دورية أكاديمية
Narrative review: what constitutes contemporary, high-quality end-of-life care and can lessons be learned from medieval history?
| العنوان: | Narrative review: what constitutes contemporary, high-quality end-of-life care and can lessons be learned from medieval history? |
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| المؤلفون: | Paley CA; Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK., Paley AT; Institute for Medieval Studies, School of History, University of Leeds, Leeds, UK., Ziegler LE; Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK., Kane EC; Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK., McCleery I; Institute for Medieval Studies, School of History, University of Leeds, Leeds, UK., Chapman EJ; Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. |
| المصدر: | Annals of palliative medicine [Ann Palliat Med] 2024 May; Vol. 13 (3), pp. 607-619. Date of Electronic Publication: 2024 Mar 07. |
| نوع المنشور: | Journal Article; Review; Historical Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AME Publishing Company Country of Publication: China NLM ID: 101585484 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2224-5839 (Electronic) Linking ISSN: 22245820 NLM ISO Abbreviation: Ann Palliat Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hong Kong : AME Publishing Company |
| مواضيع طبية MeSH: | Terminal Care*/history , Attitude to Death* , Palliative Care*/history, Humans ; History, Medieval ; United Kingdom ; Spirituality ; COVID-19 ; Quality of Health Care ; SARS-CoV-2 ; Pandemics |
| مستخلص: | Background and Objective: In modern Britain, palliative and end-of-life care is governed by quality standards and guidance, which should consider spiritual and psychological needs. However, there are significant gaps in provision of services which was highlighted during the coronavirus disease 2019 (COVID-19) pandemic where many individuals and families suffered profound spiritual and existential distress. Significant gaps remain in the provision of services to support patients with spiritual and psychological needs which can affect the management of physical symptoms. During the medieval period in Western Europe, it was important to prepare well for death throughout life. It has been suggested that lessons may be learned from medieval preparations for death which might benefit those approaching end-of-life in contemporary society. It is therefore timely to consider medieval attitudes to death and reflect on how these might inform modern end-of-life care. The objective of this review is to synthesise literature addressing modern end-of-life care in the UK and contrast this with literature on preparations for death during the medieval period in Western Europe. Our aim is to determine whether there is wisdom to be gained from history which could inform our approaches to end-of-life care today. Methods: Using online databases and broad keyword searches along with experts in the field of medieval history, we identified literature and translations of texts with a focus on preparations for death during both periods. These were narratively synthesised and discussed. Key Content and Findings: A key finding is that the medieval attitude to death was as an integral part of life, whereas in modern society death is not usually considered until the situation arises. The review highlights a need for a better understanding of the individuality of spiritual and existential needs during end-of-life care in modern society, which will vary according to individual choice, culture, societal group, religion, and belief. Conclusions: The lessons we can learn from our medieval counterparts include the need for lifelong and individual preparations for the end of life, with emphasis on spiritual needs. Alongside palliative interventions, we need to take time to appreciate what gives individuals spiritual support and provide the resources to facilitate this. |
| فهرسة مساهمة: | Keywords: End-of-life care; dying; historical; medieval; review |
| تواريخ الأحداث: | Date Created: 20240311 Date Completed: 20240604 Latest Revision: 20240606 |
| رمز التحديث: | 20240607 |
| DOI: | 10.21037/apm-23-552 |
| PMID: | 38462940 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2224-5839 |
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| DOI: | 10.21037/apm-23-552 |