Cicely Saunders, Mary Baines, and Robert Dunlop
- Published in print:
- 1995
- Published Online:
- November 2011
- ISBN:
- 9780192625144
- eISBN:
- 9780191730009
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192625144.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
The new edition of this book has been updated to incorporate recent advances in both the approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and ...
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The new edition of this book has been updated to incorporate recent advances in both the approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and research at St Christopher's Hospice, the author presents practical, balanced advice on the general ethical and medical principles of caring for dying patients. This will continue to be an invaluable handbook for all hospice physicians and nurses as a compassionate source of factual information.Less
The new edition of this book has been updated to incorporate recent advances in both the approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and research at St Christopher's Hospice, the author presents practical, balanced advice on the general ethical and medical principles of caring for dying patients. This will continue to be an invaluable handbook for all hospice physicians and nurses as a compassionate source of factual information.
Jeanne Samson Katz and Sheila M. Peace (eds)
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.001.0001
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the ...
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In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. The book describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health, and emotional challenges that carers face on top of their day-to-day work. Based on research from both the UK and US, the book shows how the situation can be improved.Less
In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. The book describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health, and emotional challenges that carers face on top of their day-to-day work. Based on research from both the UK and US, the book shows how the situation can be improved.
David Barnard, Anna M. Towers, Patricia Boston, and Yanna Lambrinidou
- Published in print:
- 2000
- Published Online:
- November 2011
- ISBN:
- 9780195123432
- eISBN:
- 9780199999835
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195123432.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine and Older People
This book provides a unique view of patients, families, and their caregivers striving together to maintain comfort and hope in the face of incurable illness. The narratives weave together emotions, ...
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This book provides a unique view of patients, families, and their caregivers striving together to maintain comfort and hope in the face of incurable illness. The narratives weave together emotions, physical symptoms, spiritual concerns, and the stresses of family life, as well as the professional and personal challenges of providing hospice and palliative care. Based on a vast amount of participant observation and in-depth interviews, the book moves far beyond dry technical manuals for symptom control and tired clichés about death with dignity, to depict the sights, sounds, tastes, and smells of the daily in patients' homes and the palliative care unit. It captures the breathtaking diversity of people's aspirations and ideals as they face death, and the views of the professionals who care for them. Anger and fear, tenderness and reconciliation, jealousy and love, social support and falling through the cracks, unexpected courage and unshakable faith—all of these are part of facing death in late twentieth-century North America, and this book brings them to life in a portrait of the processes of giving and receiving palliative care.Less
This book provides a unique view of patients, families, and their caregivers striving together to maintain comfort and hope in the face of incurable illness. The narratives weave together emotions, physical symptoms, spiritual concerns, and the stresses of family life, as well as the professional and personal challenges of providing hospice and palliative care. Based on a vast amount of participant observation and in-depth interviews, the book moves far beyond dry technical manuals for symptom control and tired clichés about death with dignity, to depict the sights, sounds, tastes, and smells of the daily in patients' homes and the palliative care unit. It captures the breathtaking diversity of people's aspirations and ideals as they face death, and the views of the professionals who care for them. Anger and fear, tenderness and reconciliation, jealousy and love, social support and falling through the cracks, unexpected courage and unshakable faith—all of these are part of facing death in late twentieth-century North America, and this book brings them to life in a portrait of the processes of giving and receiving palliative care.
Rosalind Scott and Steven Howlett (eds)
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199545827
- eISBN:
- 9780191730429
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199545827.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This book provides practical guidelines on the responsibilities of those who lead, co-ordinate, and manage volunteers in small hospices, large specialist palliative care units, and in general ...
