IndexThe History of Palliative CareThe Principles of Palliative CareThe Delivery of Palliative CareWorks CitedThe History of Palliative CareBy the end of the eighteenth century, there was a growing trend of physicians who were in the palliative care deaths of members of middle- and upper-class families. This trend continued to grow as the nineteenth century progressed and new medical innovations were discovered and is now quite common in recent times. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay One of the early pioneers of palliative care is Mary Aikenhead (later known as Sister Mary Augustine). He opened St Vincent's Hospital in 1834 to care for the sick and dying in Dublin, Ireland. In 1842, a grieving mother named Jeanne Garnier formed an association in France called L'Association des Dames du Calvaire, along with other women in similar situations. This association subsequently founded, the following year, a home for the dying which had a characteristic "respectful familiarity, an attitude of prayer and calm in the face of death". In 1885, the first home for the dying in Britain called Friedenheim was established in Aberdeenshire. -born France Davidson who moved to London to work for Mildmay Mission Hospital; the home catered to the needs of tuberculosis patients. The early 20th century saw an increase in medical research and development, and three major end-of-life investigations were conducted in the 1950s. In 1952, the Marie Curie Memorial Foundation conducted a survey of district nurses in the United Kingdom and its results showed the terrible situation of suffering among terminal cancer patients cared for at home. The survey findings subsequently led the Foundation to transform its nursing homes into specialist palliative care centers in the 1980s. In 1960, a report based on a nationwide survey in the United Kingdom between 1957 and 1959 was published by Glyn Hughes for the Gulbenkian Foundation. If on the one hand the report of this investigation was attentive to the social conditions of terminally ill patients, on the other hand it gave greater importance to other issues relating to politics and the organization of services. The third survey was conducted between 1959 and 1961 by Dr. John Hinton. The report of this investigation highlighted the physical and mental distress of the dying and was published in 1963. The turning point for palliative care came in 1967, when Cicely Saunders founded St. Christopher's Hospice. The creation of this foundation was the result of his medical research and his experience while working at St Joseph's Hospice. Saunders also developed the concept of total pain as cumulative of physical, emotional, spiritual, and social needs and advocated the use of analgesia to manage pain in the dying. Saunders' work and research produced a kaleidoscope of effects that paved the way for the development and evolution of palliative care around the world. Cicely Saunders is considered the founder of palliative care, however the term "palliative care" was first coined in 1974 by Balfour Mount. The Principles of Palliative Care WHO (2018) defines palliative care as the process of caring for a patient that focuses on improving the quality of life of the patient and their families by addressing difficulties associated with life-threatening illnesses, using the early identification and assessment of physical, emotional, social and spiritual pain in order to prevent and alleviate patient suffering but at the same time keeping the concept of total pain central to the focus oftreatment. García-Baquero (2018) supports this view and emphasizes that palliative care and therapeutic options must be provided by a special interdisciplinary and multiprofessional team not only for dying patients but also for people with incurable and life-limiting conditions, such as HIV/AIDS, chronic disorders or progressive neurological disorders, regardless of their age, sexual orientation, gender, race, ability to pay or place of residence. The American Society of Clinical Oncology also supports early intervention and has developed new guidelines that support the inclusion of palliative care early in the disease course. Abdulaziz and Zahid (2018) believe that the main goal of palliative care should not be to find a cure for a patient's condition but to manage the symptoms and relieve the patient's pain, as well as improve the quality of life of not only the patients but also their families. Teoli and Kalish (2019) reinforce this opinion by stating that palliative care as a field should have the central focus on symptom management and can be provided alongside curative care. Teoli and Kalish (2019) also believe that palliative care should be conducted in a way that ensures that the patient's values ​​and treatment preferences are aligned, while providing support to families by paying attention to their concerns and offering consolation during bereavement . According to the NHS Department of Health (2008) policy requires that healthcare professionals take into account patient choices and preferences and facilitate them, while providing 24-hour community care, and free social care should also be provided at the end of life. not only address the physical aspect of a patient's condition or pain, but also consider the psychological, social and spiritual aspects in a way that is not only holistic and multidimensional but also patient-centered and comprehensive. Provision of palliative care Palliative care can take place in different contexts, ranging from community homes to places of hospitalization. This is demonstrated by a survey conducted by the Office for National Statistics (2018) which recorded an annual death of 500,000 people in England and Wales, of which 23.6% occurred at home, 22.0% in homes of care, 46.6% in hospitals and 5.6% in hospices. Palliative care is usually provided by multidisciplinary teams usually made up of doctors, community nurses, social workers and sometimes professionals from other fields such as occupational therapists, physiotherapists and chaplains. According to Unroe and Meier (2012) this multidisciplinary team functions to provide support to patients and their families in times of crisis, while using their expertise to develop safe plans to transition patients across different care interfaces. Some of the factors that generally hinder the accessibility of palliative care include: finite number of palliative care specialists, inadequate funding and poor training of general practitioners in palliative care, and remoteness from the patient's location. Compared to developed countries, the provision of palliative care in less developed countries is usually faced with administrative barriers, especially regarding access to opioids and adjuvant analgesics which are important tools for effective pain management in palliative care. Keep in mind: this is just an example. Get a custom paper from our expert writers now. Get a Custom Essay The growth of the world's aging population and the increase in the global incidence of life-limiting conditions require that., 391(10128), 1391-1454.