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Innovation in Pain Management
INNOVATION IN PAIN MANAGEMENT The transcript of a Witness Seminar held by the Wellcome Trust Centre for the History of Medicine at UCL, London, on 12 December 2002 Edited by L A Reynolds and E M Tansey Volume 21 2004 ©The Trustee of the Wellcome Trust, London, 2004 First published by the Wellcome Trust Centre for the History of Medicine at UCL, 2004 The Wellcome Trust Centre for the History of Medicine at University College London is funded by the Wellcome Trust, which is a registered charity, no. 210183. ISBN 978 0 85484 097 7 Histmed logo images courtesy Wellcome Library, London. Design and production: Julie Wood at Shift Key Design 020 7241 3704 All volumes are freely available online at: www.history.qmul.ac.uk/research/modbiomed/wellcome_witnesses/ Please cite as: Reynolds L A, Tansey E M. (eds) (2004) Innovation in Pain Management. Wellcome Witnesses to Twentieth Century Medicine, vol. 21. London: Wellcome Trust Centre for the History of Medicine at UCL. CONTENTS Illustrations and credits v Witness Seminars: Meetings and publications;Acknowledgements vii E M Tansey and L A Reynolds Introduction Christina Faull xix Transcript Edited by L A Reynolds and E M Tansey 1 Appendix 1 73 Extract from an annotated Physiological Society interview with Patrick Wall (1925–2001) by Martin Rosenberg and Steve McMahon (5 February 1999) Appendix 2 83 Morphine: Optimal potential for benefit with a minimum risk of adverse events and burden by Jan Stjernswärd (12 April 2004) References 85 Biographical notes 103 Index 115 Key to cover photographs ILLUSTRATIONS AND CREDITS Figure 1 Dr Cicely Saunders and two patients at St Joseph’s on their golden wedding anniversary, 1960. -
Journal Official Journal of the World Medical Association, Inc
ISSN 2256-0580 COVID-19 World Medical Journal Official Journal of The World Medical Association, Inc. Nr. 2, April 2020 vol. 66 Contents Editorial . 1 COVID-19: the Asian Perspective . 2 The Corona Virus Outbreak on South African Medical Schemes . 13 Reform Proceeding of Organ Donation and Transplantation System in China . 15 The Impact of Climate Change on Health . 19 Physical Activities of Doctors in Rivers State, Southern Nigeria . 21 Palliative Care: What, Who, When, How? . 25 The “Normalization” of Euthanasia in Canada: the Cautionary Tale Continues . 28 Appeal for Policy Promotion . 38 This Month Consider Indoor Air Health . 40 Singapore Medical Association – sixty years on . iii World Medical Association Officers, Chairpersons and Officials Dr . Miguel Roberto JORGE Dr . David Barbe Dr . Leonid EIDELMAN Prof . Dr . Frank Ulrich WMA President, WMA President-Elect, WMA Immediate Past-President MONTGOMERY Brazilian Medical Association American Medical Association Israeli Medical Association Chairperson of Council Rua-Sao Carlos do Pinhal 324, AMA Plaza, 330 N. Wabash, Suite 2 Twin Towers, 35 Jabotinsky St., Bundesärztekammer CEP-01333-903 Sao Paulo-SP 39300 P.O. Box 3566 Herbert-Lewin-Platz 1 (Wegelystrasse) Brazil 60611-5885 Chicago, Illinois 52136 Ramat-Gan 10623 Berlin United States Israel Germany Dr . Otmar KLOIBER Dr . Mari MICHINAGA Dr . Ravindra Sitaram Dr . Andreas RUDKJØBING Secretary General WMA Vice-Chairperson of Council WANKHEDKAR WMA Chairperson of the Medical World Medical Association Japan Medical Association WMA Treasurer Ethics Committee 13 chemin du Levant 2-28-16 Honkomagome Indian Medical Association Danish Medical Association 01212 Ferney-Voltaire 113-8621 Bunkyo-ku, Tokyo Indraprastha Marg Kristianiagade 12 France Japan 110 002 New Delhi 2100 Copenhagen 0 India Denmark Dr . -
Pcf5 Palliative Care Formulary
PCF5 PALLIATIVE CARE FORMULARY Published by palliativedrugs.com Ltd. Palliativedrugs.com Ltd Hayward House Study Centre Nottingham University Hospitals NHS Trust, City Campus Nottingham NG5 1PB United Kingdom www.palliativedrugs.com # palliativedrugs.com Ltd 2014 The moral rights of the editors have been asserted. PCF4þ ePDF 2013 PCF4þ ePDF 2012 PCF4 2011, reprinted 2012 (twice), 2013 PCF3 2007, reprinted 2008, 2009 PCF2 2002, reprinted 2003 PCF1 1998 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without the prior permission in writing of palliativedrugs.com Ltd or as expressly permitted by law, or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to [email protected] or by ordinary mail to the above address. