| Physical |
| Physical suffering. |
| Less able to do things. |
| Nausea, loss of appetite. |
| Poor sleep quality and quantity. |
| Medication side effects. |
| Loss of strength and mobility. |
| Inadequate pain control. |
| Psychological |
Decreased enjoyment of life. |
| Increased fear and anxiety. |
| Depression, sadness, distress. |
| Difficulty concentrating, memory loss. |
| Preoccupation with symptoms. |
| Loss of control over one's life. |
| May become dependent on others. |
| Social |
Quality and quantity of relationships may lessen. |
| Unable to take part in social/family activities. |
| Decreased sexual function, loss of affection. |
| Physical appearance may be changed. |
| Increased burden on others. |
| Forced to deal with adversarial system. |
| Loss of income. |
| Spiritual |
Increased suffering, questioning. |
| Life may take on different meaning. |
| May feel disillusioned. |
| May look at religious beliefs. |
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