International journal of palliative nursing
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Biography Historical Article
A reflection on Cicely Saunders' views on a good death through the philosophy of Charles Taylor.
In her writings, Cicely Saunders has developed a total framework of caring for seriously ill people. Saunders' reaction to what she has experienced as bad contemporary post-war health care is to be found in her hospice philosophy. In this article this philosophy is analysed through the writings of Charles Taylor. ⋯ By focusing on Saunders' writings from Taylor's perspective it becomes apparent that Saunders has created a very modern theory. The author has found that different aspects of a good and authentic life are important values in Saunders' good and authentic death. These findings are followed by one question: is Saunders' hospice philosophy too focused on values such as individuality, control and autonomy, giving too little attention to fragility and dependency?
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Research suggests that many minority ethnic patients who receive palliative care in the UK are satisfied with the service they are given. However, various studies have revealed that minority ethnic groups' experiences of care are far from perfect. The most significant problem for these patients centres on communication. ⋯ The main issues were found to be the need to inform South Asian populations of the availability of palliative care services and the need to improve communication between patients and service providers. This article describes the communication problems that service providers and users face. It also identifies possible policy improvements aimed at developing the 'cultural competency' of services.