TABLE 1-1 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

 

Algorithm for recognition and referral; modify for end-of-life care

 

Definition— Psychosocial, existential or spiritual (NCCN, 1999)

 

Delirium

APA Practice Guidelines: physically healthy (APA, 2000)

Evidence, consensus, or combination

Modify for medically ill and end-of-life care

 

NCCN Practice Guidelines: ambulatory care (NCCN, 1999)

Evidence, consensus, or combination

Modify for end-of-life care; pilot test

Depressive disorders

APA Practice Guidelines: physically healthy (APA, 2000)

Evidence, consensus, or combination

Modify for end-of-life care

 

NCCN Practice Guidelines: ambulatory care (NCCN, 1999)

Evidence, consensus, or combination

Modify for end-of-life care; pilot test



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