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library. ISBN 978-0-9552547-9-6 Typeset by OKS Prepress Services Private Ltd, Chennai, India Printed by Halstan Printing Group, Amersham, UK DISCLAIMER Every effort has been made to ensure the accuracy of this text, and that the best information available has been used. However, palliativedrugs.com Ltd neither represents nor guarantees that the practices described herein will, if followed, ensure safe and effective patient care. The recommendations contained in this book reflect the editors’ judgement regarding the state of general knowledge and practice in the field as of the date of publication. Information in a book of this type can never be all-inclusive, and therefore will not cover every eventuality. -
Hospice Philosophy in Practice Toward an Authentic Death Poulsen Graven, Vibeke; Timm, Helle Ussing
University of Southern Denmark Hospice Philosophy in Practice Toward an Authentic Death Poulsen Graven, Vibeke; Timm, Helle Ussing Published in: Omega: Journal of Death and Dying DOI: 10.1177/0030222819852850 Publication date: 2021 Document version: Accepted manuscript Citation for pulished version (APA): Poulsen Graven, V., & Timm, H. U. (2021). Hospice Philosophy in Practice: Toward an Authentic Death. Omega: Journal of Death and Dying, 83(2), 325-342. https://doi.org/10.1177/0030222819852850 Go to publication entry in University of Southern Denmark's Research Portal Terms of use This work is brought to you by the University of Southern Denmark. Unless otherwise specified it has been shared according to the terms for self-archiving. If no other license is stated, these terms apply: • You may download this work for personal use only. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying this open access version If you believe that this document breaches copyright please contact us providing details and we will investigate your claim. Please direct all enquiries to [email protected] Download date: 26. Sep. 2021 Hospice Philosophy in Practice: Toward an Authentic Death Abstract This article examines how hospice philosophy works in contemporary Danish hospice practice. The still sparse literature on Danish hospices indicates that hospice philosophy is influencing professional practice. In international palliative care literature hospice philosophy is challenged for being overly normative in its ideal of “the good death” or on the other hand as threatened by the medical model. -
Global Atlas of Palliative Care at the End of Life
Global Atlas of Palliative Care at the End of Life January 2014 Acknowledgements and authorship Edited by: Stephen R. Connor, PhD, Senior Fellow to the Worldwide Palliative Care Alliance (WPCA). Maria Cecilia Sepulveda Bermedo, MD, Senior Adviser Cancer Control, Chronic Diseases Prevention and Management, Chronic Diseases and Health Promotion, World Health Organization. The views expressed in this publication do not necessarily represent the decisions, policy or views of the World Health Organization. This publication was supported in part by a grant from the Open Society Foundations’ International Palliative Care Initiative. Special thanks to Mary Callaway and Dr Kathleen Foley. Contributing writers: Sharon Baxter, MSW, Canadian Hospice Palliative Care Association, Canada Samira K. Beckwith, ACSW, LCSW, FACHE, Hope Hospice, Ft Myers, FL, USA David Clark, PhD – University of Glasgow, Scotland James Cleary, MD – Pain and Policies Study Group, Madison, WI, USA Dennis Falzon, MD – WHO Global TB Program, WHO Geneva Philippe Glaziou, MD, MPhil, Dip Stat – WHO Global TB Program, WHO Geneva Peter Holliday, St. Giles Hospice, Litchfield, England Ernesto Jaramillo, MD – WHO Global TB Program, WHO Geneva Eric L. Krakauer, MD, PhD – Harvard Medical School Center for Palliative Care, Boston, MA, USA Suresh Kumar, MD – Neighborhood Network in Palliative Care, Kerala, India Diederik Lohman – Human Rights Watch, New York, USA Thomas Lynch, PhD – International Observatory for End of Life Care, Lancaster, England Paul Z. Mmbando (MBChB, MPH, DrH) Evangelical Lutheran Church, Arusha, Tanzania Claire Morris, Worldwide Palliative Care Alliance, London, England Daniela Mosoiu, MD – Hospice Casa Sperantei, Brasov, Romania Fliss Murtagh FRCP PhD MRCGP, Cicely Saunders Institute, Kings College London Roberto Wenk, MD – Programa Argentino de Medicina Paliativa Fundación, Argentina In addition, the editors would like to thank the following: All WHO collaborating centres on palliative care (see appendix for details) Ricardo X. -
