American Alliance of Cancer Pain Initiatives

Kim Calder

MPS Board of Directors

New York State Cancer and AIDS Pain Initiative

American Geriatrics Society

Joseph Fins, M.D.

Vice Chair, Ethics Committee

Gerontological Society of America

Marshall Kapp, J.D., M.P.H.

Director, Office of Geriatric Medicine and Gerontology

Wright State University School of Medicine

American Board of Internal Medicine

Linda Blank

Vice President for Clinical Competence and Communications

American Medical Association

Thomas Reardon, M.D.

Vice Chair, Board of Trustees

American Academy of Family Physicians

Bruce Bagley, M.D.

Member, Board of Directors

American Nurses Association

Colleen Scanlon, R.N., J.D.

Director for Ethics and Human Rights

Academy of Hospice Physicians

Ira R. Byock, M.D.

President-Elect

Front Matter (R1-R18)

Summary (1-13)

1 Introduction (14-32)

2 A Profile of Death and Dying in America (33-49)

3 Caring at the End of Life (50-86)

4 The Health Care System and The Dying Patient (87-121)

5 Accountability and Quality in End-Of-Life-Care (122-153)

6 Financial and Economic Issues in End-Of-Life Care (154-187)

7 Legal Issues (188-206)

8 Educating Clinicians and Other Professionals (207-234)

9 Directions for Research to Improve Care at the End of Life (235-258)

10 Conclusions and Recommendations (259-271)

References (272-312)

Appendix A (313-320)

Appendix B (321-326)

Appendix C (327-357)

Appendix D (358-362)

Appendix E (363-382)

Appendix F (383-399)

Appendix G (400-404)

Appendix H (405-406)

Appendix I (407-412)

Appendix J (413-418)

Index (419-437)