- Title Pages
- Disclaimer
- Acknowledgements
- Introduction
- 1 Dying of Cancer
- 2 Should a Patient Know … ?
- 3 When a Patient is Dying
- 4 The Management of Patients in the Terminal Stage
- 5 And From Sudden Death…
- 6 A Patient
- 7 the Care of the Dying
- 8 Terminal Illness
- 9 Working at St. Joseph's Hospice Hackney
- 10 The Treatment of Intractable Pain In Terminal Cancer
- 11 Distress in Dying
- 12 The Depths and the Possible Heights
- 13 The Need for Institutional Care for the Patient with Advanced Cancer
- 14 the Last Stages of Life
- 15 the Last Frontier
- 16 The Management of Terminal Illness
- 17 St. Christopher's Hospice
- 18 Training for the Practice of Clinical Gerontology: The Role of Social Medicine
- 19 A Place to Die
- 20 Dimensions of Death
- 21 The Problem of Euthanasia (Care of the Dying—1)
- 22 Appropriate Treatment, Appropriate Death
- 23 The Philosophy of Terminal Care
- 24 Templeton Prize Speech
- 25 Current Views on Pain Relief and Terminal Care
- 26 Heroin and Morphine In Advanced Cancer
- 27 Pain and Impending Death
- 28 On Dying Well
- 29 Evaluation of Hospice Activities
- 30 The Modern Hospice
- 31 Foreword (<i>Pain: an Exploration</i>)
- 32 Spiritual Pain
- 33 Hospice—a Meeting Place for Religion and Science
- 34 Letter (On Alfred Worcester)
- 35 Voluntary Euthanasia
- 36 Foreword (<i>Mortally Wounded:Stories of Soul Pain, Death, and Healing</i>)
- 37 Why I Welcome TV Cameras at the Death Bed
- 38 Foreword (Good Practices In Palliative Care: A Psychosocial Perspective)
- 39 Origins: International Perspectives, Then and Now
- 40 the Evolution of Palliative Care
- 41 A Voice for the Voiceless
- 42 The Evolution of Palliative Care
- 43 Foreword (Oxford Textbook of Palliative Medicine)
- 44 Introduction (<i>Management of Advanced Disease</i>)
- Index
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
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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- Title Pages
- Disclaimer
- Acknowledgements
- Introduction
- 1 Dying of Cancer
- 2 Should a Patient Know … ?
- 3 When a Patient is Dying
- 4 The Management of Patients in the Terminal Stage
- 5 And From Sudden Death…
- 6 A Patient
- 7 the Care of the Dying
- 8 Terminal Illness
- 9 Working at St. Joseph's Hospice Hackney
- 10 The Treatment of Intractable Pain In Terminal Cancer
- 11 Distress in Dying
- 12 The Depths and the Possible Heights
- 13 The Need for Institutional Care for the Patient with Advanced Cancer
- 14 the Last Stages of Life
- 15 the Last Frontier
- 16 The Management of Terminal Illness
- 17 St. Christopher's Hospice
- 18 Training for the Practice of Clinical Gerontology: The Role of Social Medicine
- 19 A Place to Die
- 20 Dimensions of Death
- 21 The Problem of Euthanasia (Care of the Dying—1)
- 22 Appropriate Treatment, Appropriate Death
- 23 The Philosophy of Terminal Care
- 24 Templeton Prize Speech
- 25 Current Views on Pain Relief and Terminal Care
- 26 Heroin and Morphine In Advanced Cancer
- 27 Pain and Impending Death
- 28 On Dying Well
- 29 Evaluation of Hospice Activities
- 30 The Modern Hospice
- 31 Foreword (<i>Pain: an Exploration</i>)
- 32 Spiritual Pain
- 33 Hospice—a Meeting Place for Religion and Science
- 34 Letter (On Alfred Worcester)
- 35 Voluntary Euthanasia
- 36 Foreword (<i>Mortally Wounded:Stories of Soul Pain, Death, and Healing</i>)
- 37 Why I Welcome TV Cameras at the Death Bed
- 38 Foreword (Good Practices In Palliative Care: A Psychosocial Perspective)
- 39 Origins: International Perspectives, Then and Now
- 40 the Evolution of Palliative Care
- 41 A Voice for the Voiceless
- 42 The Evolution of Palliative Care
- 43 Foreword (Oxford Textbook of Palliative Medicine)
- 44 Introduction (<i>Management of Advanced Disease</i>)
- Index