To Develop Understanding of Community Involvement and Social Work in HPC in Poland
National Chaplain of Hospices To develop understanding of community involvement and social work in HPC in Poland Rev. Piotr Krakowiak PhD [email protected] INSPIRATIONS FOR MODERN HOSPICE MOVEMENT The modern hospice movement started in St. Christopher's Hospice, London in 1967. From there it spread rather quickly within the United Kingdom and to many other countries worldwide. Dame Cicely Saunders has been named the Founder of the Modern Hospice Movement. She was a great friend of Poles! She received her first donation for a future hospice house from Polish Jew, David Tasma, who was dying under her special care in London – he told her it would be for a future „window in the house for dying” Religious and spiritual care has been fundamental for holistic care offered by interdisciplinary hospice team in London FIRST STEPS OF HOSPICE-PALLIATIVE CARE IN POLAND 1978: Visits and lectures of Dr Cicely Saunders in Poland (Cracow, Warsaw and Gdansk) 1980… Spring of Solidarity Movement in Poland 1981: Cracow – first Hospice project - NGO 1983: Gdansk – first Home Care Hospice team 1984: Poznan – first University Department of Palliative Care in Poland & Eastern E. 1994: Warsaw – first Child Hospice in Poland 1998: Warsaw – Hospice-Palliative care (with religious-spiritual care) fully implemented into health care system and subsidised in Poland SOLIDARITY & FIGHT FOR FREEDOM (1980-1981-1989) 1980-1981: Within the Solidarity Movement there was a strong group of „Solidarity in Health and Social Care” members – asking for changes in caring 1983: in Gdansk doctors, nurses, social workers and volunteers in cooperation with the Catholic Church started hospice home care – it became a model for creating more than 100 home care programmes in Poland, based on the voluntary work of physicians, nurses, chaplains, and others. -
Ebook Download Cicely Saunders: the Founder of the Modern
CICELY SAUNDERS: THE FOUNDER OF THE MODERN HOSPICE MOVEMENT PDF, EPUB, EBOOK Shirley Du Boulay, Marianne Rankin | 320 pages | 01 Sep 2007 | SPCK Publishing | 9780281058891 | English | London, United Kingdom Remembering Dame Cicely Saunders: Founder of Hospice Nursing Times. As a building can allow one to shelter in space, it can also allow one to shelter in time. For Saunders, the importance of St. In the brochure, a specific section is dedicated to emphasising the modern scientific medicine that will be practiced, and improved, at St. As outlined in The Need , research into pain and other symptoms specific to the terminally ill was to be an important aspect of the work conducted at St. To this end, Saunders specifically incorporated a post-mortem room and wrote to the Borough Coroner to ascertain any special requirements he might have. By including this room, Cicely provided the space to conduct evidence-based research — important for a fledgling medical field to gain acceptance and authority in its treatments from medical colleagues and others. These studies showed that pain described by patients could be due to more than just the primary cancer — in contrast to what was widely believed — and that pain control should be based on careful assessment of pain to identify the most appropriate medical treatment, be it further surgery or medication. Robert Twycross [38] who conducted clinical research into pain at St. The Hospice provided a ready subset of patients for clinical trials, whilst the high standards of the purpose-built facility— matching those of the National Health Service — arguably added credence to any data that was published from the Hospice. -
Teología Tomo LIV, Nº 122, 2017
