TABLE 7-2 Clinical Practice Guidelines for End-of-Life Care: Status, Source and Further Development Needed
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Symptom
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Status
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Source
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Further Development
|
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Overall end-of-life care
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NCCN Practice Guidelines (pending) (NCCN, 2001)
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Evidence, consensus, or combination
|
Pilot testing; modify for end-of-life care
|
|
Doctor-patient communication
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NCCN Practice Guidelines: breaking bad news (pending) (NCCN, 2001)
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Evidence, consensus, or combination
|
Pilot testing; modify for end-of-life care
|
|
Distress
|
NCCN Practice Guidelines: ambulatory care
Definition—Psychosocial, existential or spiritual (NCCN, 1999)
|
|
Algorithm for recognition and referral; modify for end-of-life care
|
|
Delirium
|
APA Practice Guidelines: physically healthy (APA, 2000)
NCCN Practice Guidelines: ambulatory care (NCCN, 1999)
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Evidence, consensus, or combination
Evidence, consensus, or combination
|
Modify for medically ill and end-of-life care
Modify for end-of life care; pilot test
|
|
Depressive disorders
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APA Practice Guidelines: physically healthy (APA, 2000)
NCCN Practice Guidelines: ambulatory care (NCCN, 1999)
|
Evidence, consensus, or combination
Evidence, consensus, or combination
|
Modify for end-of-life care
Modify for end-of-life care; pilot test
|
|
Anxiety disorders
|
APA Practice Guidelines: panic disorder in healthy patients (APA, 2000)
NCCN Practice Guidelines: ambulatory care (NCCN, 1999)
|
Evidence, consensus, or combination
Evidence, consensus, or combination
|
Modify for medically ill/end-of-life care
Modify for end-of-life care; pilot test
|
|
Personality disorders
|
APA Practice Guidelines (APA, 2000)
NCCN Practice Guidelines: ambulatory care (NCCN, 1999)
|
Evidence, consensus, or combination
Evidence, consensus, or combination
|
Modify for medically ill and end-of-life care
Modify for end-of-life care; pilot test
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