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St Christopher's Hospice
St. Christopher's Hospice is a hospice in south London, England, established in 1967 by Cicely Saunders, whose work is considered the basis of modern hospice philosophy. Legacy Among the first staff at St. Christopher's was Florence Wald, who took Saunders' philosophies back to the United States to become the founder of the hospice movement in the United States.Rierden, And"A Calling for Care Of the Terminally Ill" ''The New York Times'', 19 April 1998; Accessed 5 February 2009 In 1971 Robert Twycross was appointed as a Clinical Research Fellow by Saunders. During his tenure there, his studies on the effectiveness of morphine, diamorphine and methadone Methadone, sold under the brand names Dolophine and Methadose among others, is a synthetic opioid agonist used for chronic pain and also for opioid dependence. It is used to treat chronic pain, and it is also used to treat addiction to heroi ... helped standardize and simplify the management of cancer pain.25 Years in Pall ...
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London Borough Of Bromley
The London Borough of Bromley () is the southeasternmost of the London boroughs that make up Greater London, bordering the ceremonial county of Kent, which most of Bromley was part of before 1965. The borough's population is an estimated 332,336. It is named after Bromley, its principal town; other major towns are Penge, Hayes, West Wickham, Chislehurst, Beckenham and Orpington. The local authority is Bromley London Borough Council. Geography The borough is the largest in Greater London by area and occupies . The majority of the borough is Metropolitan Green Belt, including nearly all of the land south of the A232-A21 route between West Wickham and Pratt's Bottom. Consequently, it is also perhaps the most rural borough and contains more of the North Downs than any other, as that escarpment is broad between Bromley and Banstead. This is also reflected in its population density, which is the lowest of the 32 London boroughs. Most of the population lives in the north and west ...
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End-of-life Care
End-of-life care (EoLC) refers to health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks. EoLC is most commonly provided at home, in the hospital, or in a long-term care facility with care being provided by family members, nurses, social workers, physicians, and other support staff. Facilities may also have palliative or hospice care teams that will provide end-of-life care services. Decisions about end-of-life care are often informed by medical, financial and ethical considerations. In most advanced countries, medical spending on people in the last twelve months of life makes up roughly 10% of total aggregate medical spending, while those in the last three years of life can cost up to 25%. Medical Advanced care planning Advances in medicine in the last ...
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Hospice
Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering. Hospice care provides an alternative to therapies focused on life-prolonging measures that may be arduous, likely to cause more symptoms, or are not aligned with a person's goals. Hospice care in the United States is largely defined by the practices of the Medicare system and other health insurance providers, which cover inpatient or at-home hospice care for patients with terminal diseases who are estimated to live six months or less. Hospice care under the Medicare Hospice Benefit requires documentation from two physicians estimating a person has less than six months to live if the disease follows its usual course. Hospice benefits include access to a multidisciplinary treatment team specialized in end-of- ...
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South London
South London is the southern part of London, England, south of the River Thames. The region consists of the boroughs, in whole or in part, of Bexley, Bromley, Croydon, Greenwich, Kingston, Lambeth, Lewisham, Merton, Richmond, Southwark, Sutton and Wandsworth. South London originally emerged from Southwark, first recorded as ''Suthriganaweorc'',David J. Johnson. ''Southwark and the City''. Oxford University Press, 1969. p. 7. meaning 'fort of the men of Surrey'. From Southwark, London then extended further down into northern Surrey and western Kent. Emergence and growth South London began at Southwark at the southern end of London Bridge, the first permanent crossing over the river, with early development of the area being a direct result of the existence and location of the bridge. Southwark was first known as ''Suthriganaweorc'', the fortress of the men of Surrey, mentioned in the Burghal Hidage as part of military system created by Alfred the Great to defeat the ...
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Cicely Saunders
Dame Cicely Mary Strode Saunders (22 June 1918 – 14 July 2005) was an English nurse, social worker, physician and writer. She is noted for her work in terminal care research and her role in the birth of the hospice movement, emphasising the importance of palliative care in modern medicine, and opposing the legalisation of voluntary euthanasia. Early life and education Saunders was born in Barnet, Hertfordshire, to Philip Gordon Saunders, a chartered surveyor and landowner, and to Mary Christian Knight. She had two younger brothers, John Frederick Stacey Saunders and Christopher Gordon Strode Saunders.''1939 England and Wales Register'' After attending Roedean School (1932–37), Saunders began studying politics, philosophy, and economics at St Anne's College, Oxford in 1938. During the war, she decided to become a nurse and trained at Nightingale School of Nursing based at St Thomas's Hospital from 1940–44. Returning to St Anne's College after a back injury in 1944, she t ...
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Florence Wald
Florence Wald (April 19, 1917 – November 8, 2008) was an American nurse, former Dean of Yale School of Nursing, and largely credited as "the mother of the American hospice movement".Florence Wald
, Connecticut Women's Hall of Fame. Accessed November 13, 2008.