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This book provides practical guidelines on the responsibilities of those who lead, co-ordinate, and manage volunteers in small hospices, large specialist palliative care units, and in general hospitals with palliative care teams. Volunteers are key workers, who often perform difficult and important work. In the United Kingdom alone there are thousands of volunteers in hospice work, a small proportion doing work with patients, and the vast majority doing equally valuable work such as driving, sitting with relatives, and manning charity shops and telephones. As a result, Europe, Australia, the United States and Canada are very interested in the United Kingdom's use of volunteers. Aimed primarily at Voluntary Services Managers in small hospices, large specialist palliative care units, and in general hospitals with palliative care teams, this updated second edition covers volunteer selection, training, supervision and support, and legal and ethical considerations.Less
This book provides practical guidelines on the responsibilities of those who lead, co-ordinate, and manage volunteers in small hospices, large specialist palliative care units, and in general hospitals with palliative care teams. Volunteers are key workers, who often perform difficult and important work. In the United Kingdom alone there are thousands of volunteers in hospice work, a small proportion doing work with patients, and the vast majority doing equally valuable work such as driving, sitting with relatives, and manning charity shops and telephones. As a result, Europe, Australia, the United States and Canada are very interested in the United Kingdom's use of volunteers. Aimed primarily at Voluntary Services Managers in small hospices, large specialist palliative care units, and in general hospitals with palliative care teams, this updated second edition covers volunteer selection, training, supervision and support, and legal and ethical considerations.
Jacqueline Worswick
- Published in print:
- 2000
- Published Online:
- November 2011
- ISBN:
- 9780192632357
- eISBN:
- 9780191730122
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192632357.001.0001
- Subject:
- Palliative Care, Paediatric Palliative Medicine, Patient Care and End-of-Life Decision Making
The concept of a children's hospice, seen as innovative when the first, Helen House, opened in Oxford in 1982, is now well established, and the growth in the number of children's hospices has seen ...
More
The concept of a children's hospice, seen as innovative when the first, Helen House, opened in Oxford in 1982, is now well established, and the growth in the number of children's hospices has seen corresponding important developments in the field of paediatric palliative care. This book provides an account of how Helen House came into being. It records the events surrounding the foundation of the hospice and how it stemmed directly from what was learnt from the events following the sudden illness of the author's eldest daughter Helen, after whom the hospice was named. The book sets out the philosophy that underpinned the hospice, which was taken up as the guiding philosophy of children's hospice care. It describes the hospice's operational framework and details the service provided by Helen House. The book provides valuable insight into the needs of the families who use hospice services and touches both on the difficulties they face caring, often over a long period of time, for a child with a life-limiting illness, and on the role and attitudes of professionals and indeed of the public at large. In this new edition, an additional chapter reviews the growth of children's hospices and reflects on the challenges they face in their maturity. It considers the development of children's hospice care in relation to wider service provision and examines current and future issues surrounding the care of children with life-limiting illness.Less
The concept of a children's hospice, seen as innovative when the first, Helen House, opened in Oxford in 1982, is now well established, and the growth in the number of children's hospices has seen corresponding important developments in the field of paediatric palliative care. This book provides an account of how Helen House came into being. It records the events surrounding the foundation of the hospice and how it stemmed directly from what was learnt from the events following the sudden illness of the author's eldest daughter Helen, after whom the hospice was named. The book sets out the philosophy that underpinned the hospice, which was taken up as the guiding philosophy of children's hospice care. It describes the hospice's operational framework and details the service provided by Helen House. The book provides valuable insight into the needs of the families who use hospice services and touches both on the difficulties they face caring, often over a long period of time, for a child with a life-limiting illness, and on the role and attitudes of professionals and indeed of the public at large. In this new edition, an additional chapter reviews the growth of children's hospices and reflects on the challenges they face in their maturity. It considers the development of children's hospice care in relation to wider service provision and examines current and future issues surrounding the care of children with life-limiting illness.
John Ellershaw and Susie Wilkinson (eds)
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198509332
- eISBN:
- 9780191730177
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198509332.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Integrated ...
