categories?post=4710"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.paliatia.eu\/new\/wp-json\/wp\/v2\/tags?post=4710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}