Chapter 4

Palliative Care, Hospice Care, Advance Care Planning, and Advance Directives

A. Taylor,    Brigham and Women’s Dana-Farber Cancer Center, Boston, MA, United States


This chapter discusses palliative care, hospice care, and advance care planning (ACP) and advance directives (ADs) in the oncology setting. The background and definitions are outlined for each of these three topics. The palliative care and hospice sections then go on to discuss guidelines for their respective disciplines followed by a description of the services provided, the setting(s) they are provided in, barriers to enrollment and evidence-based outcomes. The ACP and ADs section outlines the utilization of such planning at the end of life by patients with advanced ...

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