Improving Palliative Care for CancerNational Academies Press, 19.9.2001 - 325 sivua In our society’s aggressive pursuit of cures for cancer, we have neglected symptom control and comfort care. Less than one percent of the National Cancer Institute’s budget is spent on any aspect of palliative care research or education, despite the half million people who die of cancer each year and the larger number living with cancer and its symptoms. Improving Palliative Care for Cancer examines the barriers—scientific, policy, and social—that keep those in need from getting good palliative care. It goes on to recommend public- and private-sector actions that would lead to the development of more effective palliative interventions; better information about currently used interventions; and greater knowledge about, and access to, palliative care for all those with cancer who would benefit from it. |
Sisältö
EXECUTIVE SUMMARY | 3 |
BACKGROUND AND RECOMMENDATIONS | 9 |
SPECIAL ISSUES IN PEDIATRIC | 12 |
Tekijänoikeudet | |
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Improving Palliative Care for Cancer National Research Council,Institute of Medicine,National Cancer Policy Board Rajoitettu esikatselu - 2001 |
Yleiset termit ja lausekkeet
advanced cancer advanced directives African Americans AHRQ American ASCO assessment cachexia cancer centers cancer pain cancer patients caregivers CCOP chemotherapy chronic Clinical Oncology clinical practice guidelines clinical trials cognitive impairment communication consensus costs death decisionmaking depression diagnosis disease distress dying patients dyspnea ECOG effective end-of end-of-life care end-of-life issues enrollment evaluation family members fatigue funding groups health care providers hospice care interventions lung cancer measures Medicare Medicine ment models Modify for end-of-life National Cancer Institute nausea NCI and ACS NCI-designated cancer centers needs nursing home Oncol oncologists opioids organizations pain management palliative and end-of-life palliative care patients and families patients with advanced pediatric percent physicians pilot test population Prognoses and Preferences programs Project psychosocial quality indicators Recommendation reimbursement role specific survey symptom control Teno terminal cancer terminally ill therapy tients tion