| " To cure, occasionally
To relieve often
To comfort always"
Anonymous (16th Century)
Palliative care is not a new medical
specialty. It is the oldest. It is mainstream medicine since time
immemorial. Physicians and nurses frequently only had
palliation to offer to all incurable diseases. However, the
last hundred year saw the era of technologically sophisticated
medicine. The practice of palliative care was masked and
conveniently forgotten. However, over the last several decades,
several palliative care movements have brought back palliative
care and introduce the new medical and scientific advances of the
last decades which are of great benefit in the practice of
palliative care. The landmark hospice movement led by Dr Cicely
Saunders was probably the most important. She opened the St
Christopher's Hospice in London in 1967.
What is modern palliative care?
Better knowledge of disease processes and
symptomatology, together with advances in pharmacology, surgery
and radiotherapy have enhanced the medical care. Add to this is an
improved understanding of the importance of psychosocial, cultural
and spiritual suffering associated with advanced disease. It is
now possible to provide holistic care for patients with advanced
diseases. This is offered in all modern palliative care centre.
"Death should simply become a discreet but
dignified exit of a peaceful person from a helpful society....
without pain or suffering and ultimately
without fear."
Philippe Aries, 1977, The Hour of Our
Death |