Reflections on Palliative Care: Sociological and Policy Perspectives

Paperback | December 1, 1998

byDavid Clark, Jane Seymour

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Palliative care seems set to continue its rapid development into the early years of the 21st century. From its origins in the modern hospice movement, the new multidisciplinary specialty of palliative care has expanded into a variety of settings. Palliative care services are now being provided in the home, in hospital and in nursing homes. There are moves to extend palliative care beyond its traditional constituency of people with cancer. Efforts are being made to provide a wide range of palliative therapies to patients at an early stage of their disease progression. The evidence-base of palliative care is growing, with more research, evaluation and audit, along with specialist programmes of education. Palliative care appears to be coming of age.

On the other hand numbers of challenges still exist. Much service development has been unplanned and unregulated. Palliative care providers must continue to adapt to changing patterns of commissioning and funding services. The voluntary hospice movement may feel its values threatened by a new professionalism and policies which require its greater integration within mainstream services. There are concerns about the re-medicalization of palliative care, about how an evidence-based approach to practice can be developed, and about the extent to which its methods are transferring across diseases and settings.

Beyond these preoccupations lie wider societal issues about the organization of death and dying in late modern culture. To what extent have notions of death as a contemporary taboo been superseded? How can we characterize the nature of suffering? What factors are involved in the debate surrounding end of life care ethics and euthanasia?

David Clark and Jane Seymour, drawing on a wide range of sources, as well as their own empirical studies, offer a set of reflections on the development of palliative care and its place within a wider social context. Their book will be essential reading to any practitioner, policy maker, teacher or student involved in palliative care or concerned about death, dying and life-limiting illness.

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Palliative care seems set to continue its rapid development into the early years of the 21st century. From its origins in the modern hospice movement, the new multidisciplinary specialty of palliative care has expanded into a variety of settings. Palliative care services are now being provided in the home, in hospital and in nursing ...

David Clark is Professor of Medical Sociology at the University of Sheffield. He has wide ranging interests in sociological aspects of health, illness and family life.Jane Seymour is a research associate at the University of Sheffield. She is a qualified nurse and sociologist, with a particular interest in multidisciplinary perspecti...

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Format:PaperbackDimensions:213 pages, 3.58 × 2.36 × 0.23 inPublished:December 1, 1998Publisher:McGraw-Hill EducationLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0335194540

ISBN - 13:9780335194544

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Table of Contents

Part one: Death in society

The social meaning of death and suffering
Living and dying
Ageing, dying and grieving
The ethics of dying
Summary and critique

Part two: The philosophy and practice of palliative care

History and development
Definitions, components and meanings
Routinization and medicalization

Part three: Policy issues

Policy development and palliative care
The delivery of palliative care services

Part four: Conclusions

The future for palliative care
References
Index.