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Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Integrated Care Pathway for the Dying Patient (LCP). Developed at a hospice, the information can be disseminated and adapted to fit different settings such as hospitals and nursing homes. The LCP is a multiprofessional document that incorporates evidence-based practice and appropriate guidelines related to care of the dying. It provides a template that describes the process of care, which is generally delivered in a clinical situation and incorporates the expected outcome of care delivery. The LCP replaces all other documentation in this phase of care. Care pathways can provide a potentially powerful aid to professionals involved in palliative care. Basic principles of treatment are translated into daily practice, including bedside documentation systems, policies and procedures, standards of practice, continuing education, and quality improvement programmes. The book also includes chapters on symptom control, ethical issues, communication skills, and spiritual care.Less
Even for the most experienced healthcare professional, managing the last few days of life can be difficult. This book provides guidelines for the care of the dying based on the Liverpool Integrated Care Pathway for the Dying Patient (LCP). Developed at a hospice, the information can be disseminated and adapted to fit different settings such as hospitals and nursing homes. The LCP is a multiprofessional document that incorporates evidence-based practice and appropriate guidelines related to care of the dying. It provides a template that describes the process of care, which is generally delivered in a clinical situation and incorporates the expected outcome of care delivery. The LCP replaces all other documentation in this phase of care. Care pathways can provide a potentially powerful aid to professionals involved in palliative care. Basic principles of treatment are translated into daily practice, including bedside documentation systems, policies and procedures, standards of practice, continuing education, and quality improvement programmes. The book also includes chapters on symptom control, ethical issues, communication skills, and spiritual care.
Ann Armstrong-Dailey and Sarah Zarbock (eds)
- Published in print:
- 2008
- Published Online:
- November 2011
- ISBN:
- 9780195340709
- eISBN:
- 9780199999927
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195340709.003.0001
- Subject:
- Palliative Care, Paediatric Palliative Medicine, Pain Management and Palliative Pharmacology
This introductory chapter explains the coverage of this book, which is about pediatric hospice care. The book provides specific information about providing for terminally ill children, including ...
More
This introductory chapter explains the coverage of this book, which is about pediatric hospice care. The book provides specific information about providing for terminally ill children, including children's age-related understanding of death, the critical elements of pain and symptom control, and the psychosocial aspects of life-threatening illnesses in childhood and adolescence. It addresses the spiritual concerns of the family and sibling bereavement and describes inpatient palliative care practiced at St. Mary's Hospital for Children. The chapter also discusses the Children's Hospice International's (CHI) Program for All-Inclusive Care for Children and their Families (CHI PACC).Less
This introductory chapter explains the coverage of this book, which is about pediatric hospice care. The book provides specific information about providing for terminally ill children, including children's age-related understanding of death, the critical elements of pain and symptom control, and the psychosocial aspects of life-threatening illnesses in childhood and adolescence. It addresses the spiritual concerns of the family and sibling bereavement and describes inpatient palliative care practiced at St. Mary's Hospital for Children. The chapter also discusses the Children's Hospice International's (CHI) Program for All-Inclusive Care for Children and their Families (CHI PACC).
Sara Booth, Polly Edmonds, and Margaret Kendall
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199238927
- eISBN:
- 9780191730092
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199238927.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
Hospital palliative care teams have been established in rapidly increasing numbers over the last twenty, as it has been recognised that hospices can never transfer the philosophy and practice of ...
More
Hospital palliative care teams have been established in rapidly increasing numbers over the last twenty, as it has been recognised that hospices can never transfer the philosophy and practice of palliative care into the acute sector by simply existing; they often work as ‘stand alone units’ and remain outside mainstream medicine. However it has become apparent that improving access to palliative care for patients in acute hospitals is not as easy as employing external palliative care specialists as consultants. Even setting up a team of professionals who work solely in a hospital will often not improve the care of the great majority of patients being treated there. Based on the experience and knowledge of three clinicians in the area who have developed palliative care services in acute settings, this book provides those facing the same challenges with guidance and advice on a range of problems they might encounter. Using a problem focused and practical approach, this guide is filled with case-based problems to help with the identification of realistic, usable, everyday solutions. It also covers the skills and knowledge needed to help teams make progress in the hospital as well as outlining the best training to help professionals continue to flourish.Less
Hospital palliative care teams have been established in rapidly increasing numbers over the last twenty, as it has been recognised that hospices can never transfer the philosophy and practice of palliative care into the acute sector by simply existing; they often work as ‘stand alone units’ and remain outside mainstream medicine. However it has become apparent that improving access to palliative care for patients in acute hospitals is not as easy as employing external palliative care specialists as consultants. Even setting up a team of professionals who work solely in a hospital will often not improve the care of the great majority of patients being treated there. Based on the experience and knowledge of three clinicians in the area who have developed palliative care services in acute settings, this book provides those facing the same challenges with guidance and advice on a range of problems they might encounter. Using a problem focused and practical approach, this guide is filled with case-based problems to help with the identification of realistic, usable, everyday solutions. It also covers the skills and knowledge needed to help teams make progress in the hospital as well as outlining the best training to help professionals continue to flourish.
