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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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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 19 October 2021

Dying of Cancer

Dying of Cancer

First Published in St Thomas's Hospital Gazette, vol. 56, no. 2 (1958), pp. 37–47.

(p.1) 1 Dying of Cancer
Cicely Saunders

Cicely Saunders

Oxford University Press

This is a paper written in 1957 whilst Cicely Saunders was still a medical student. It is often referred to when talking about the history and development of hospice and palliative care. The paper opens with four case studies of cancer patients with advanced disease, covering their medical histories in the years 1950–1956. They have been chosen to illustrate some of the problems that arise in helping people with cancer to die comfortably and at peace. In many ways, this paper can be viewed as the ‘manifesto’ for the subsequent hospice and palliative care movement, since it sets out almost the entire agenda of issues that now seem so familiar: general management, nursing, the terminal stage, pain, mental distress, fear, resentment, informing patients and relatives about diagnoses and prognoses, and spiritual care.

Keywords:   cancer, fear, spiritual care, palliative care, terminal stage, mental distress

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