End-of-life care around the world: Achievements to date and challenges remaining

End-of-life care around the world: Achievements to date and challenges remaining
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DOI:
10.2190/om.56.1.i
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发表时间:
2007-01-01
影响因子:
2
通讯作者:
Clark, David
Clark, David
中科院分区:
心理学4区
文献类型:
--
作者:
Clark, David

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从她对临终关怀的兴趣被唤醒的那一刻起,西丝莉·桑德斯就对这一主题的国际层面保持着警惕。她在20世纪40年代末的第一个病人是一名流亡的波兰犹太人,孤独地在伦敦一家繁忙的医院里死去。她从20世纪50年代开始的信件显示了她对新知识以及覆盖全球的广泛接触和交流的不可抑制的渴望。到20世纪60年代初,她开始对美国和欧洲进行实况调查访问。甚至在向患者开放之前,圣克里斯托弗临终关怀院就已经成为许多国家志同道合的同事的灵感灯塔,他们渴望看到这种实践模式是如何运作的,更重要的是,它如何在其他环境中进行调整和修改。在晚年,西丝莉·桑德斯一直与世界各地的同事保持联系。她为许多教科书和文集写了引言;录制了在国际会议上播出的采访;利用自己的名字和精力在全球推广姑息治疗的重大努力;最终,她成为姑息治疗活动家、政策制定者、教育工作者和研究人员的灵感源泉。正如《华尔街日报》这期特刊雄辩地证明的那样,这项遗产将继续存在。
From the moment her interest in terminal care was awakened, Cicely Saunders was alert to the international dimensions of the subject. Her first patient in the late 1940s was an emigre Polish Jew dying alone and in isolation in a busy London hospital. Her letters from the 1950s onwards show an unquenchable thirst for new knowledge and a span of contacts and communications that was global in its reach. By the early 1960s, she was making fact-finding visits to the United States and Europe. Even before it opened to patients, St Christopher's Hospice was a beacon of inspiration to like-minded colleagues from many countries, eager to see how the model of practice was being operationalized and - more important still - how it could be adapted and modified in other settings. In the later years of her life, Cicely Saunders remained in contact with colleagues all over the world. She wrote introductions to numerous textbooks and collections; recorded interviews that were broadcast at international conferences; harnessed her name and energies to major efforts to promote palliative care globally; and, to the very end, served as a source of inspiration to palliative care activists, policy makers, educators, and researchers. As this special issue of the journal demonstrates so eloquently, that legacy lives on.