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American Journal of Hospice and Palliative Medicine®
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The business of palliative medicine—Part 3: The development of a palliative medicine program in an academic medical center

Kristine A. Nelson, MD

Cancer Treatment Research Foundation, Arlington Heights, Illinois

Declan Walsh, MSc, FACP, FRCP (Edin)

The Harry R. Horvitz Center for Palliative Medicine, The Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Palliative medicine is the total continuing care of patients with cancer. Most resources for cancer care focus on curative attempts while often ignoring the symptoms created by the disease and its treatment. Attempts at curative treatment of the malignancy must be coupled with pain and symptom relief, psychosocial and spiritual care, and support for the patient and family extending from the time of diagnosis through the bereavement period. To accomplish this important goal, we must establish comprehensive palliative medicine programs in cancer centers throughout the world. These programs must include education, research, and patient care and must work through an interdisciplinary team. The Cleveland Clinic Foundation palliative medicine program (PMP) is composed of a primary inpatient service, consult service, outpatient clinic, hospice homecare, and cancer homecare services. In this article, we describe the structure and development of the program and suggest future avenues for growth.

Key Words: supportive care • cancer care • palliative medicine program • interdisciplinary team • pain and symptom management

American Journal of Hospice and Palliative Medicine®, Vol. 20, No. 5, 345-352 (2003)
DOI: 10.1177/104990910302000508
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This article has been cited by other articles:


Home page
 AM J HOSP PALLIAT CAREHome page
B. Estfan, M. P. Davis, D. Walsh, J. Heintz, P. E. Shaheen, B. Cheema, S. B. LeGrand, and R. L. Lagman
The Business of Palliative Medicine--Part 5: Service Utilization in a Comprehensive Integrated Program
American Journal of Hospice and Palliative Medicine, June 1, 2007; 24(3): 211 - 218.
[Abstract] [PDF]

Home page
 AM J HOSP PALLIAT CAREHome page
D. Walsh
The business of palliative medicine--Part 4: Potential impact of an acute-care palliative medicine inpatient unit in a tertiary care cancer center
American Journal of Hospice and Palliative Medicine, May 1, 2004; 21(3): 217 - 221.
[Abstract] [PDF]


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