Get Improving Palliative Care for Cancer PDF

By National Cancer Policy Board, National Research Council, Institute of Medicine, Kathleen M. Foley, Hellen Gelband

ISBN-10: 0309074029

ISBN-13: 9780309074025

ISBN-10: 0309513294

ISBN-13: 9780309513296

In our society's competitive pursuit of treatments for melanoma, we have now missed symptom keep an eye on and luxury care. lower than one percentage of the nationwide melanoma Institute's price range is spent on any point of palliative care examine or schooling, regardless of the part million those who die of melanoma every year and the bigger quantity residing with melanoma and its indicators. "Improving Palliative take care of melanoma" examines the limitations - clinical, coverage, and social - that maintain these in desire clear of getting reliable palliative care. It is going directly to suggest public- and private-sector activities that might result in the advance of greater palliative interventions; greater information regarding at present used interventions; and larger wisdom approximately, and entry to, palliative take care of all people with melanoma who would receive advantages from it.

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Denial of death (even in the face of terminal illness) is seen—if unconsciously—as fighting back against past injustice; whereas accepting palliative care is viewed as giving up on care that the majority might receive. Even when palliative care is wanted and needed, however, it may not be available. Hospice care may not be available in poor, inner-city areas, which are generally underserved for health care. , 2000). In an accompanying editorial, the story is recounted of an elderly woman with unrelieved bone pain from metastatic cancer, whose daughter was unable to buy a prescribed morphine-based drug in any local pharmacy (Freeman and Payne, 2000).

In general, these organizations have low visibility, and even if they have good information, most patients will never hear about them. In addition, the organizations themselves have limited abilities to adapt information to the individual needs of patients. Most patients who call, no matter how advanced their condition is, receive the same introductory packet and pamphlets, which are likely to have little relevance for patients with advanced, recurrent, or terminal cancer. Pharmaceutical companies have begun producing information about symptom control that, not surprisingly, concentrates on their own products.

The second national data collection effort is the MDS, which routinely collects extensive information on every nursing home resident in the United States. Nursing homes increasingly are providing end-of-life care for frail and older Americans. In 1998, an estimated 10 percent of cancer patients died in a nursing home. The Health Care Financing Administration (HCFA) is now embarking on a national program of examining nursing home quality performance. There are important lessons to be learned from the MDS, including concerns about the institutional response burden in implementing data collection and the potential for unintended consequences.

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Improving Palliative Care for Cancer by National Cancer Policy Board, National Research Council, Institute of Medicine, Kathleen M. Foley, Hellen Gelband


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