- 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
Appropriate Treatment, Appropriate Death
Appropriate Treatment, Appropriate Death
First published in The Management of Terminal Disease, 1st edn. (1978), ed. C. Saunders, pp. 1–9. London: Edward Arnold
- Chapter:
- (p.139) 22 Appropriate Treatment, Appropriate Death
- Source:
- Cicely Saunders
- Author(s):
Cicely Saunders
- Publisher:
- Oxford University Press
The year 1978 saw the publication of the textbook which, over a long period, so many had been encouraging Cicely Saunders and her colleagues to produce. In this chapter, she opens up a discussion on the relationship of terminal care to the ‘cure’ and ‘care’ systems. However it is also noted that ‘no patient should become locked in what is for him the wrong system’. The discussion outlines a broad definition of terminal care, drawing on the work of Weismann — an absence of suffering, preservation of important relationships, an interval for anticipatory grief, relief of remaining conflicts, belief in timeliness, exercise of feasible options and activities, and consistency with physical limitations, all within the scope of one's ego ideal.
Keywords: important relationships, terminal care, Weismann, suffering, anticipatory grief, timeliness, physical limitations, ego ideal
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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
