Doug Lilly
Three years ago my partner asked me to deliver a gift to Carolyn, a friend of hers who was a patient at the Otago Community Hospice. Although I lived only a couple of streets away, I had never entered the building or given it much thought. I assumed it was a very sad place full of people dying of cancer.
Little did I know that within a few months I would be working at the Hospice as Operations Manager. My superficial and narrow understanding of what they did was quickly corrected as I discovered what a wonderful service it is, and how special is the team of staff and volunteers who work there and provide specialist palliative care.
Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life threatening illness, through the prevention and relief of suffering by means of early intervention and impeccable assessment and treatment of pain and other problems, physical, psycho-social and spiritual.” (WHO definition 2002)






When the job seeker representative asked me what qualifications I had for a job, I told her I had a Masters degree. “Don’t put anything high faluting like that on your job sheet,” she told me. “You’re only going to end up a cleaner.”
When I started my career shift from Hospital Medicine to Palliative Medicine in 2004, my mother asked me “Why in the world do you want to work with people who are going to die? That is so depressing.” My answer then and my answer now is the same. “I am a doctor, I already work with people who are dying—and I know it can be done better.”
For the past year or so I have been researching and writing the history of family caregiving. Let me say that in no way can this be a comprehensive piece of work! I have chosen to focus mainly on care of the elderly, since this reflects my professional experience as a social worker.