Jacqueline Worswick
- Published in print:
- 2000
- Published Online:
- November 2011
- ISBN:
- 9780192632357
- eISBN:
- 9780191730122
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192632357.003.0010
- Subject:
- Palliative Care, Paediatric Palliative Medicine, Patient Care and End-of-Life Decision Making
Much has changed in the long years since Helen first became ill. In the field of medicine, there are signs of a more holistic approach in the treatment of the sick and injured. The National ...
More
Much has changed in the long years since Helen first became ill. In the field of medicine, there are signs of a more holistic approach in the treatment of the sick and injured. The National Association for the Welfare of Children in Hospital is now called Action for Sick Children (ASC). This marks the recognition to the role played by parents and families in the care of sick children, and of the fact that serious illness is not encountered, and indeed treated or coped with, only within the confines of hospitals. In the field of care of those with life-threatening illness and of the terminally ill, adult hospices are now relatively commonplace and certainly no longer arouse the controversy they did in their pioneering days. When Helen House opened in 1982 there were no other children's hospices in the world; there are now five in operation in England and 17 planned.Less
Much has changed in the long years since Helen first became ill. In the field of medicine, there are signs of a more holistic approach in the treatment of the sick and injured. The National Association for the Welfare of Children in Hospital is now called Action for Sick Children (ASC). This marks the recognition to the role played by parents and families in the care of sick children, and of the fact that serious illness is not encountered, and indeed treated or coped with, only within the confines of hospitals. In the field of care of those with life-threatening illness and of the terminally ill, adult hospices are now relatively commonplace and certainly no longer arouse the controversy they did in their pioneering days. When Helen House opened in 1982 there were no other children's hospices in the world; there are now five in operation in England and 17 planned.
Jacqueline Worswick
- Published in print:
- 2000
- Published Online:
- November 2011
- ISBN:
- 9780192632357
- eISBN:
- 9780191730122
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192632357.003.0001
- Subject:
- Palliative Care, Paediatric Palliative Medicine, Patient Care and End-of-Life Decision Making
Helen House, the first hospice for children in the UK, opened in Oxford in 1982. This book aims to provide a full and comprehensive account of how Helen House came into being, what it does, and how ...
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Helen House, the first hospice for children in the UK, opened in Oxford in 1982. This book aims to provide a full and comprehensive account of how Helen House came into being, what it does, and how it operates. The last decade of the twentieth century saw a rapid growth in the number of children's hospices and corresponding important developments in the field of what has become known as paediatric palliative care. The book describes how Helen House arose from a special bond of friendship between Mother Frances Dominica and the author's daughter Helen, Jacqueline Worswick (the author), and her husband, Richard. It records how the idea for Helen House emerged and how this idea was then translated into reality. The book contains a brief biography of Frances and information about those others whose important contributions enabled Helen House to develop in the way it did.Less
Helen House, the first hospice for children in the UK, opened in Oxford in 1982. This book aims to provide a full and comprehensive account of how Helen House came into being, what it does, and how it operates. The last decade of the twentieth century saw a rapid growth in the number of children's hospices and corresponding important developments in the field of what has become known as paediatric palliative care. The book describes how Helen House arose from a special bond of friendship between Mother Frances Dominica and the author's daughter Helen, Jacqueline Worswick (the author), and her husband, Richard. It records how the idea for Helen House emerged and how this idea was then translated into reality. The book contains a brief biography of Frances and information about those others whose important contributions enabled Helen House to develop in the way it did.
