the Cicely Saunders Institute, and supported research to improve the management of symptoms such as breathlessness, action to meet more closely patient and family choice in palliative care and better support for older people. Cicely Saunder's obituary in the Royal College of Physicians of London's Munk's Roll collection contains further information about her work with this organisation. Medical ethics Saunders was instrumental in the history of UK medical ethics. She was an advisor to Andrew Mephem whose report led the Rev. Edward Shotter to set up the London Medical Group (LMG), a forerunner of the Society for the Study of Medical Ethics, later the Institute of Medical Ethics. She gave one of the first LMG lectures on the subject of pain, developing the talk into "The Nature and Management of Terminal pain" by 1972. This went on to be one of the most often repeated and requested lectures of the LMG and other such Medical Groups that sprung up around Great Britain, where it was often given as their inaugural lecture. Her talk on the care of the dying patient was printed by the LMG in its series 'Documentation in Medical Ethics, a forerunner of the Journal of Medical Ethics. She strongly opposed voluntary euthanasia. This was partly because of her Christian faith, but she also argued that it is never needed, because effective pain control is always possible. She did, however, accept that both sides in the euthanasia debate were against unnecessary pain and the loss of personal dignity. Total pain Saunders introduced the idea of "total pain", which included physical, emotional, social, and spiritual distress. Death Saunders developed breast cancer but still continued to work. She died aged 87 in 2005 at St Christopher's Hospice. To mark what would have been her 100th birthday, Google honoured her with a Google Doodle. Biography She is the subject of a biography, Cicely Saunders: A Life and Legacy, published in 2018 to mark the 100th anniversary of her birth. Titles and honours Titles Miss Cicely Saunders (22 June 1918 – 1957) Dr Cicely Saunders (1957 – 1 January 1965) Dr Cicely Saunders OBE (1 January 1965 – 31 December 1979) Dame Cicely Saunders DBE (31 December 1979 – 30 November 1989) Dame Cicely Saunders DBE OM (30 November 1989 – 14 July 2005) Honours Member of the Order of Merit (OM) Dame Commander of the Order of the British Empire (DBE)