She led the founding of Connecticut Hospice, the first hospice program in the United States. Late in life, Wald became interested in the provision of hospice care within prisons. In 1998, Wald was inducted into the National Women's Hall of Fame.National Women's Hall of Fame, Florence Wald ...
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The New York Times
''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid digital media, digital subscribers. It also is a producer of popular podcasts such as ''The Daily (podcast), The Daily''. Founded in 1851 by Henry Jarvis Raymond and George Jones (publisher), George Jones, it was initially published by Raymond, Jones & Company. The ''Times'' has won List of Pulitzer Prizes awarded to The New York Times, 132 Pulitzer Prizes, the most of any newspaper, and has long been regarded as a national "newspaper of record". For print it is ranked List of newspapers by circulation, 18th in the world by circulation and List of newspapers in the United States, 3rd in the U.S. The paper is owned by the New York Times Company, which is Public company, publicly traded. It has been governed by the Sulzberger family since 189 ...
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Robert Twycross
Robert Twycross (born 29 January 1941) is a retired British physician and writer. He was a pioneer of the hospice movement during the 1970s, when he helped palliative care gain recognition as an accepted field of modern medicine. Education and early achievements Dr Twycross was educated at St John's School, Leatherhead, and graduated from Oxford University with a BM BCh in 1965. After completing his MRCP, in 1971 he was appointed as a Clinical Research Fellow at St Christopher's Hospice by Dame Cicely Saunders. During his tenure there, Dr Twycross completed studies on the effectiveness of morphine, diamorphine and methadone in managing cancer pain. These studies helped standardize and simplify the treatment of pain, eliminating more complicated treatments such as the Brompton cocktail. This research led to Dr. Twycross being awarded the University of Oxford higher degree of Doctor of Medicine.
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Morphine
Morphine is a strong opiate that is found naturally in opium, a dark brown resin in poppies (''Papaver somniferum''). It is mainly used as a pain medication, and is also commonly used recreationally, or to make other illicit opioids. There are numerous methods used to administer morphine: oral; sublingual; via inhalation; injection into a muscle; by injection under the skin; intravenously; injection into the space around the spinal cord; transdermal; or via rectal suppository. It acts directly on the central nervous system (CNS) to induce analgesia and alter perception and emotional response to pain. Physical and psychological dependence and tolerance may develop with repeated administration. It can be taken for both acute pain and chronic pain and is frequently used for pain from myocardial infarction, kidney stones, and during labor. Its maximum effect is reached after about 20 minutes when administered intravenously and 60 minutes when administered by mout ...
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Diamorphine
Heroin, also known as diacetylmorphine and diamorphine among other names, is a potent opioid mainly used as a recreational drug for its euphoric effects. Medical grade diamorphine is used as a pure hydrochloride salt. Various white and brown powders sold illegally around the world as heroin have variable "cuts". Black tar heroin is a variable admixture of morphine derivatives—predominantly 6-MAM (6-monoacetylmorphine), which is the result of crude acetylation during clandestine production of street heroin. Heroin is used medically in several countries to relieve pain, such as during childbirth or a heart attack, as well as in opioid replacement therapy. It is typically injected, usually into a vein, but it can also be smoked, snorted, or inhaled. In a clinical context, the route of administration is most commonly intravenous injection; it may also be given by intramuscular or subcutaneous injection, as well as orally in the form of tablets. The onset of effects is usually ...
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Methadone
Methadone, sold under the brand names Dolophine and Methadose among others, is a synthetic opioid agonist used for chronic pain and also for opioid dependence. It is used to treat chronic pain, and it is also used to treat addiction to heroin or other opioids. Prescribed for daily use, the medicine relieves cravings and removes withdrawal symptoms. Detoxification using methadone can be accomplished in less than a month, or it may be done gradually over as long as six months. While a single dose has a rapid effect, maximum effect can take up to five days of use. The pain-relieving effects last about six hours after a single dose. After long-term use, in people with normal liver function, effects last 8 to 36 hours. Methadone is usually taken by mouth and rarely by injection into a muscle or vein. Side effects are similar to those of other opioids. These frequently include dizziness, sleepiness, vomiting, and sweating. Serious risks include opioid abuse and respiratory dep ...
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Witold Gracjan Kawalec
Witold Gracjan Kawalec (17 November 1922 – 24 December 2003) was a Polish-born sculptor, who worked mainly in England. Early life He was born in Wilno, Poland in 1922. Working for the Polish resistance movement during World War II, he was captured by Russian soldiers. Later he joined a Polish Army unit in Palestine. He took part in the bitter fighting at Tobruk during the North Africa campaign. From North Africa he joined the Royal Air Force in England. In 1942 he was accepted for training in the Royal Air Force. While serving near Nottingham he married a fellow Pole in the WRAF, Danuta Banszel. He was then posted to No. 307 Polish Night Fighter Squadron at Exeter. Sculpture After the war he moved to Nottingham and continued his studies in sculpture at Nottingham College of Art. In 1953 he opened his first studio and produced much of his work in alabaster. The themes of his abstract forms were influenced by his experiences during World War II. In 1959 he had a piece selecte ...
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