Human relationship: The forgotten dynamic in palliative care
- 1 September 2003
- journal article
- review article
- Published by Cambridge University Press (CUP) in Palliative & Supportive Care
- Vol. 1 (3), 261-265
- https://doi.org/10.1017/s147895150303027x
Abstract
Palliative care is a philosophy of care for individuals experiencing progressive, incurable disease. It encompasses two dynamics, science-based practice and relationship between patient, family, and health professional. Each dynamic is essential for quality palliative care, yet the requisites for each are different. The scientific process of observation and measurement requires differentiation, distance, and detachment to fulfill its demands for objectivity, whereas relationship, unobservable and immeasurable, requires sameness, closeness, and connection of a shared humanity. It is science, however, the prevailing world-view, that shapes our thinking and consequently, influences the education and practice of health professionals. We explore the dynamics of science and relationship and the incongruities between them. We examine the prominence of science in palliative care and its impact on relationship. We contend that questioning the current emphasis of science in palliative care and discovering the joy and rewards of shared human experience will enrich the quality of life for patients, families, and health professionals.Keywords
This publication has 9 references indexed in Scilit:
- Patients' Ratings of Quality and Satisfaction With Care at the En[a-z] of LifeArchives of Internal Medicine, 2002
- Attention: A Potential Vehicle for Spiritual CareJournal of Palliative Care, 2002
- On Being DiminishedJournal of Palliative Care, 2002
- Addressing Spirituality in Pediatric Hospice and Palliative CareJournal of Palliative Care, 2002
- Care of the Sick and the Dying: A Matter of Trust?Journal of Palliative Care, 2000
- Crossing OverPublished by Oxford University Press (OUP) ,2000
- A Controlled Trial to Improve Care for Seriously III Hospitalized PatientsJAMA, 1995
- Measurement in the Service of CompassionJournal of Palliative Care, 1992
- Quality of Life: A Bridge between the Biomedical and Illness Models of Medicine and Nursing?Journal of Palliative Care, 1992