“…This definition of palliative care stems from the work of Saunders (1967), who founded the first modern hospice facility in the United Kingdom more than 50 years ago (Cole, Carlin, & Carson, 2015;Saunders, 2001) and also influenced the model used in the United States. Palliative end-of-life care specifically addresses the needs of patients with debilitating and advanced illness toward the end of life and has become a subspecialty in many countries including Australia, New Zealand, the United Kingdom, Ireland, the United States (Al-Mahrezi & Al-Mandhari, 2016), and many others (Centeno et al, 2007). Cicely Saunders's comprehensive definition of palliative care at the end of life involves the management of total pain including physical, emotional, social, and spiritual suffering (Clark, 1999;Saunders, 2001).…”