Dame Cicely Saunders
At St. Luke's, Cicely Saunders observed the administration of oral
morphine on a scheduled basis relieved cancer pain She introduced this
concept to St. Joseph's Hospice with similar results.
In 1967, after going to medical school to become a physician and many
years of study and work at St. Joseph's Hospice, Cicely Saunders opened
St. Christopher's Hospice in the south of London, England as the first
academic hospice. It was a place where patients could go for relief of
"total pain" with its physical, psychological, social and spiritual
dimensions. Through the education and research mission of St.
Christopher's, Dame Cicely Saunders is credited with founding the modern
hospice movement. . Her contributions were recognized by the Queen of England by making her a Dame
of the British Empire. She is now frequently referred to as Dame Cicely Saunders.
As the
modern hospice movement was imported to Canada in the mid 1970's,
the term Hospice was unacceptable in Francophone culture,
and the term "palliative care" was born.
Refs:
1)
Saunders C. The evolution of palliative care. Patient Educ Couns 2000 Aug 1;41(1):7-13
Full Text
Also published in:
Saunders C. The evolution of palliative care. J R Soc Med 2001 Sep;94(9):430-2
Free Full Text
2)
Saunders C. A personal therapeutic journey. BMJ 1996 Dec 21-28;313(7072):1599-601
Free Full Text
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CAPCManual Attribution:
von Gunten CF,
Ferris FD,
Portenoy RK,
Glajchen M, eds.
CAPCManual: How to Establish A Palliative Care Program.
New York, NY: Center to Advance Palliative Care, 2001.
©
Center for Palliative Studies, San Diego Hospice & Palliative Care, San Diego, CA
and
The Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY, 2001
Permission to reproduce for non-commercial educational purposes with display of
attribution and
copyright is granted.
Last updated: February 20, 2002
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Rationale
Select section:
Changing Illness Experience
Changing Expectations and Needs
Progressive Healthcare Response
Responding to the Opportunity
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Changing Illness Experience
Illness in the Past
Progress Fighting Disaese
Illness Today
Prolonged Illness Experience
Chronic Disease Process
Determining Prognosis
Cancer
Manifestations
Predicament
Prolonged End-of-life Experience
Sudden Unexpected Death
Predictable Decline
Slow Decline, Multiple Acute Crises
Death in the US
Leading Causes of Death
Setting of Death
Desired
Reality
Multiple Issues Cause Suffering
The Square of Care
Morbidity
Pain
Need for Assistance
Social, Financial Impact
Implications for Care
Variable Need for Care
Opportunities
For Patients
For Families
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Changing Expectations and Needs
Increased Consumer Autonomy
Picker Institute 8 Dimensions of Care
Goals, Not Problems, Drive Care
Shift to Goal-oriented Care
Expect Competence, Expertise
Expect Comprehensive Assessment
Expect Effective Communication
Expect Participation in Decision-making
Expect Timely, Continous, Coordinated Care Delivery
Expect Assistance with Caregiving
Caregiver Training, Support
Caregiver Financial Support
Alternate Settings of Care
Respite Relief
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Progressive Healthcare Response
Focus on Disease-modifying Therapy
Focus on Care of the Dying
Early Hospice
Modern Hospice Movement
Dame Cicely Saunders
Origins of "Palliative Care”
Evolution of Hospice, Palliative Care
In United Kingdom
In Canada
In United States
Convergent Evolution
Hospice, Palliative Care in US Today
Hospice Growth
Continued Unmet Opportunity
A Public Health Issue
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Responding to the Opportunity
Paradigm Shift in Thinking
Provide Concurrent Care
Consider Application to Those at Risk
Expand Services, Settings of Care
1º, 2º, 3º Model of Delivery
Expand Access to Expertise
Create Specialized Environments
Many Names, Same Focus of Care
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