TABLE 7-2 Clinical Practice Guidelines for End-of-Life Care: Status, Source and Further Development Needed

Symptom

Status

Source

Further Development

Overall end-of-life care

NCCN Practice Guidelines (pending) (NCCN, 2001)

Evidence, consensus, or combination

Pilot testing; modify for end-of-life care

Doctor-patient communication

NCCN Practice Guidelines: breaking bad news (pending) (NCCN, 2001)

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)

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

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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