David Clark (10) (1953–)

Palliative care is moving through an important period of expansion and development, spreading beyond its original hospice base to encompass care in the community, in hospitals, health centres, clinics and nursing homes. It can now be found in over 70 countries of the world. What challenges does this multidisciplinary speciality face as it seeks to combine high grade pain and symptom control with sensitive psychological, spiritual and social care? What are the implications of current constraints on health policy and planning? How do ethical issues about resource allocation and end of life care impinge? Can palliative care be further extended to include conditions other than cancer? New Themes in Palliative Care addresses these and many related issues in ways which will be readily accessible to students of health and social care as well as to those involved in purchasing or providing palliative care services, and to social scientists interested in chronic illness, death and dying. Its editors are respected experts in the field with backgrounds in the social sciences, nursing and medicine and the book's contributors include leading international figures from a wide range of palliative care and academic disciplines.… (mais)

In recent years the independent hospice movement has done a great deal to promote care standards but many issues remain unsolved. Can and should the hospice approach be translated into other settings? How can care be improved in hospitals, in the community, and in residential and nursing homes? How can such care be costed and evaluated? What new service initiatives are required and how are these affected by changes in government policy? And how do planners and practitioners address the ethical and cultural needs of a changing society?… (mais)

Palliative care seems set to continue its rapid development into the early years of the 21st century. From its origins in the modern hospice movement, the new multidisciplinary specialty of palliative care has expanded into a variety of settings. Palliative care services are now being provided in the home, in hospital and in nursing homes. There are moves to extend palliative care beyond its traditional constituency of people with cancer. Efforts are being made to provide a wide range of palliative therapies to patients at an early stage of their disease progression. The evidence-base of palliative care is growing, with more research, evaluation and audit, along with specialist programmes of education. Palliative care appears to be coming of age. On the other hand, numbers of challenges still exist. Much service development has been unplanned and unregulated. Palliative care providers must continue to adapt to changing patterns of commissioning and funding services. The voluntary hospice movement may feel its values threatened by a new professionalism and policies which require its greater integration within mainstream services. There are concerns about the re-medicalization of palliative care, about how an evidence-based approach to practice can be developed, and about the extent to which its methods are transferring across diseases and settings. Beyond these preoccupations lie wider societal issues about the organization of death and dying in late modern culture. To what extent have notions of death as a contemporary taboo been superseded? How can we characterize the nature of suffering? What factors are involved in the debate surrounding end of life care ethics and euthanasia? David Clark and Jane Seymour, drawing on a wide range of sources, as well as their own empirical studies, offer a set of reflections on the development of palliative care and its place within a wider social context. Their book will be essential reading to any practitioner, policy maker, teacher or student involved in palliative care or concerned about death, dying and life-limiting illness.… (mais)