Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex illness. Within the published literature, many definitions of palliative care exist; most notably, the World Health Organization 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 World Health Organization takes a more broad approach, that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness.
The year 1967 in science and technology involved some significant events, listed below.
In medicine, specifically in end-of-life care, palliative sedation is the palliative practice of relieving distress in a terminally ill person in the last hours or days of a dying person's life, usually by means of a continuous intravenous or subcutaneous infusion of a sedative drug, or by means of a specialized catheter designed to provide comfortable and discreet administration of ongoing medications via the rectal route.
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is reasonably expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer or advanced heart disease than for trauma. 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 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.
The Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care is an academic faculty within King's College London. The faculty is the world's first nursing school to be continuously connected to a fully serving hospital and medical school. Established on 9 July 1860 by Florence Nightingale, the founder of modern nursing, it was a model for many similar training schools through the UK, Commonwealth and other countries for the latter half of the 19th century. It is primarily concerned with the education of people to become nurses and midwives. It also carries out nursing research, continuing professional development and postgraduate programmes. The Faculty forms part of the Waterloo campus on the South Bank of the River Thames and is now one of the largest faculties in the university.
Ira Robert Byock is an American physician, author, and advocate for palliative care. He is founder and chief medical officer of the Providence St. Joseph Health Institute for Human Caring in Torrance, California, and holds appointments as active emeritus professor of medicine and professor of community health and family medicine at the Geisel School of Medicine at Dartmouth College. He was director of palliative medicine at Dartmouth–Hitchcock Medical Center, from 2003–14, and associate director for patient and family-centered care at the affiliated Norris-Cotton Cancer Center.
End-of-life care (EoLC) refers to health care for a person in the advanced stage of a terminal illness.
Florence Wald was an American nurse, former Dean of Yale School of Nursing, and largely credited as "the mother of the American hospice movement". She led the founding of Connecticut Hospice, the first hospice program in the United States. Late in life, Wald became interested in the provision of hospice care within prisons. In 1998, Wald was inducted into the National Women's Hall of Fame.
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 in the United States is a type and philosophy of end-of-life care which focuses on the palliation of a terminally ill patient's symptoms. These symptoms can be physical, emotional, spiritual or social in nature. The concept of hospice as a place to treat the incurably ill has been evolving since the 11th century. Hospice care was introduced to the United States in the 1970s in response to the work of Cicely Saunders in the United Kingdom. This part of health care has expanded as people face a variety of issues with terminal illness. In the United States, it is distinguished by extensive use of volunteers and a greater emphasis on the patient's psychological needs in coming to terms with dying.
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.
The Religious Sisters of Charity or Irish Sisters of Charity is a Roman Catholic religious institute founded by Mary Aikenhead in Ireland on 15 January 1815. Its motto is Caritas Christi urget nos.
Diane E. Meier, an American geriatrician and palliative care specialist, is Director of the Center to Advance Palliative care (CAPC) - a national organization dedicated to increasing the number and quality of palliative care programs in the United States. Meier is also Vice-Chair for Public Policy, Professor of Geriatrics and Palliative Medicine and Catherine Gaisman Professor of Medical Ethics at the Icahn School of Medicine at Mount Sinai Hospital in New York City. Meier was founder and Director of the Hertzberg Palliative Care Institute at the Icahn School of Medicine in New York City from 1997 to 2011.
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.
M. R. Rajagopal is an Indian palliative care physician. He is the founder chairman of Pallium India, a palliative care non-governmental organisation based in Kerala, India. He is often referred to as the 'father of palliative care in India' in honour of his significant contribution to the palliative care scene in India. In 2018, the Indian Government honored Dr M. R. Rajagopal with the Padma Shri award.
Stephen Robert Connor is a licensed clinical health psychologist, researcher, author, and palliative care consultant. He is the executive director of the Worldwide Hospice Palliative Care Alliance (WHPCA), formerly called the Worldwide Palliative Care Alliance (WPCA). From 1998 to 2008 he served as Vice President of Research and Development at the National Hospice and Palliative Care Organization (NHPCO). He has promoted global initiatives for hospice and end-of-life care programs through the World Health Assembly. He has also addressed the UN General Assembly on the need for greater pain management in palliative care.
Margaret Ruth McCorkle FAAN, FAPOS is an international leader and award-winning pioneer in oncology nursing. She is currently the Florence Schorske Wald Professor of Nursing at the Yale School of Nursing.
Margaret Ruth Redpath AO 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 by the University of Melbourne.
