By Watson, Max S.

This useful consultant in short covers the historic and epidemiological history of palliative care and the expansion of palliative medication as a area of expertise, ahead of facing significant actual, mental, religious, and symptom administration matters from analysis to bereavement care.

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Hoflenberg R. (2006) Assisted dying. Clinical Medicine, 6: 72–4. Hoffer L. (2006) Tube feeding in advanced dementia: the metabolic perspective. British Medical Journal, 333(7580): 1214–15. , et al. ) (2005) Improving end of life care: Why has it been so difficult? A Hastings Center Special Report, November–December. Johnston C. (2007) The Mental Capacity Act 2005 and advance decisions. Clinical Ethics, 2(2): 80–4. , Cornock M. (2007) Decision making in palliative care: the Mental Capacity Act 2005.

They need to be aware that the patient will not be allowed to suffer from pain or other discomfort and they will need explanations of the measures that will be taken to avoid discomfort. These will include medication where necessary and, most importantly, meticulous mouthcare to prevent the common symptom of a dry mouth. Palliative care is neither about shortening life nor prolonging the dying period. Occasionally, families cannot bring themselves to accept the inevitability of death and insist on artificial hydration.

2000) Cardiopulmonary resuscitation for palliative care patients: a discussion of ethical issues. Palliative Medicine, 14: 308–12. 3 Approximate achievement of success from CPR in any setting: In hospital In community In hospices 15% 5% 1% A king, a doctor, and a convenient death Lord Dawson of Penn was the most admired and respected doctor of his generation. The skill with which he managed King George V’s respiratory illness in 1928 undoubtedly saved the King’s life and made Dawson a national celebrity.

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