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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: 28 October 2021

Pain and Impending Death

Pain and Impending Death

First published in Textbook of Pain (1984), eds. P. Wall and R. Melzack, pp. 472–8. Edinburgh: Churchill Livingstone.

(p.185) 27 Pain and Impending Death
Cicely Saunders

Cicely Saunders

Oxford University Press

This chapter by Cicely Saunders appeared in the first edition of the influential Textbook of Pain, edited by Patrick Wall and Ronald Melzack. Here, she begins by going back to the first clinical study of the way patients die, reported by Sir William Osler in his 1906 lecture Science and Immortality. The chapter contains a report from two groups of staff, mainly nurses, who had discussed the first signs of impending death. They noted among the patients: irritability, sensitivity to minor discomforts, and occasional obsessiveness about belongings. Pain on movement was of most concern to the nurses in the last few days. There are also sections on pain in sudden death and the fear of impending death, together with research into symptom control among the dying, and out of body experience (OOBE).

Keywords:   Textbook of Pain, Science and Immortality, sudden death, out of body experience, symptom control, impending death

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