Current status of palliative care--clinical implementation, education, and research

PUBMED ID  19729681



  Grant M.  Elk R.  Ferrell B.  Morrison RS.  von Gunten CF.


  Division of Nursing Research and Education, Department of Population

  Science, City of Hope, Duarte, CA 91010, USA.


  CA: a Cancer Journal for Clinicians.  59(5):327-35, 2009 Sep-Oct.


  Palliative and end-of-life care is changing in the United States. This

  dynamic field is improving care for patients with serious and

  life-threatening cancer through creation of national guidelines for

  quality care, multidisciplinary educational offerings, research endeavors,

  and resources made available to clinicians. Barriers to implementing

  quality palliative care across cancer populations include a rapidly

  expanding population of older adults who will need cancer care and a

  decrease in the workforce available to give care. Methods of integrating

  current palliative care knowledge into care of patients include

  multidisciplinary national education and research endeavors, and clinician

  resources. Acceptance of palliative care as a recognized medical specialty

  provides a valuable resource for improvement of care. Although compilation

  of evidence for the importance of palliative care specialities is in its

  initial stages, national research grants have provided support to build

  the knowledge necessary for appropriate palliative care. Opportunities are

  available to clinicians for understanding and applying appropriate

  palliative and end-of-life care to patients with serious and

  life-threatening cancers. (c) 2009 American Cancer Society, Inc.