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abstract
"As management of patients with cancer is
evolving, an increased focus is being placed on individualized
patient-centered care.
Early integration of palliative care into the
overall management of patients with cancer can help achieve this
paradigm shift.
Despite recommendations for earlier integration of
palliative care by national and international societies, several
barriers
remain to achieving this goal. Survey studies have
indicated a significant need for increased education regarding
palliative
care for both medical undergraduates and
postgraduate physicians. Key issues in the early integration of
palliative care include
relationship-building across multiple health
systems and specialties; development of a standardized definition of
palliative
care, making clear that it should be fully
integrated with cancer-directed therapy; identification of physician and
nonphysician
champions; standardization of tools for patient
assessment; education programs designed to meet the needs of health care
professionals;
and ongoing evaluation to assess program benefits
and limitations."
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