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Cicely SaundersSelected Writings 1958-2004$
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Cicely Saunders

Print publication date: 2006

Print ISBN-13: 9780198570530

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198570530.001.0001

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Distress in Dying

Distress in Dying

First published as a letter in British Medical Journal, vol. 2 (July – December 1963), p. 746.

Chapter:
(p.65) 11 Distress in Dying
Source:
Cicely Saunders
Author(s):

Cicely Saunders

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198570530.003.0011

1963 saw the appearance of Cicely Saunders' first publication in the British Medical Journal — further evidence of the green shoots of recognition within the medical establishment. In the journal, it followed a leading article published on ‘Distress in Dying’ which had drawn on published research by Exto–Smith and John Hinton. Dr Saunders' letter underscores the importance of letting the patient have an opportunity to talk, and suggests that ‘If physical symptoms are alleviated then mental pain is often lifted also’. A plea is made for more special units for the care of terminally ill patients, particularly those ‘who do not need the resources of a large hospital and who cannot be cared for at home’, and there is ‘a need for more research and still more for teaching in this unusually neglected subject’.

Keywords:   British Medical Journal, Distress in Dying, mental pain, physical symptoms, John Hinton

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