Cicely Saunders
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780198570530
- eISBN:
- 9780191730412
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198570530.003.0029
- Subject:
- Palliative Care, Palliative Medicine Research
A letter from 1984, reproduced here from the Journal of Chronic Diseases, was written in response to the appearance of early findings from the important National Hospice Study in the United States. ...
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A letter from 1984, reproduced here from the Journal of Chronic Diseases, was written in response to the appearance of early findings from the important National Hospice Study in the United States. It criticises two aspects of ‘hospice’ in the USA: first, the lack of physician involvement and second, the demand that the patient and family must know of the terminal nature of their illness before entering a reimbursed hospice programme. The letter suggests that ‘some experiences are impossible to evaluate or quantify’, whilst at the same time endorsing the need to continue research in this field. In particular, it urges that people should not become preoccupied with financial considerations at the expense of other factors when evaluating hospice care.Less
A letter from 1984, reproduced here from the Journal of Chronic Diseases, was written in response to the appearance of early findings from the important National Hospice Study in the United States. It criticises two aspects of ‘hospice’ in the USA: first, the lack of physician involvement and second, the demand that the patient and family must know of the terminal nature of their illness before entering a reimbursed hospice programme. The letter suggests that ‘some experiences are impossible to evaluate or quantify’, whilst at the same time endorsing the need to continue research in this field. In particular, it urges that people should not become preoccupied with financial considerations at the expense of other factors when evaluating hospice care.
Cicely Saunders
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780198570530
- eISBN:
- 9780191730412
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198570530.003.0037
- Subject:
- Palliative Care, Palliative Medicine Research
This chapter presents a short piece that appeared in the Daily Mail, around the time that a film was shown on television containing scenes of a patient dying in the care of a hospice home care team. ...
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This chapter presents a short piece that appeared in the Daily Mail, around the time that a film was shown on television containing scenes of a patient dying in the care of a hospice home care team. ‘Why I Welcome TV Cameras at the Death Bed’ shows the author's continued willingness to engage with wider public debates about death and dying and to use the popular press as a vehicle for these, when required.Less
This chapter presents a short piece that appeared in the Daily Mail, around the time that a film was shown on television containing scenes of a patient dying in the care of a hospice home care team. ‘Why I Welcome TV Cameras at the Death Bed’ shows the author's continued willingness to engage with wider public debates about death and dying and to use the popular press as a vehicle for these, when required.
David Clark
- Published in print:
- 2005
- Published Online:
- November 2011
- ISBN:
- 9780198569695
- eISBN:
- 9780191730559
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198569695.003.0001
- Subject:
- Palliative Care, Palliative Medicine Research
This introductory chapter discusses the author's treatment of the voluminous letters of Cicely Sauders, who was regarded as the founder of the modern hospice movement. A woman of resilience, vision, ...
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This introductory chapter discusses the author's treatment of the voluminous letters of Cicely Sauders, who was regarded as the founder of the modern hospice movement. A woman of resilience, vision, and dedication to the care of dying, she was often the subject of written accounts. This book presents a different view of Saunders through her letters. In it, the author allowed Saunders' letters to tell their own story of her life. The book concentrates on the 40 years of correspondence of Saunders from 1959 to 1999. Preference is given to letters that she personally wrote and preserved. The book offers a perspective on the life of Saunders through a selection of her correspondence. It begins by revealing her motivation to study the dilemmas of caring for dying people, and offers perspective on the achievements and developments that took place in St. Christopher's Hospice. The book provides insight into the expanding knowledge of the hospice and the transition to a wider perspective on palliative care. It also illustrates the changing role of Saunders in the hospice she founded, including her strong convictions, such as the importance of spirituality within the palliative setting. The book also discusses her antagonism against euthanasia, inadequate care, and lack of respect for personhood, and paints her relationships with three Polish men who had a great impact on her adult life. It book is divided into three parts: the years of establishing St. Christopher's Hospice; the years in which Saunders was Medical Director; and the years in which she was the Chairman, until 1999.Less
This introductory chapter discusses the author's treatment of the voluminous letters of Cicely Sauders, who was regarded as the founder of the modern hospice movement. A woman of resilience, vision, and dedication to the care of dying, she was often the subject of written accounts. This book presents a different view of Saunders through her letters. In it, the author allowed Saunders' letters to tell their own story of her life. The book concentrates on the 40 years of correspondence of Saunders from 1959 to 1999. Preference is given to letters that she personally wrote and preserved. The book offers a perspective on the life of Saunders through a selection of her correspondence. It begins by revealing her motivation to study the dilemmas of caring for dying people, and offers perspective on the achievements and developments that took place in St. Christopher's Hospice. The book provides insight into the expanding knowledge of the hospice and the transition to a wider perspective on palliative care. It also illustrates the changing role of Saunders in the hospice she founded, including her strong convictions, such as the importance of spirituality within the palliative setting. The book also discusses her antagonism against euthanasia, inadequate care, and lack of respect for personhood, and paints her relationships with three Polish men who had a great impact on her adult life. It book is divided into three parts: the years of establishing St. Christopher's Hospice; the years in which Saunders was Medical Director; and the years in which she was the Chairman, until 1999.
