Margaret Ruth Redpath AO (born 1 April 1940) is a retired Australian surgeon and radiation oncologist. She worked as a palliative care pioneer in Australia and the United Kingdom. She has also been a senior priest in the Anglican Church of Australia, particularly at St Paul's Cathedral, Melbourne. Redpath was awarded the Order of Australia medal and awarded a Doctor of Medical Science (honoris causa) by the University of Melbourne. [1]
Redpath attended Presbyterian Ladies' College, Melbourne PLC) and is named a "notable alumni" in their List of Old Collegians of PLC Melbourne. She graduated with an MBBS from the University of Melbourne in 1964. [2]
In 1965, Redpath became a resident medical officer at the Royal Melbourne Hospital. [3] In 1975 she became a consultant radiation oncologist at St Bartholomew's Hospital and the Hospital for Sick Children in London, where she learned from an innovator of the modern hospice movement, Cicely Saunders, and the UK system of palliative care. [2] In 1985, Redpath returned to Australia, which had a much less developed palliative care system at that time. She was medical director at Dandenong Palliative Care Service, Victoria (now South East Palliative Care), which she helped to found. [2] She later worked at the Monash Medical Centre from 1990 to 1995 and the Peter MacCallum Cancer Institute. In these roles, she "set about building a model of specialist and community based care to meet the complex and individual needs of the terminally ill". [2] [4]
At the same time, Redpath was taking on wider leadership roles within palliative care and cancer care in Australia. Her roles included president of the Victorian Association of Hospice and Palliative Care (now Palliative Care Victoria) which she helped found, (1988-1992); president of the Australian Association of Hospice and Palliative Care (1992-1994); and president of the Anti-Cancer Council of Victoria (1998-2005). [3]
Redpath was ordained deacon and priest in 2007. She served her curacy at St Andrew's Brighton and, from 2008–09, was priest in charge of St Aidan's Carrum with St Barnabas' Seaford. [5] From 2010-2018, she served at St Paul's Cathedral, Melbourne, notably as acting precentor (2012–13) [6] and as canon pastor (2014–18). [7]
In 1994, Redpath, together with her husband, Bruce Redpath, was recognised with a Melbourne Achiever Award. [8]
On Australia Day 2003, Redpath was made an Officer in the Order of Australia for "For service to the community in the initiation and establishment of palliative care services in Australia, as an educator in the field of professional practice, and as an advocate for improved services". [1]
Redpath was awarded a Doctor of Medical Science (honoris causa) by the Faculty of Medicine, Dentistry and Health at the University of Melbourne. [2]
A radiation oncologist is a specialist physician who uses ionizing radiation in the treatment of cancer. Radiation oncology is one of the three primary specialties, the other two being surgical and medical oncology, involved in the treatment of cancer. Radiation can be given as a curative modality, either alone or in combination with surgery and/or chemotherapy. It may also be used palliatively, to relieve symptoms in patients with incurable cancers. A radiation oncologist may also use radiation to treat some benign diseases, including benign tumors. In some countries, radiotherapy and chemotherapy are controlled by a single oncologist who is a "clinical oncologist". Radiation oncologists work closely with other physicians such as surgical oncologists, interventional radiologists, internal medicine subspecialists, and medical oncologists, as well as medical physicists and technicians as part of the multi-disciplinary cancer team. Radiation oncologists undergo four years of oncology-specific training whereas oncologists who deliver chemotherapy have two years of additional training in cancer care during fellowship after internal medicine residency in the United States.
Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual". In the past, palliative care was a disease specific approach, but today the WHO takes a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. This shift was important because if a disease-oriented approach is followed, the needs and preferences of the patient are not fully met and aspects of care, such as pain, quality of life, and social support, as well as spiritual and emotional needs, fail to be addressed. Rather, a patient-centered model prioritizes relief of suffering and tailors care to increase the quality of life for terminally ill patients.
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer, dementia or advanced heart disease than for injury. In popular use, it indicates a disease that will progress until death with near absolute certainty, regardless of treatment. A patient who has such an illness may be referred to as a terminal patient, terminally ill or simply as being terminal. There is no standardized life expectancy for a patient to be considered terminal, although it is generally months or less. Life expectancy for terminal patients is a rough estimate given by the physician based on previous data and does not always reflect true longevity. An illness which is lifelong but not fatal is a chronic condition.
Dame Cicely Mary Strode Saunders was an English nurse, social worker, physician and writer. She is noted for her work in terminal care research and her role in the birth of the hospice movement, emphasising the importance of palliative care in modern medicine, and opposing the legalisation of voluntary euthanasia.
Richard G. Pestell is an Australian American oncologist and endocrinologist who is Distinguished Professor, Translational Medical Research, and the President of the Pennsylvania Cancer and Regenerative Medicine Research Center at the Baruch S. Blumberg Institute. He was previously Executive Vice President of Thomas Jefferson University and Director of the Sidney Kimmel Cancer Center of Thomas Jefferson University. Pestell was appointed an Officer of the Order of Australia in the 2019 Queen's Birthday Honours for distinguished service to medicine and medical education.
Frankston Hospital is a 454-bed public hospital located in the Melbourne suburb of Frankston in Victoria, Australia. It opened as the Frankston Community Hospital on 30 November 1941.
The American Academy of Hospice and Palliative Medicine (AAHPM) is a professional organization for physicians specializing in Hospice and Palliative Medicine, headquartered in Chicago, Illinois. Membership is open to all health care providers committed to improving the care of patients with serious or life-threatening illnesses. AAHPM has more than 5,200 members; 82 percent are physicians, 12 percent are nurses or other health care providers and 6 percent are residents or students.
Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering. Hospice care provides an alternative to therapies focused on life-prolonging measures that may be arduous, likely to cause more symptoms, or are not aligned with a person's goals.
Robert Twycross is a retired British physician and writer. He was a pioneer of the hospice movement during the 1970s, when he helped palliative care gain recognition as an accepted field of modern medicine.
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Ian Olver AM is an Australian medical oncologist, cancer researcher and bio-ethicist. He is a former chief executive officer of Cancer Council Australia and a noted authority and media commentator on cancer issues.
Luis Jose De Souza is an Indian surgical oncologist and the founder of Shanti Avedna Ashram, a charitable trust which runs a network of hospices in Mumbai and Goa. He has also contributed to the establishment of Indian Cancer Cell, an educational program co-sponsored by Tata Memorial Centre, Union for International Cancer Control (UICC) and Indian Cancer Society, for creating cancer awareness in schools. The Government of India awarded him the fourth-highest civilian honour of the Padma Shri in 1992.
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Margaret Ruth McCorkle FAAN, FAPOS was an American nurse, oncology researcher, and educator. She was the Florence Schorske Wald Professor of Nursing at the Yale School of Nursing.
Susan Margaret Pond is an Australian scientist and technologist, active in business and academia, and recognised for her contributions to medicine, biotechnology, renewable energy and sustainability. She is the current president of the Royal Society of New South Wales.
Olga Margaret Garson, better known as Margaret Garson, was an Australian physician and cytogenetics researcher.
Rosemary Anne Crumlin RSM OAM is an Australian Sister of Mercy, art historian, educator and exhibition curator with a special interest in art and spirituality. She was awarded a Medal of the Order of Australia in the 2001 Queen's Birthday Honours for service to the visual arts, particularly the promotion and understanding of contemporary and religious art, to education, and to the community.
Doris Howell was an American physician who specialized in pediatric oncology. She became known as the "mother of hospice," for her pioneering work in palliative care.
Thelma Dorothy Bates was a British oncologist who established the first palliative care service at a British hospital.