This very accessible, straightforward book helps to allay those concerns and enables pre-registration students to prepare confidently for the challenges they will face when they are caring for dying patients and supporting their families. Each chapter is based on a different and realistic scenario - reflecting a range of circumstances - to demonstrate the essential generic knowledge and skills they need to develop, and draws out the important practical and theoretical issues students should consider and address if patients and their families are to receive the best possible care. Written by two experienced palliative care lecturer/practitioners, and mapping closely to the NMC's 2010 domains, End-of-Life Nursing Care is tailored to the needs of student nurses working with adult patients. Annie Pettifer and Joanna de Souza explore the importance of their role in end-of-life care and how this interfaces with the roles of other multidisciplinary professionals involved in the care of their patients. It will also be helpful to students of other health care professions and support newly-qualified healthcare professionals working in adult health.

End-of-Life Care – a Historical Perspective

End-of-Life Care – a Historical Perspective

End-of-life care – a historical perspective
Joanna De SouzaAnnie Pettifer

This chapter will explore:

  • How professional care of the dying has developed over the last century
  • The philosophy of palliative care
  • What we mean by the term ‘end of life’
  • The End of Life Care Strategy
  • How it might be different to be dying today


The places where people die have changed markedly over the past century with most deaths no longer occurring at home but in hospital. In around 1900 about 85% of people died in their own homes, with workhouses accounting for most other deaths. By the mid-twentieth century around 50% of people died at home. In the early twenty-first century acute hospitals have become the most common place of death. (Department of Health ...

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