Michael Wright, David Clark, and Jennifer Hunt
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780199206803
- eISBN:
- 9780191730474
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199206803.003.0020
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
Zambia (population 10.7 million) is a landlocked country in Southern Africa that covers an area of 5, 664 km2. Palliative care is provided by six organizations delivering a total of twenty services. ...
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Zambia (population 10.7 million) is a landlocked country in Southern Africa that covers an area of 5, 664 km2. Palliative care is provided by six organizations delivering a total of twenty services. A feature of Zambian palliative care services is the prominence of the inpatient unit. The chapter describes the Mother of Mercy Hospice, Jon Hospice, Ranchhod House, Our Lady's Hospice, Martin Hospice, and Cicetekelo Hospice (Ndola Hospice). In particular, their reimbursement and funding for services, opioid availability and consumption, palliative care coverage, education and training, and palliative care workforce capacity are summarized. The national and professional organizations include Catholic Archdiocese of Lusaka and Zambian Palliative Care Association. Moreover, it addresses the history and development of hospice-palliative care in Zambia.Less
Zambia (population 10.7 million) is a landlocked country in Southern Africa that covers an area of 5, 664 km2. Palliative care is provided by six organizations delivering a total of twenty services. A feature of Zambian palliative care services is the prominence of the inpatient unit. The chapter describes the Mother of Mercy Hospice, Jon Hospice, Ranchhod House, Our Lady's Hospice, Martin Hospice, and Cicetekelo Hospice (Ndola Hospice). In particular, their reimbursement and funding for services, opioid availability and consumption, palliative care coverage, education and training, and palliative care workforce capacity are summarized. The national and professional organizations include Catholic Archdiocese of Lusaka and Zambian Palliative Care Association. Moreover, it addresses the history and development of hospice-palliative care in Zambia.
Sara Booth, Eduardo Bruera, and David Oliver (eds)
- Published in print:
- 2004
- Published Online:
- November 2011
- ISBN:
- 9780198528074
- eISBN:
- 9780191730382
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198528074.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This is the third book in an international, multi-contributed series aimed at providing practical clinical guidance on how to deal with difficult symptoms related to specific cancer sites. There are ...
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This is the third book in an international, multi-contributed series aimed at providing practical clinical guidance on how to deal with difficult symptoms related to specific cancer sites. There are few more distressing problems for patients and families than the development of a primary or secondary brain tumour. Treatment is often palliative, though intensive, from the start. Little firm evidence exists to guide the physician in caring for patients with seizures refractory to standard treatment. Most of the work is based on case reports or personal experience. The book draws the information together in an accessible form so that it can be read and referred to on the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find this book useful. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists, and nurse practitioners in palliative care, oncology, and neurology.Less
This is the third book in an international, multi-contributed series aimed at providing practical clinical guidance on how to deal with difficult symptoms related to specific cancer sites. There are few more distressing problems for patients and families than the development of a primary or secondary brain tumour. Treatment is often palliative, though intensive, from the start. Little firm evidence exists to guide the physician in caring for patients with seizures refractory to standard treatment. Most of the work is based on case reports or personal experience. The book draws the information together in an accessible form so that it can be read and referred to on the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find this book useful. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists, and nurse practitioners in palliative care, oncology, and neurology.
