James L. Hallenbeck - Palliative Care Perspectives

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Oxford University Press 2022

First Edition published in 2003

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Library of Congress Cataloging-in-Publication Data

Names: Hallenbeck, James L., author.

Title: Palliative care perspectives / James L. Hallenbeck.

Description: 2 edition. | New York, NY : Oxford University Press, [2022] |

Includes bibliographical references and index.

Identifiers: LCCN 2021045003 (print) | LCCN 2021045004 (ebook) |

ISBN 9780197542910 (paperback) | ISBN 9780197542934 (epub) |

ISBN 9780197542941 (online)

Subjects: MESH: Palliative Caremethods | Attitude to Death |

Pain Management | Physician-Patient Relations

Classification: LCC RT87.T45 (print) | LCC RT87.T45 (ebook) |

NLM WB 310 a | DDC 616.02/9dc23

LC record available at https://lccn.loc.gov/2021045003

LC ebook record available at https://lccn.loc.gov/2021045004

DOI: 10.1093/med/9780197542910.001.0001

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For my daughter, Mika

The purpose of todays training is to defeat yesterdays understanding.

Miyamoto Musashi , Japanese sword master

Almost 20 years have passed since the first edition of this book. As the saying goes, everything has changed, and nothing has changed. Hospice and palliative medicine has become a medical subspecialty and most health care systems now have a palliative care program. However, despite this real progress, fundamental challenges remain. If anything, they have become more urgent, as our population ages and we encounter new plagues. The dominant medical ethos still focuses on cure. The unavoidable consequences of mortalityaging, dying, and associated sufferingare relatively neglected. Palliative care as a specialty may now have a seat at the table, but gaining that seat has been hard fought and we cannot rest easy.

I too have changed. In the first edition I wrote from the perspective of a middle-aged clinician. Since then, I have taken on more administrative responsibilities and have aged, now becoming certifiably geriatric myself. Both changes significantly alter my perspective and affect this revision. The target audience is still the young clinician, now perhaps starting a career in palliative care.