TAILIEUCHUNG - Improving Palliative Care for Cancer

It is innately human to comfort and provide care to those suffering from cancer, particularly those close to death. Yet what seems self-evident at an individual, personal level has, by and large, not guided policy at the level of institutions in this country. There is no argument that palliative care should be integrated into cancer care from diagnosis to death. But significant barriers—attitudinal, behavioral, economic, educational, and legal— still limit access to care for a large proportion of those dying from cancer, and in spite of tremendous scientific opportunities for medical progress against all the major symptoms associated with cancer and cancer death, public research institutions have not responded | Improving Palliative Care for Cancer INSTITUTE OF MEDICINE NATIONAL RESEARCH COUNCIL Improving Palliative Care for Cancer Kathleen M. Foley and Hellen Gelband Editors National Cancer Policy Board INSTITUTE OF MEDICINE and NATIONAL RESEARCH COUNCIL NATIONAL ACADEMY PRESS Washington . NATIONAL ACADEMY PRESS 2101 Constitution Avenue . Washington DC 20418 NOTICE The project that is the subject of this report was approved by the Governing Board of the National Research Council whose members are drawn from the councils of the National Academy of Sciences the National Academy of Engineering and the Institute of Medicine. The members of the Board responsible for the report were chosen for their special competences and with regard for appropriate balance. Support for the National Cancer Policy Board is provided by the National Cancer Institute the Centers for Disease Control and Prevention Abbott Laboratories the American Cancer Society American Society of Clinical Oncology Amgen Inc. Aventis and United Health Care Foundation. The views presented in this report are those of the Institute of Medicine and the Division of Earth and Life Studies National Cancer Policy Board and are not necessarily those of the funding agencies. International Standard Book Number 0-309-07402-9 Library of Congress Control Number 2001094187 Additional copies of this report are available for sale from the National Academy Press 2101 Constitution Avenue . Box 285 Washington . 20055. Call 800 624-6242 or 202 334-3313 in the Washington metropolitan area or visit the NAP home page at . The full text of this report is available at . For more information about the Institute of Medicine visit the IOM home page at . Copyright 2001 by the National Academy of Sciences. All rights reserved. Printed in the United States of .

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