revista TEOLOGÍA ISSN 0328-1396 Tomo LIV • Nº 122 • Mayo de 2017 Revista de la Facultad de Teología de la Pontificia Universidad Católica Argentina Concordia 4422 (C1419AOH) - Ciudad de Buenos Aires - República Argentina [email protected] TEOLOGÍA es una publicación cuatrimestral (abril, agosto y diciembre) de la Facultad de Teología de la Pontificia Universidad Católica Argentina de Buenos Aires. La revista se dirige a investigadores, docentes y alumnos de nivel superior. Ofrece artículos inéditos de Teología y de disciplinas afines. Recibe aportes que resulten de la investigación de los docentes de la Facultad y otros textos inéditos de colaboradores externos, con nivel científico, que respondan al perfil de esta publicación. Las normas éticas de responsabilidad de autores, editores y evaluadores pueden ser consultadas en la página web de la revis- ta bajo el título: Normas éticas para autores, editores y evalua- dores. En todos los casos se respeta el juicio del referato solicita- do y del Director de la revista. Al final de cada ejemplar se detallan las «Instrucciones a los colabo- radores», que contienen normas y criterios redaccionales y digitales que se han de respetar en toda contribución. Las opiniones expresa- das en los artículos y trabajos publicados en Teología son de exclu- siva responsabilidad de sus respectivos autores. La revista se reserva los derechos de autor y el derecho de incluir los artículos en el Repositorio digital institucional de la Universidad así como en otras bases de datos que considere de interés académico. Los índices y resúmenes (abstracts) de los números anteriores pueden consultarse en la sección "Publicaciones - Revista Teología" de la página web de la Facultad de Teología: ‹http://www.uca.edu.ar/teologia› Los artículos publicados en Teología son indexados y/o aloja- dos por: • Latindex. -
(Microsoft Powerpoint
The difficulty of hospice spiritual care Taiwan, 6 September, 2005 Dr Doug Bridge Palliative care physician Royal Perth Hospital and Murdoch Community Hospice Review of 2003 conference: deep wounds DEEP WOUNDS CONSCIOUS UNCONSCIOUS DANGER DANGER DO NOT OPEN CONTAINS PAINFUL MEMORIES OF PAST WOUNDS Review of 2004 conference: The Core Essences of Spiritual Caring Our relationship with God at the time of the Creation God Adam Eve The relationship broken God Adam Eve Protective shells God Spiritual care God carer patient Spiritual care God carer patient Dame Cicely Saunders Founder of the modern hospice movement 1918 – 2005 “…she knew what God had called her to do, which was to build a home for dying people, where scientific knowledge should be combined with care and love.” Died in St Christopher’s Hospice July 14, 2005 University of Western Australia School of medicine Curriculum committee meeting, March 2005 Decided that spirituality should be taught to all medical students as part of the curriculum The difficulty of hospice spiritual care • No clear definition of spiritual care • No clear model • The problem of money and time • Understanding spiritual growth • Healing the dark side within • Viktor Frankl DVD Spirituality - model Michael Wright. Spirituality: a developing concept within Palliative Care Progress in Palliative Care 2001; 9: 143-148 • Hospices arose in a Christian context • But non-religious patients demonstrate similar needs to their religious counterparts: for love, for meaning, for forgiveness and for transformation • Every person is a spiritual being The challenge: How to acknowledge the Christian tradition of hospice while at the same time demonstrating equity towards spiritualities expressed through other religions or none Finding meaning Journey Suffering Mortality Who am I ? Becoming Transcending Motivation self cosmos Achievements Self-esteem religion Values Forgiveness others Reconciliation Who are we? Why are we here? Community Culture Relationships Connecting M Wright. -
Cicely Saunders, RIP Remembering the Founder of the Hospice Movement
STATE OF THE ART Cicely Saunders, RIP Remembering the Founder of the Hospice Movement hen Dame Cicely Saunders A committed Christian who had expe- died this past summer at the rienced a dramatic conversion, she Wage of 87, few Americans included spiritual well-being among noted her passing. But her influence the things that should be encouraged on medicine and caregiving has been and nurtured in the dying. In her book, enormous. Credited with being the Living With Dying, published in 1983, founder of the modern hospice move- she wrote about the need for end-of- ment, Saunders forever altered the way life caregivers to consider the “men- the medical profession treats the termi- tal, social, and spiritual pain” of their nally ill. In the process, she