Palliative medicine was first recognised as a specialist field in 1987. One hundred years earlier, London based doctor William Munk published a treatise on 'easeful death' that mapped out the principles of practical, spiritual, and medical support at the end of life. In the intervening years a major process of development took place which led to innovative services, new approaches to the study and relief of pain and other symptoms, a growing interest in 'holistic' care, and a desire to gain more recognition for care at the end of life. This book traces the history of palliative medicine, from its nineteenth-century origins, to its modern practice around the world. It takes in the changing meaning of 'euthanasia', assesses the role of religious and philanthropic organisations in the creation of homes for the dying, and explores how twentieth-century doctors created a special focus on end of life care. To Comfort Always traces the rise of clinical studies, academic programmes and international collaborations to promote palliative care. It examines the continuing need to support development with evidence, and assesses the dilemmas of unequal access to services and pain relieving drugs, as well as the periodic accusations of creeping medicalization within the field. This is the first history of its kind, and the breadth of information it encompasses makes it an essential resource for those interested in the long-term achievements of palliative medicine as well as the challenges that remain.

Highly Commended in the Basis of Medicine category of the British Medical Association Book Awards 2017.

About the Author
Professor David Clark is a sociologist at the University of Glasgow. He founded the International Observatory on End of Life Care at Lancaster University in 2003 and has wide ranging interests in the history and global development of palliative care. He has a particular knowledge of the life and work of Dame Cicely Saunders and has edited her letters and selected publications. He has written a History of the Project on Death in America and currently holds a Wellcome Trust Investigator Award for a study entitled Global Interventions at the End of Life.

Reviews
Clark's vast knowledge of his subject and attention to detail is impressive, yet his ability to combine fact with entertaining storytelling makes this an engaging read. * Emily Adam, European Journal of Palliative Care *
I would recommend To Comfort Always to everyone working in hospice and palliative care. This book is not long, complicated to read or full of jargon-it provides a richness to our history that I think is essential to our future. * Emma Hodges, Group Chief Executive of St Giles Hospice. ehospice *
I couldn't put this book down[...] If you work in palliative care and have any interest in the origin of our ideals, or you want to know our future hurdles, you will enjoy this book. * Dr. Roger Woodruff, International Association for Hospice & Palliative Care *



Book Information
ISBN 9780199674282
Author David Clark
Format Hardback
Page Count 256
Imprint Oxford University Press
Publisher Oxford University Press
Weight(grams) 530g
Dimensions(mm) 235mm * 166mm * 20mm