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Open Access Article

To Live Until You Die

Cynthia F. Cramer
CJON 2010, 14(1), 53-56 DOI: 10.1188/10.CJON.53-56

Oncology nurses are expected to be knowledgeable in dealing with palliative care and end-of-life issues. However, patients with advanced cancer often are not offered palliative care until they are approaching the very end of their lives. Oncology nurses need to step up as patient advocates. They need to educate patients, families, physicians, and the public that aggressive cancer care can coexist with aggressive palliative care. This article discusses how to introduce palliative care much earlier in the cancer experience. Oncology nurses can become empowered and then help other nurses to improve quality of life for their patients with advanced cancer as they approach the end of their lives.

References 

Adams, D.H., & Snedden, D.P. (2006). How misconceptions among elderly patients regarding survival outcomes of inpatient cardiopulmonary resuscitation affect do-not-resuscitate orders. <i>Journal of the American Osteopathic Association</i>, 106, 402-404.

Barclay, L. (2008). End-of-life discussions may reduce aggressive care in terminally ill patients. Retrieved from <a target="_blank" href='http://www.medscape.com/viewarticle/581679'>http://www.medscape.com/view...

Drazen, R.Y. (1997). <i>Notes from the edge, the diary of Peter J. Morgan, MD</i> [Video]. GlaxoWellcome Healthcare Education.

End of Life/Palliative Education Resource Center. (2004). The palliative prognostic score. Retrieved from <a target="_blank" href='http://www.eperc.mcw.edu/fastFact/ff_124.htm'>http://www.eperc.mcw.edu/f...

Ferrell, B., Grant, M., Padilla, G., Vemuri, S., & Rhiner, M. (1991). The experience of pain and perceptions of quality of life: Validation of a conceptual model. <i>Hospice Journal</i>, 7(3), 9-24.

Finlay, E., & Casarett, D. (2009). Making difficult discussions easier: Using prognosis to facilitate transitions to hospice. <i>CA: A Cancer Journal for Clinicians</i>, 59, 250-263. Retrieved from http://caonline.amcancersoc.org/cgi/reprint/59/4/250?maxtoshow=&HITS=10&... <a target="_blank" href='http://caonline.amcancersoc.org/cgi/reprint/59/4/250?maxtoshow=&HITS=10&...

Glare, P., Virik, K., Jones, M., Hudson, M., Eychmuller, S., Simes, J., & Christakis, N. (2003). A systematic review of physicians' survival predictions in terminally ill cancer patients. Retrieved from <a target="_blank" href='http://www.bmj.com/cgi/content/abstract/327/7408/195?ijKey=b4ae7a4d9c63b...

Lau, F., Maida, V., Downing, M., Lesperance, M., Karlson, N., & Kuziemsky, C. (2009). Use of the palliative performance scale (PPS) for end-of-life prognostication in a palliative medicine consultation service. <i>Journal of Pain and Symptom Management</i>, 37, 965-972. doi: 10.1016/j.jpainsymman.2008.08.003

McBroom, A. (n.d.). How "The Rose" came to be. Retrieved from <a target="_blank" href='http://www.amcbroom.com/rose.html'>http://www.amcbroom.com/rose.html</a>

National Hospice and Palliative Care Organization. (n.d.). History of hospice care. Retrieved from <a target="_blank" href='http://www.nhpco.org/i4a/pages/index.cfm?pageid=3285'>http://www.nhpco.o...

Twycross, R. (n.d.). A tribute to Dame Cicely. Retrieved from <a target="_blank" href='http://www.stchristophers.org.uk/page.cfm/link=900/GoSection=4'>http://w...

Victoria Hospice Society. (2001). <i>Palliative Performance Scale (PPSv2) version 2.</i> Retrieved from <a target="_blank" href='http://palliative.info/resource_material/PPSv2.pdf'>http://palliative.in...

World Health Organization. (2009). WHO definition of palliative care. Retrieved from <a target="_blank" href='http://www.who.int/cancer/palliative/definition/en'>http://www.who.int/c...