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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

The Management of Terminal Illness

The Management of Terminal Illness

First published by Hospital Medicine Publications Ltd (1967), pp. 1–29, London.

(p.91) 16 The Management of Terminal Illness
Cicely Saunders

Cicely Saunders

Oxford University Press

This chapter begins by exploring the contours of that stage of illness where ‘a claim for comfort rather than curative or even palliative procedures’ has been reached. It stresses the difficulties of distinguishing between the prolongation of living and the prolongation of dying and asserts that requests for euthanasia in this context can be avoided by the provision of appropriate care. The paper gives more attention than previously to the grief of relatives and even touches on the subject of organ donation. It also summarizes research on the incidence of pain in terminal cancer and a discussion of the control of physical distress includes reference to the value of palliative surgery. Drugs may have their place in easing mental distress, but the paper places a strong emphasis on the importance of personal care. Religious faith may also be important here.

Keywords:   palliative surgery, euthanasia, physical distress, organ donation, personal care, religious faith

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