“…However, few studies are found that show the impact of AAT on the alleviation of "total" pain in palliative care settings. This may include physical aspects of pain, as well as suffering components such as emotional factors, loss issues, fear of death, and spiritual concerns (Gagnon, Bouchard, Landry, Belles-Isles, Fortier, & Fillion, 2004;Geisler, 2004;Horowitz, 2010;Skeath, Fine, & Berger, 2010).…”