Sara Booth and Andrew Davies (eds)
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780198530749
- eISBN:
- 9780191730467
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198530749.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This is the fifth book in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, ...
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This is the fifth book in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, the editors bring together palliative care and oncological treatment for patients with head and neck cancer. Head and neck cancer is one of the most frightening and distressing cancers for patients and their families as it affects appearance, the ability to speak, and the ability to eat. Pain, which is difficult to treat, infection, and disfiguring surgery with wounds that often do not heal, are common accompaniments of advanced disease. In addition, psychological distress, loneliness, and isolation are often experienced by patients. Head and neck cancer is not that common but, when it does occur, it very often needs specialist help from palliative care and hospice clinicians. There is little written on this subject and this book provides a practical guide that draws together all the information in an easily accessible format. The Palliative Care Consultations series is primarily aimed at those individuals working in an acute hospital cancer centre and/or tertiary referral centre. The books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common but difficult.Less
This is the fifth book in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, the editors bring together palliative care and oncological treatment for patients with head and neck cancer. Head and neck cancer is one of the most frightening and distressing cancers for patients and their families as it affects appearance, the ability to speak, and the ability to eat. Pain, which is difficult to treat, infection, and disfiguring surgery with wounds that often do not heal, are common accompaniments of advanced disease. In addition, psychological distress, loneliness, and isolation are often experienced by patients. Head and neck cancer is not that common but, when it does occur, it very often needs specialist help from palliative care and hospice clinicians. There is little written on this subject and this book provides a practical guide that draws together all the information in an easily accessible format. The Palliative Care Consultations series is primarily aimed at those individuals working in an acute hospital cancer centre and/or tertiary referral centre. The books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common but difficult.
Sara Booth (ed.)
- Published in print:
- 2005
- Published Online:
- November 2011
- ISBN:
- 9780198530756
- eISBN:
- 9780191730481
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198530756.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This is the fourth volume in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, ...
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This is the fourth volume in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, the editors bring together palliative care with oncological treatment for patients with advanced breast cancer. The book is presented in a user-friendly handbook format, with the use of tables and algorithms to ensure that it is portable, accessible, and can be read and referred to on, or before going to, the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find the book useful. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists, and nurse practitioners in palliative care and oncology. The Palliative Care Consultations series is primarily aimed at individuals working in an acute hospital cancer centre and/or tertiary referral centre. The books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common but difficult. The volumes are site-specific and each encompasses a review of oncological or haemato-oncological management of advanced disease with symptom-control advice.Less
This is the fourth volume in an international, multi-contributed series aimed at providing practical, clinical guidance on how to deal with difficult symptoms related to specific cancer sites. In it, the editors bring together palliative care with oncological treatment for patients with advanced breast cancer. The book is presented in a user-friendly handbook format, with the use of tables and algorithms to ensure that it is portable, accessible, and can be read and referred to on, or before going to, the ward, or before a domiciliary visit. Specialists in palliative care and oncology settings, working in the acute sector and in hospices, will find the book useful. It will also appeal to consultants as well as specialist registrars, clinical nurse specialists, and nurse practitioners in palliative care and oncology. The Palliative Care Consultations series is primarily aimed at individuals working in an acute hospital cancer centre and/or tertiary referral centre. The books are designed to give the busy clinician advice on clinical problems, both those rarely encountered and those that are very common but difficult. The volumes are site-specific and each encompasses a review of oncological or haemato-oncological management of advanced disease with symptom-control advice.
Julia Addington-Hall and Irene Higginson (eds)
- Published in print:
- 2001
- Published Online:
- November 2011
- ISBN:
- 9780192629609
- eISBN:
- 9780191730054
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780192629609.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
The specialty of palliative care has traditionally grown out of oncology and there has been little research into the needs of patients dying from causes other than cancer. Few non-cancer patients ...
