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By Paul Sinclair
This book's outstanding message is that palliative care doesn't carry on its goals to price those who find themselves demise and make demise and loss of life a ordinary a part of existence. The publication attracts from wider social technology views and severely and particularly applies those to palliative care and its dominant scientific version. the writer deals a brand new method of dying and loss that expands and refines sleek understandings in a way Read more...
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Additional info for Rethinking palliative care : a social role valorisation approach
Sample text
In addition, this chapter aims to identify the key problems arising from the transference into palliative care of the detrimental effects of the paradigm of care. The main detrimental effect of the paradigm of care is to establish and validate the distinction between a socially valued class of care providers such as doctors or philanthropists and a socially devalued class of care recipients and people excluded from care. As the social organisation of care becomes more modern and industrialised, this distinction becomes increasingly pronounced.
The most important late 20th-century challenge to medicine has come from the state seeking to “curb the autonomy of the medical profession” (Lewis, 1992, p 342). Moves toward preventative medicine, health promotion, community care and the “Cinderella specialties such as geriatrics and psychiatry” have been pushed by the state to try to shift funds from the acute sector supported by the medical profession (Lewis, 1992, p 342). Palliative care can be seen as another such Cinderella specialty. In Britain, consumer empowerment, centralisation and an entrepreneurial delivery system have been seen as the state attempting to master medical professional power (Lewis, 1992).
Although this picture is simplified, it is certain that for a long time hospitals (for the sick poor) were identified with pauperism and death (Granshaw, 1989a, p 1) whereas almshouses, even in the 20th century, could provide the privilege of residential care into a long old age (Bailey, 1988, pp 197-9). In noting unfillable vacancies in those almshouses run by the Church in Britain in the 1980s, Bailey (1988, p 195) explains this might be due to the deterrent effect of “restrictions of movement, compulsory religious services, and other rules and regulations – not to mention qualifications for entry”.