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Defining the clinical realm 

Defining the clinical realm
Chapter:
Defining the clinical realm
Author(s):

David Clark

DOI:
10.1093/med/9780199674282.003.0005
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date: 30 May 2020

To gain serious traction in the wider world of medicine, the terminal care protagonists needed to move from a loose web of activism to a concerted body of knowledge and practice. This chapter shows how a focus on cancer pain was a key line in this development. Hospice studies explored and pulled apart some of the prevailing orthodoxies about pain relief. A new confidence emerged in the use of morphine and other drugs. The concept of ‘total pain’ was coined by Saunders as a key perspective on the multi-faceted nature of suffering at the end of life. Clinical studies raised awareness of the hospice movement’s ambitions and began to demonstrate its efficacy. This in turn fuelled further investment and a rapid growth in hospice services.

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