The first hospices date back to the fourth century when Christians in Europe provided care to the sick and destitute. The word hospice is derived from the Latin word hospitium, which means hospitality or hospitable when referencing a place of shelter and rest for weary or ill travelers. Palliative (noun or adjective) and palliate (verb) are derived from the Latin palliare, which means ‘to cloak.’
1948: Physician Dame Cicely Saunders begins her work with the terminally ill and eventually applies the name hospice to specialized care for dying patients.
1967: Dame Cicely Saunders establishes the first modern hospice—St. Christopher’s Hospice, a sixty-bed facility for the terminally ill, in London, UK. As the first modern hospice, it sought to combine three key principles: excellent clinical care, education, and research. It therefore differed significantly from those homes for the dying which had preceded it and sought to establish itself as a centre of excellence in a new field of care. Its success was phenomenal, and it soon became the stimulus for an expansive phase of hospice development, not only in Britain, but also around the world. From the outset, ideas developed at St Christopher’s were applied differently in other settings.
1969: A book based on more than 500 interviews with dying patients is published, entitled, On Death and Dying. Written by Dr. Elisabeth Kubler-Ross, it identifies the five stages through which many terminally ill patients progress. The book becomes an international best seller. Kubler-Ross argues for home care as opposed to treatment in an institutional setting and advocates that patients should have a choice and the ability to participate in the decisions that affect their destiny. The work of Elizabeth Kubler-Ross in challenging the medical profession to change its view of dying patients brought about great change and advanced many important concepts such as living wills, home healthcare, and helping patients to die with dignity and respect.
1974: The first palliative care unit opens at Winnipeg’s St. Boniface General Hospital. Within a matter of weeks, the second palliative care unit in Canada opens at the Royal Victoria Hospital in Montreal by Canadian physician Dr. Balfour Mount who also coins the term ‘palliative care’ as it is used in the modern context.