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The specialty of palliative care has traditionally grown out of oncology and there has been little research into the needs of patients dying from causes other than cancer. Few non-cancer patients receive hospice in-patient, home care, or day care although a good proportion of hospices say that their services are available to non-cancer patients. As a result, the importance of palliative care for non-cancer patients is now being increasingly recognized internationally, and in the UK a committee reporting to the Department of Health recommended that palliative care should be accessible to all patients who need such care. This book considers the needs and experiences of patients dying from, for example, stroke, heart disease, or dementia by drawing on a range of disciplines and specialties in medicine. The provision of palliative care for patients dying from causes other than cancer raises a number of important questions for policy makers and purchasers. This book summarizes what is known about the needs of and appropriate service provision for people dying of causes other than cancer and begins to set a research agenda.Less
The specialty of palliative care has traditionally grown out of oncology and there has been little research into the needs of patients dying from causes other than cancer. Few non-cancer patients receive hospice in-patient, home care, or day care although a good proportion of hospices say that their services are available to non-cancer patients. As a result, the importance of palliative care for non-cancer patients is now being increasingly recognized internationally, and in the UK a committee reporting to the Department of Health recommended that palliative care should be accessible to all patients who need such care. This book considers the needs and experiences of patients dying from, for example, stroke, heart disease, or dementia by drawing on a range of disciplines and specialties in medicine. The provision of palliative care for patients dying from causes other than cancer raises a number of important questions for policy makers and purchasers. This book summarizes what is known about the needs of and appropriate service provision for people dying of causes other than cancer and begins to set a research agenda.
Derek Doyle
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199545827
- eISBN:
- 9780191730429
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199545827.003.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This introductory chapter discusses ‘modern’ hospice care, which started in 1967. It describes the evolution of hospices, from those run by religious orders during the Middle Ages, to the 8,000 ...
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This introductory chapter discusses ‘modern’ hospice care, which started in 1967. It describes the evolution of hospices, from those run by religious orders during the Middle Ages, to the 8,000 hospices that now provide hospice care. It also looks at palliative care and its services, the people found inside a hospice centre, and the important job features of a voluntary service manager.Less
This introductory chapter discusses ‘modern’ hospice care, which started in 1967. It describes the evolution of hospices, from those run by religious orders during the Middle Ages, to the 8,000 hospices that now provide hospice care. It also looks at palliative care and its services, the people found inside a hospice centre, and the important job features of a voluntary service manager.
Cicely Saunders
- Published in print:
- 2006
- Published Online:
- November 2011
- ISBN:
- 9780198570530
- eISBN:
- 9780191730412
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198570530.003.0039
- Subject:
- Palliative Care, Palliative Medicine Research
This 1999 article from The Hospice Journal, again explores the theme of hospice development and reiterates that this is a history born out of the experience of listening to patients. It goes on to ...
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This 1999 article from The Hospice Journal, again explores the theme of hospice development and reiterates that this is a history born out of the experience of listening to patients. It goes on to make the important point that the basic principles of this system of care must be worked out and interpreted in different settings, wherein they bring ‘new possibilities of humanising life as well as death’. It was because a number of people took time to listen to patients and families facing mortal illness that the Hospice Movement has grown world-wide since it began in the 1960s. The addition of new skills in pain and symptom control, the understanding of the problems faced by families, and the need for research and teaching has brought the old traditions in care and caring into the present day.Less
This 1999 article from The Hospice Journal, again explores the theme of hospice development and reiterates that this is a history born out of the experience of listening to patients. It goes on to make the important point that the basic principles of this system of care must be worked out and interpreted in different settings, wherein they bring ‘new possibilities of humanising life as well as death’. It was because a number of people took time to listen to patients and families facing mortal illness that the Hospice Movement has grown world-wide since it began in the 1960s. The addition of new skills in pain and symptom control, the understanding of the problems faced by families, and the need for research and teaching has brought the old traditions in care and caring into the present day.
