The founder of the St. Christopher's Hospice and of the modern hospice movement, Dame Cicely Saunders' work transformed the management of pain and the care of the dying. This updated biography explores her extraordinary life.
Born at the end of World War One into a prosperous London family, Cicely Saunders struggled at school before gaining entry to Oxford University to read Politics, Philosophy and Economics. As World War Two gained momentum, she quit academic study to train as a nurse, thereby igniting her lifelong interest in caring for others. Following a back injury, she became a medical social worker, and then in her late 30s, qualified as a physician. By now her focus was on a hugely neglected area of modern health services: the care of the dying. When she opened the world's first modern hospice in 1967 a quiet revolution got underway. Education, research, and clinical practice were combined in a model of 'total care' for terminally ill patients and their families that quickly had a massive impact. In Cicely Saunders: A Life and Legacy, David Clark draws on interviews, correspondence, and the publications of Cicely Saunders to tell the remarkable story of how she pursued her goals through the complexity of her personal life, the skepticism of others, and the pervasive influence of her religious faith. When she died in 2005, her legacy was firmly established in the growing field of hospice and palliative care, which had now gained global recognition.
A remarkable story of a personal vision and sense of calling this text provides an insight into the establishment of the hospice movement and its development world-wide.
"A Collection of essays and reflections, Cicely Saunders explores a deep and enduring preoccupation: the relationship between personal biography, the spiritual life and an ethics of care." --Cover.
Palliative medicine was first recognised as a specialist field in 1987. One hundred years earlier, London based doctor William Munk published a treatise on 'easeful death' that mapped out the principles of practical, spiritual, and medical support at the end of life. In the intervening years a major process of development took place which led to innovative services, new approaches to the study and relief of pain and other symptoms, a growing interest in 'holistic' care, and a desire to gain more recognition for care at the end of life. This book traces the history of palliative medicine, from its nineteenth-century origins, to its modern practice around the world. It takes in the changing meaning of 'euthanasia', assesses the role of religious and philanthropic organisations in the creation of homes for the dying, and explores how twentieth-century doctors created a special focus on end of life care. To Comfort Always traces the rise of clinical studies, academic programmes and international collaborations to promote palliative care. It examines the continuing need to support development with evidence, and assesses the dilemmas of unequal access to services and pain relieving drugs, as well as the periodic accusations of creeping medicalization within the field. This is the first history of its kind, and the breadth of information it encompasses makes it an essential resource for those interested in the long-term achievements of palliative medicine as well as the challenges that remain.
The new edition of this successful book has been up-dated to incorporate recent advances in both approach to, and treatment of, the terminally ill. Based on many years of monitoring clinical practice and research at St Christopher's Hospice, Dame Cicely Saunders 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.
The Oxford Textbook of Palliative Social Work is a comprehensive, evidence-informed text that addresses the needs of professionals who provide interdisciplinary, culturally sensitive, biopsychosocial-spiritual care for patients and families living with life-threatening illness. Social workers from diverse settings will benefit from its international scope and wealth of patient and family narratives. Unique to this scholarly text is its emphasis on the collaborative nature inherent in palliative care. This definitive resource is edited by two leading palliative social work pioneers who bring together an array of international authors who provide clinicians, researchers, policy-makers, and academics with a broad range of content to enrich the guidelines recommended by the National Consensus Project for Quality Palliative Care.
Winner of the 2012 AJN (American Journal of Nursing) Book of the Year Award in the Hospice and Palliative Care category In the 1960s, English physician and committed Christian Cicely Saunders introduced a new way of treating the terminally ill that she called "hospice care." Emphasizing a holistic and compassionate approach, her model led to the rapid growth of a worldwide hospice movement. Aspects of the early hospice model that stressed attention to the religious dimensions of death and dying, while still recognized and practiced, have developed outside the purview of academic inquiry and consideration. Meanwhile, global migration and multicultural diversification in the West have dramatically altered the profile of contemporary hospice care. In response to these developments, this volume is the first to critically explore how religious understandings of death are manifested and experienced in palliative care settings. Contributors discuss how a "good death" is conceived within the major religious traditions of Christianity, Islam, Hinduism, Judaism, Buddhism, Chinese religion, and Aboriginal spirituality. A variety of real-world examples are presented in case studies of a Buddhist hospice center in Thailand, Ugandan approaches to dying with HIV/AIDS, Punjabi extended-family hospice care, and pediatric palliative care. The work sheds new light on the significance of religious belief and practice at the end of life, at the many forms religious understanding can take, and at the spiritual pain that so often accompanies the physical pain of the dying person.
This volume explores how hospice care has been taking root throughout much of the world and illustrates how people are finding ways to shape hospice care to the particular needs and resources of their countries and communities. The book begins with a hospice mission statement by Dame Cicely Saunders and is followed by an overview of the international hospice movement by Dr. Jan Stemsward of the World Health Organization. Included are reports from pioneering hospice programs in the Middle East, in tropical Africa, and Croatia.