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The purpose of this paper is to draw attention to the ways in which the Supreme Court of Canada has shifted away from transcendent/religious to nonreligious conceptualizations of assisted dying.

A discourse analysis of a Supreme Court of Canada case on assisted dying and the facta of the 26 associated interveners.

The research points to a shift away from religious to nonreligious understandings in the way the Court conceptualizes suffering, pain, illness and assisted dying.

This paper contributes to the understanding of nonreligion as a social phenomenon.

Following the development of a service that consisted of a “single point of contact” to coordinate end-of-life care (EoLC), including EoLC facilitators and an urgent response team, we aimed to explore whether the provision of coordinated EoLC would support patients being cared or dying in their preferred place and avoid unwanted hospital admissions.

Using a realist evaluation approach, the authors examined “what worked for whom, how, in what circumstances and why”. Multiple data were collected, including activity/performance indicators, observations of management meetings, documents, satisfaction survey and 30 interviews with service providers and users.

Advance care planning (ACP) increased through the first three years of the service (from 45% to 83%) and on average 74% of patients achieved preferred place of death. More than 70% of patients avoided an emergency or unplanned hospital admission in their last month of life. The mechanisms and context identified as driving forces of the service included: 7/7 single point of contact; coordinating services across providers; recruiting and developing the workforce; understanding and clarifying new roles; and managing expectations.

This was a service evaluation and the outcomes are related to the specific context and mechanisms. However, findings can be transferable to similar settings.

“Single point of contact” services that offer coordinated EoLC can contribute in supporting people to be cared and die in their preferred place.

This paper provides an evaluation of a novel approach to EoLC and creates a set of hypotheses that could be further tested in similar services in the future.

As social and nutritional conditions have improved over the last century, there has been a dramatic improvement in health. Communicable diseases have almost been eradicated and mortality rates in childhood have dropped. Consequently, people are now living longer and dying has become an experience of the elderly and often as a result of degenerative diseases such as cancer. The hospice movement was set up to care for patients, such as those with cancer, who could not realistically expect to be cured, and whose needs were primarly for comfort and relief for the remaining period of life. Wheatfields is a hospice in Leeds at which great care is taken over the patients' diets, as Linda Auty, BSc, SRD, senior lecturer at the Department of Dietetics, Leeds Polytechnic, Maire O'Donnell, SRN, ONC matron at Wheatfields and Jackie Evans, SRN, RCNT assistant matron explain.

This is the eleventh article on science, technology, and medicine (STM) databases in a continuing series of articles summarizing and commenting on new database products. Two companion articles, one covering social sciences, humanities, news, and general (SSH) (Online & CDROM Review, vol. 22, no.3) and the other covering business and law (BSL) (Online & CDROM Review, vol. 22, no. 3) will appear in the next issue of this journal. These articles are based on the newly appearing database products in the Gale Directory of Databases. The Gale Directory of Databases (GDD) was created in January 1993 by merging Computer‐Readable Databases: A Directory and Data Sourcebook (CRD) together with the Directory of Online Databases (DOD) and the Directory of Portable Databases (DPD).