Cicely Saunders: Selected Writings 1958-2004

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OUP Oxford, Jan 5, 2006 - Medical - 300 pages
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Cicely Saunders is universally acclaimed as a pioneer of modern hospice care. Trained initially in nursing and social work, she qualified in medicine in 1958 and subsequently dedicated the whole of her professional life to improving the care of the dying and bereaved people. Founding St Christopher's Hospice in London in 1967, she encouraged a radical new approach to end of life care combining attention to physical, social, emotional and spiritual problems, brilliantly captured in her concept of 'total pain'. Her ideas about clinical care, education and research have been hugely influential, leading to numerous prizes and awards in recognition of her humanitarian achievements. This book includes a selection of Cicely Saunders' most important writings throughout a period of over forty years. Full articles, chapters, editorials, reviews, and commentaries include important clinical themes relating to the care of dying people such as pain and symptom management, issues of communication and truth telling, and the needs of particular patient groups, such as those with cancer and other diseases. The book includes pieces that reflect on the wider development of the palliative care field and on policy and organisational issues. Some of the papers take up the theme of spiritual care at the end of life, as well as the question of euthanasia, raising in turn issues of a wider theological and philosophical nature. The articles are written for a multi-disciplinary audience and will be of enormous interest to many professionals now working in palliative care. The collection will become a key work of reference for those interested in the evolution of hospice and palliative care and will serve as an important sourcebook of many currently hard to obtain publications by the acknowledged founder of the modern hospice movement. This book will also stand as a remarkable testimony to the personal contribution of Cicely Saunders and the influence she has had upon the modern field of palliative and end of life care.
 

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Contents

Dying of Cancer
1
Should a Patient Know ?
13
The Management of Patients in the Terminal Stage
21
And From Sudden Death
37
The Care of the Dying
49
Working at St Josephs Hospice Hackney
57
Distress in Dying
65
The Need for Institutional Care for the Patient with Advanced Cancer
71
Dimensions of Death
129
The Philosophy of Terminal Care
147
Current Views on Pain Relief and Terminal Care
163
Heroin and Morphine in Advanced Cancer
183
On Dying Well
197
An Exploration
215
Letter on Alfred Worcester
229
A Psychosocial Perspective
243

The Last Stages of Life
79
The Last Frontier
87
The Management of Terminal Illness
91
St Christophers Hospice
115
A Voice for the Voiceless
259
Introduction Management of Advanced Disease
279
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About the author (2006)


A pioneer of modern palliative care, Cicely Saunders has helped change the way the world cares for the terminally ill. She founded St. Christopher's Hospice in 1967 as the first research and teaching hospice linked with clinical care. Dame Cicely holds many honours including degrees and the Order of Merit and was made a Dame of the British Empire in 1980. In 2001 she received the Conrad N Hilton Humanitarian Prize - the world's largest humanitarian award - of one million dollars for her work originated at St Christopher's Hospice. She is a Founder Trustee and President of a new force in hospice care - The Cicely Saunders Foundation. This unique charity, founded in 2002, seeks to improve the care of people at the end of life wherever they are cared for. David Clark is currently engaged in a number of studies concerned with service evaluation relating to the provision of palliative care and with issues of policy development, the international growth of palliative care and related ethical issues. He has a particular interest in the historical development of the modern end of life care movement and is currently writing a book about the history of the Project on Death in America. He is the author of numerous volumes and papers as well as an elected member of the European Academy of Sciences and Arts, a tr

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