The 400-Year Quest for a Good
Death , [1] Harold Vanderpool traces the emergence of medical palliation to a
proclamation by Sir Francis Bacon in 1605 challenging physicians to offer and
continually improve palliative medical care and treatment for dying persons.
Florence Nightingale also contributed
significantly to the evolution of what we call palliative care today, although
the period of 1895 to 1959 – a time of great advances in medicine –
unfortunately led to less appropriate
care for the dying, though it contributed to discussions about the ethics
of treating the dying. The following period (1960-1981) is described as a time
of momentous transition.
The influence of Elisabeth Kübler-Ross
and Cicely Saunders emerged, solidifying palliative care concepts in the US and
UK, and thereafter worldwide. In 2015 the WHO added palliative care to its
family of factsheets for the first time. To date, however, palliative care is
largely absent from the global health dialogue and consequently is not
practiced in most of the developing world, even though cancer is a leading
cause of morbidity and mortality worldwide.
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