End-of-Life Issues

For an oncologist, finding the appropriate words to comfort a family who is facing the loss of a loved one can be difficult. This section addresses how different groups—oncologists, patients, and caregivers—think about end-of-life care issues. This section discusses an oncologist's responsibility and perspective when it comes to difficult subjects such as advanced cancer, hospice, do not resuscitate orders, cytotoxic therapy, supportive care, maintaining a patient's dignity, and imminent death. Articles in this series also discuss the role of spirituality and religion at the time of death, and the importance of good communication between the oncologist and family members throughout the dying process.

Caring For Dying Patients: What is Right?

Doc, How Much Time Do I Have?

A Revisitation of "Doc, How Much Time Do I Have?"

Tell It Like It Is

Truth or Consequences: What to Do When the Patient Doesn't Want to Know

Discussing Do-Not-Resuscitate Status

Setting Goals to Maintain Hope

But Doctor, What Have I Got to Lose?

Challenges in Outpatient End-of-Life Care: Wishes to Avoid Resuscitation

Discussing Hospice

Tell the Children

Simultaneous Care: Disease Treatment and Palliative Care Throughout Illness

Allowing Patients to Die: Practical, Ethical and Religious Concerns

Addressing Spiritual Care: Calling for Help

The Power of Silence

Overcoming Obstacles to Hospice and Palliative Care: An Ethical Examination of Inertia and Inaction

A Couple with Cancer

Sweet Time Unafflicted

Dignity and the Eye of the Beholder

Teaching Communication Skills to Medical Oncology Fellows

Spirituality and Religion in the Art of Dying

The Day One Talk: Example of the Delivery of Bad News

Treatment Decision Aids in Advanced Cancer: When the Goal is Not Cure and the Answer is Not Clear

Giving Bad News to Cancer Patients: Matching Process and Content

Death Denial

Spirituality And The Dying Patient