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Review
. 2014 Sep-Oct;5(5):331-8.
doi: 10.6004/jadpro.2014.5.5.3.

Improving Palliative Cancer Care

Catherine Del Ferraro  1 , Betty Ferrell  1 , Carin Van Zyl  1 , Bonnie Freeman  1 , Linda Klein  1
Affiliations
Review

Improving Palliative Cancer Care

Catherine Del Ferraro et al. J Adv Pract Oncol. 2014 Sep-Oct.

Abstract

Over a decade ago, the Institute of Medicine (IOM) presented Ensuring Quality Cancer Care in the United States, with recommendations for change (IOM, 1999). However, barriers to integrating palliative care (PC) to achieve high-quality care in cancer still remain. As novel therapeutic agents evolve, patients are living longer, and advanced cancer is now considered a chronic illness. In addition to complex symptom concerns, patients and family caregivers are burdened with psychological, social, and spiritual distress. Furthermore, data show that PC continues to be underutilized and inaccessible, and current innovative models of integrating PC into standard cancer care lack uniformity. The aim of this article is to address the existing barriers in implementing PC into our cancer care delivery system and discuss how the oncology advanced practice nurse plays an essential role in providing high-quality cancer care. We also review the IOM recommendations; highlight the work done by the National Consensus Project in promoting quality PC; and discuss a National Cancer Institute-funded program project currently conducted at a National Comprehensive Cancer Center, "Palliative Care for Quality of Life and Symptoms Concerns in Lung Cancer," which serves as a model to promote high-quality care for patients and their families.

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Figures

Table 1
Table 1
Institute of Medicine 2013 Recommendations: Components of a High-Quality Cancer Care Delivery System
Table 2
Table 2
Eight Domains of the National Consensus Project Clinical Practice Guidelines
See this image and copyright information in PMC

References

    1. Abernethy Amy P, Currow David C. Time for better integration of oncology and palliative care. Journal of oncology practice / American Society of Clinical Oncology. 2011;7:346–348. - PMC - PubMed
    1. Abrahm Janet L. Integrating palliative care into comprehensive cancer care. Journal of the National Comprehensive Cancer Network : JNCCN. 2012;10:1192–1198. - PubMed
    1. What are the key statistics about lung cancer? American Cancer Society (ACS) 2014 Retrieved from http://www.cancer.org/lungcancer-non-smallcell/detailedguide/non-small-c....
    1. Borneman Tami, Koczywas Marianna, Cristea Mihaela, Reckamp Karen, Sun Virginia, Ferrell Betty. An interdisciplinary care approach for integration of palliative care in lung cancer. Clinical lung cancer. 2008;9:352–360. - PubMed
    1. Bruera Eduardo, Hui David. Integrating supportive and palliative care in the trajectory of cancer: establishing goals and models of care. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2010;28:4013–4017. - PubMed

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