Animal models, 35, 246, 249, 254, 260

Anorexia and cachexia, 34, 35, 45, 108, 234, 237, 244, 248–251, 265

see also Weight loss

clinical trials, 250, 251, 267

drug treatment, general, 249–250

dyspnea, 254

patient/family education, 133

physicians’ perceptions of, 46

Anxiety, 3, 5, 10, 30, 48, 108, 109–110, 184, 216–217, 233, 236, 237, 244, 255, 259, 259–261

caregivers, 133, 135, 204, 215, 223, 240

clinical practice guidelines, 21, 22, 200, 203, 204, 208, 209–214, 218, 221, 222–229 (passim)

clinical trials, 234

decisionmaking and, 109, 235

drug treatment, 110, 216, 255, 259–261

families, general, 133, 135, 204, 215, 223, 240

gender factors, 109–110

pain and, 106, 222, 223–225, 236–237, 238

patient/family education, 133, 135, 204

physicians, 46

Approaching Death: Improving Care at the End of Life, ix, 4, 12, 16, 40, 41, 203, 290

Association of American Medical Colleges, 279, 280–281

Association of Community Cancer Centers, 137

Attitudes

see also Anxiety;

Depression;

Grief and bereavement

African Americans, 154–156, 158

family satisfaction, 123

nurses, 300

toward pain, 106, 222, 223–225, 236–237 , 238

patient beliefs about survival possibilities, 135, 237, 241

patient satisfaction, 24, 25, 38, 67, 97, 115, 117–118, 119, 124, 150

professionals, 46, 137, 221, 266, 288–289 , 290, 291

public opinion, 36, 41, 42, 106, 114, 140, 207

African Americans, 155–156, 158

Autopsies, 92

B

Behavioral interventions, 83, 234, 236, 246–247 , 258

hypnosis, 246–247

relaxation therapy, 246, 257

Bereavement, see Grief and bereavement

Black persons, see African Americans

Breast cancer, 78, 81, 84, 103, 185, 237, 248, 285–286

depression, 109

elderly women, 84

patient/family education, 140, 143

Breathing difficulty, see Dyspnea

Bowel obstruction, 35, 224, 257, 258

C

Cachexia, see Anorexia and cachexia

Cancer Care Consortium, 202

Cancer Care, Inc., 142–143, 145, 147

Cancer Care Issues in the United States: Quality of Care, Quality of Life, 40, 42–43

Cancer Facts sheets, 139

Cancer Information Service, 139, 141

Cancer Pain Management, 242

Cancer Therapy Evaluation Program, 48

Cannabis, see Dronabinol

Capitation, 71, 91, 113

Cardiopulmonary resuscitation (CPR), 156, 240–241

do-not-resuscitate orders, 38–39, 111, 112, 155, 189, 192, 241–242

Caring for the Patient with Cancer at Home, 28, 139

Case management, 20, 177–178, 183, 185–186 , 301

see also Clinical practice guidelines;

Coordination of care;

Referral to care;

Social workers

Centers for Disease Control and Prevention, 63, 89

Chemotherapy, 19, 236, 237, 248

cost of, 76–77, 78–79, 81, 82

decisionmaking, 19, 111, 112, 113, 124

dyspnea, 252

nausea and vomiting, 257–258

patient decisionmaking, 111, 112, 113, 124

patient/family education, 141

physicians’ perceptions of, 47



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