Thank you for the opportunity to respond to the letter by Kafetz and Atkin. They state that our
paper 'shows the limitations of an approach grounded in the specialty of palliative care that …

The letter was shown to Charles, who is grateful for Dr Karabus's interest and is in full
agreement with him, saying 'I must confess I am not surprised. The GMC is not unique …

Editor-Palliative care has been defined as' the active total care of patients whose disease is
not responsive to curative treatment. Control of pain, of other symptoms, and of …

In the clear and comprehensive review of nutritional and fluid management for the dying by
Lennard-Jones in the last issue of the JRCPL1, one phrase shines out:'The ethical situation …

In 1983, Mills and colleagues undertook an observational study of patients dying in a
hospital in Scotland. 1 They describe disturbing scenes of neglect and poor care of patients …

Editor–We represent the Association for Palliative Medicine, an organisation of over 800
palliative medicine doctors working in hospices, hospitals and the community. We agree …

As good as Advance Care Planning (by both doctors and patients) may become we will still
be confronted by the acutely deteriorating patient who will die without treatment—but might …

In Britain, Palliative Medicine was recognized as a subspecialty of Internal Medicine exactly
20 years after Cicely Saunders founded St Christopher's, at exactly the same time that …

In the year 2000, close to 130 000 Australians died. More than 70% were aged 65 years or
older, most succumbing to cancer and cardiovascular disease. Most died in hospital.It is …

General practitioners have a crucial role EDrTOR,-The anonymous diary of a surgeon's
death arouses compassion but also suggests that the general practitioner, who has a crucial …