BMJ 1994;309:1017 (15 October)

Letters

Things have improved

EDITOR, - Mina Mills and colleagues paint a grim picture of the quality of care of dying patients in Scottish teaching hospitals in 1983.1 They conclude by exhorting the medical profession to "implement practical steps to facilitate high quality care of the dying" and to transmit the knowledge and skills of the hospice movement into all settings. While we agree that these findings are still relevant to current clinical practice, we believe that the situation has improved in the 10 years since the study was conducted.

The engine for change within hospitals has been the spread of the hospital support team. The first hospital support team was started at St Thomas's Hospital in 1978.2 The Directory of Hospice and Palliative Care Services for this year reports that nearly 240 hospitals have support teams or support nurses.3 The purpose of the support team is to provide the skill learnt from the . . . [Full text of this article]


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Relevant Article

Care of dying patients in hospital
M Mills, H T O Davies, and W A Macrae
BMJ 1994 309: 583-586. [Abstract] [Full Text]




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