Anguish and Suffering in the Face of the Hospital Organizational Pattern

  • Jean-Michel Lassaunière


In the fifties, for most of the cancers, the rate of survival was low. As the cancer diagnosis was not disclosed to the patients, the accompaniment of those who were to die was entrusted to groups of religious inspiration. Between the eighties and the nineties, our society has experienced a revolution without precedent in the history of medicine. The first encouraging results were observed in the treatment of cancer and epidemiological studies showed the importance of changes in a number of life factors such as excessive smoking. Psychiatrists and social workers started playing a part in the care to patients, and the hospice movement (1) was initiated in Great Britain and was concerned with the treatment of cancer pain. As early as in 1984, the World Health Organization emphasized the need to treat cancer pain and in 1989, palliative care became integrated as a means in the struggle against cancer (2). It is now possible to define four distinct phases in cancer prevention (3):
  1. 1.

    Disease prevention through education.

  2. 2.

    Advanced disease prevention through early diagnosis programs.

  3. 3.

    Death prevention through disease treatment.

  4. 4.

    Suffering prevention through supportive and palliative care.



Palliative Care Pain Treatment Nurse Community Nurse Auxiliary Treat Cancer Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Jean-Michel Lassaunière
    • 1
  1. 1.Palliative Care CenterHôtel-Dieu de ParisParisFrance

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