‘Total pain’: the work of Cicely Saunders and the maturing of a concept

Published on: Author: David Clark 21 Comments

A striking feature of Cicely Saunders’ early work was its articulation of the relationship between physical and mental suffering. This reached full expression with the concept of ‘total pain’, which was taken to include physical symptoms, mental distress, social problems and emotional difficulties.  The idea was launched on the world exactly 50 years ago, in… Continue reading →

Wellcome Trust project moves closer to start date – by David Clark

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Interventions at the end of life – social, comparative and historical analysis to promote global improvement.  It’s an unwieldy title and it contains a lot of dimensions.  It will be a challenging project to design, to conduct and to deliver. But what an opportunity to invest major time and resources in an issue of such… Continue reading →

The Project on Death in America: twenty years on

Published on: Author: David Clark Leave a comment

  To paraphrase the Beatles, it was 20 years ago this summer that a remarkable  group of clinicians, academics and activists got together under the patronage of the billionaire philanthropist, George Soros, to create an initiative with the disarming goal of transforming the culture of dying – in a society that is perhaps more death… Continue reading →

Two reports that shaped the history of end of life care in the United Kingdom – by David Clark

Published on: Author: David Clark 5 Comments

The UK welfare state upon its creation in 1948  sought to vouchsafe care ‘from the cradle to the grave’, yet the early years of the National Health Service saw little attention to care at the end of life and focused instead on addressing the widespread acute and chronic health problems of a society grappling with… Continue reading →

Understanding in our global village: looking beyond myopia – by Richard Powell

Published on: Author: guwebteam 1 Comment

Hailing from a Dylan Thomas-like diminutive, unassuming, “ugly, lovely” former coal mining village in South Wales, UK –  whose inhabitants routinely greet friends and strangers alike with a warm, embracing “Morning!” couched in a melodious Welsh lilt – I could be more readily forgiven for small-town parochialism than any meaningful participation in a global dialogue.… Continue reading →

Death on the Fringe by Rob Peacock

Published on: Author: guwebteam 1 Comment

This summer the Scottish campaign, Good Life, Good Death, Good Grief, which works to make Scotland a place where there is more openness about death, dying and bereavement, has partnered with the world renowened Edinburgh Fringe Festival to launch its own programe of shows  – Death on the Fringe. What better place to encourage debate… Continue reading →

Discovering palliative care in Kerala by Athira Unni

Published on: Author: David Clark 4 Comments

Read this great account from a student who spent time this summer in the Institute of Palliative Medicine, Kerala. Huge thanks to Athira Unni for allowing us to post this piece from her own blog, which can be found at: http://chocolateandink.wordpress.com/2014/08/05/monsoon-ipm-discovering-palliative-care-2/ And thanks to Suresh Kumar for making the introduction.   This summer I met… Continue reading →