{"id":96195,"date":"2025-08-12T14:52:09","date_gmt":"2025-08-12T12:52:09","guid":{"rendered":"https:\/\/greendalehouse.co.za\/?p=96195"},"modified":"2025-08-12T15:01:48","modified_gmt":"2025-08-12T13:01:48","slug":"the-origins-and-evolution-of-palliative-and-hospice-care","status":"publish","type":"post","link":"https:\/\/greendalehouse.co.za\/index.php\/2025\/08\/12\/the-origins-and-evolution-of-palliative-and-hospice-care\/","title":{"rendered":"The Origins and Evolution of Palliative and Hospice Care"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>PALLIATIVE CARE OR HOSPICE CARE?<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\">In 1967 Dame Cicely Saunders pioneered the concept of total care in dying patients and<br>the modern hospice movement developed from that time. She was instrumental in setting<br>up St Christopher\u2019s Hospice in London, the world&#8217;s first purpose-built hospice. The hospice<br>was founded on the principles of combining teaching and clinical research, expert pain, and<br>symptom control, with holistic or total care to meet the physical, social, psychological, and<br>spiritual needs of its patients and those of their family and friends. St Christopher\u2019s<br>Hospice was developed based on a care philosophy that &#8220;you matter because you are you,<br>you matter to the last moment of your life.\u201d This approach required specialist care which<br>led to a new medical specialty called palliative care. At that stage, palliative care referred<br>to patients who had a terminal illness with a clearly defined limit to their life. In essence<br>this was Hospice care which incorporated care of dying patients and their families and<br>friends<br><\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\">More recently, palliative care has grown into a field that that can be adapted to different<br>situations. It makes sense to consider palliative care now both within and without a<br>Hospice programme.<br><\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\">Hospice care incorporates palliative care of patients who are no longer receiving curative<br>treatment. The focus tries to maximize comfort and quality of life. The burden of treatment<br>decisions should not outweigh the benefit. The USA has fixed a time of 6 months for this<br>care which although strict, it supports the notion of palliative care within a Hospice setting.<br>Palliative care outside of Hospice is independent of the prognosis of the patient and in ideal<br>situations works alongside life-prolonging and curative treatment for persons living with<br>serious, complex and life-threatening illness.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br><strong><a href=\"https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/Hospice-vs-Palliative-Care-.pdf\" data-type=\"link\" data-id=\"https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/Hospice-vs-Palliative-Care-.pdf\">Read<\/a> <\/strong>the full document or <strong><a href=\"https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/Hospice-vs-Palliative-Care-.pdf\" data-type=\"link\" data-id=\"https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/Hospice-vs-Palliative-Care-.pdf\">download<\/a> <\/strong>it.<br><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"348\" src=\"https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-1024x348.jpg\" alt=\"\" class=\"wp-image-96197\" srcset=\"https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-1024x348.jpg 1024w, https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-300x102.jpg 300w, https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-768x261.jpg 768w, https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-1536x522.jpg 1536w, https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-2048x696.jpg 2048w, https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-1200x408.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>PALLIATIVE CARE OR HOSPICE CARE? In 1967 Dame Cicely Saunders pioneered the concept of total care in dying patients andthe modern hospice movement developed from that time. She was instrumental [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":96197,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[273],"tags":[],"class_list":["post-96195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"jetpack_featured_media_url":"https:\/\/greendalehouse.co.za\/wp-content\/uploads\/2025\/08\/shutterstock_535005715-scaled.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/posts\/96195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/comments?post=96195"}],"version-history":[{"count":5,"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/posts\/96195\/revisions"}],"predecessor-version":[{"id":96203,"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/posts\/96195\/revisions\/96203"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/media\/96197"}],"wp:attachment":[{"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/media?parent=96195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/categories?post=96195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/greendalehouse.co.za\/index.php\/wp-json\/wp\/v2\/tags?post=96195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}