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The evolution of palliative care.

C Saunders1

  • 1St. Christopher's Hospice, Sydenham, 51-59 Lawrie Park Road, London SE26 6DC, UK.

Patient Education and Counseling
|July 20, 2000
PubMed
Summary

The Hospice Movement began in 1948, leading to modern palliative care by 1967. Today, hospice and palliative care focus on symptom control, family-centered care, and support in various settings worldwide.

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Area of Science:

  • Palliative Care and Hospice Studies
  • Medical History
  • Sociology of Health

Background:

  • The modern Hospice Movement originated from a pivotal patient encounter in 1948.
  • Early hospice initiatives in the 1960s focused on specialized home care for the dying.
  • The first modern hospice opened in 1967, establishing foundational principles.

Purpose of the Study:

  • To trace the historical development and global expansion of the Hospice Movement.
  • To highlight the evolution of palliative care principles across diverse cultures and resource settings.
  • To emphasize the integration of symptom control, research, and education in end-of-life care.

Main Methods:

  • Historical analysis of the origins and growth of the Hospice Movement.
  • Review of palliative care's adaptation in different cultural and resource contexts.
  • Examination of the multidisciplinary team approach and its impact on symptom management.

Main Results:

  • The Hospice Movement, initiated in 1948, evolved into modern palliative care by 1967.
  • Palliative care principles have proven adaptable across various cultures and resource levels globally.
  • Symptom control, multidisciplinary teams, research, and education are key components of contemporary hospice care.

Conclusions:

  • The Hospice Movement has successfully evolved into a global palliative care standard.
  • Family-centered care, meaning-making, and end-of-life achievements are integral to hospice philosophy.
  • The integration of hospice and palliative care into home settings and general hospitals has expanded access to specialized care.
Keywords:
Death and EuthanasiaProfessional Patient Relationship

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