Wednesday 15 April 2015

The third wave of palliative care

Journal of Palliative Care, Dec 2014, vol. 30, no. 4, p. 287-290
Cellarius, Victor

In 1994, in an article that distilled a collection of discussions that had been simmering over the previous decade, David Clark asked whether hospice-palliative care was entering a second wave. At the time, hospice-palliative care was becoming bigger, more medical and technical, more research- and evidence-based, and more bureaucratic. The discussions were deeply evaluative ones, often pitting the original hospice-palliative care focus on the meaning of dying, life, and death, against the more recent focus on symptom relief and patient-guided quality of life. The question underlying those discussions has reappeared, for it seems that palliative care is entering a new wave once again.

Full text available in Journal of Palliative Care