helped fos- patients as well as their physical pain. ter respect for life and for the dignity of In an early article outlining her ideas those suffering from illness. for end-of-life care, Saunders indicted Dame Cicely’s vision began with a medical professionals for failing to chance encounter, in 1948, with David grasp just how important they were to Tasma, a Polish man who had escaped patients who were suffering from ter- from the Warsaw Ghetto and was minal illnesses. “It appears that many dying of cancer in the hospital where patients feel deserted by their doctors Saunders was serving as a nurse and at the end,” she wrote. “Ideally the medical social worker. Her experience doctor should remain the center of a with Tasma convinced her that end- team who work together to relieve of-life care, especially the management where they cannot heal, to keep the of pain for terminally ill patients, was patient’s own struggle within his com- inadequate. -
2003 Judges 1996 Dr
Plincipals Telllpleton Pdze Laureates Sir John Templeton. Cha irma n 2003 Prof. Holmes Rolston. III. philosopher. Colorado Springs. Colorado . USA John M. Templeton. Jr.. M.D .• President 2002 The Rev. Dr. John C. Polkinghorne. scientist and theologian, Cambridge. England 200 1 The Rev. Canon Dr. Arthur Peacocke. scien tist and theologian. Oxford. England Mrs. BsrlNJ,. Small. Executive Director 2000 Prof. Freeman Dyson. scientist. Princeton , New Jersey. USA 1999 Prof. Ian Barbour, sCientist and theologian . Northfield. Minnesota. USA 1998 Sir Sigmund Sternberg. businessman, Lo ndon. England 1997 Sri Pandurang Shastri Athavale, founder of the Swadhyaya movement, Bombay. India 2003 Judges 1996 Dr. William R. Bright evangelist , Orlando, Florida, USA Francis Cardmal AnnIe 1995 Prof. Paul Davies. sc ient ist. Adelaide. Austral ia Ramanath Cowski. PhD, 1994 Michae' Novak. philosopher and theologian. Washington. DC, USA Bruno Guiderdoni. Ph D 1993 Charles W. Colson, founder of Prison Fellowship. Washington, DC, USA Sir Brian Heap. CBE 1992 The Rev. Dr. Kyung-Chik Han. Presbyterian pastor. Seoul. Korea Srr John Houghton 1991 The Rt. Hon. The Lord Jakobovits. former Chief Rabbi of Great Britain and the Max Jammer. Ph.D. Commonwea Ith Monshu Koshin OMan! 1990 Awarded joint ly to Baba Amte, of the Anandwan community. India, and The Viscountess Brentford. OBE Prof. Charles Birch, biologist . Sydney. Australia Metropolitan John l il iaulas 1989 Awarded jointly to : The Very Rev. The Lord MacLeod, of the lona Community. Scotland. and Prof. Carl Friedrich von Weizsiicker, physic ist. Starnberg. Germany 1988 Dr. Inamullah Khan. forme r Secretary·General. World Muslim Congress. Karachi . Pakistan 1987 The Rev. Prof. -
Billy Graham
Billy Graham William Franklin Graham Jr. (November 7, 1918 – February 21, 2018) was an American evangelist, a prominent evangelical Christian figure, and an The Reverend ordained Southern Baptist minister who became well-known internationally in the late 1940s. One of his biographers has placed him "among the most Billy Graham influential Christian leaders" of the 20th century.[2] As a preacher, he held large indoor and outdoor rallies with sermons that were broadcast on radio and television; some were still being re-broadcast into the 21st century.[3] In his six decades on television, Graham hosted annual "Crusades", evangelistic campaigns that ran from 1947 until his retirement in 2005. He also hosted the radio show Hour of Decision from 1950 to 1954. He repudiated racial segregation[4] and insisted on racial integration for his revivals and crusades, starting in 1953; he also invited Martin Luther King Jr. to preach jointly at a revival in New York City in 1957. In addition to his religious aims, he helped shape the worldview of a huge number of people who came from different backgrounds, leading them to find a relationship between the Bible and contemporary secular viewpoints. According to his website, Graham preached to live audiences of 210 million people in more than 185 countries and territories through various meetings, including BMS World Mission and Global Mission.[5] Graham was a spiritual adviser to U.S. presidents, and he provided spiritual Graham in 1966 counsel for every president from Harry S. Truman (33rd) to Barack Obama Personal (44th).[6] He was particularly close to Dwight D.