The document discusses palliative care and end-of-life care. It notes that patients often suffer from untreated symptoms, and families are unsatisfied with the current healthcare system. Palliative care aims to improve quality of life for patients with life-threatening illnesses through pain management, psychosocial, and spiritual support. The document also discusses the stresses on family caregivers, noting that over 44 million Americans serve as caregivers and it can negatively impact their health. Palliative care focuses on treating the whole patient and coordinating care across settings.

1. Providing Quality of Life Care Well Being Well Conference April 26 th 2011

5. The Old Model “ There is nothing more we can do” Life Prolonging Therapy Hospice Death Dx of life-threatening illness

6. The New Vision Life Prolonging Therapy Palliative Care for Patients and Families Hospice Bereavement Death Dx of life-threatening illness

7. CAREGIVERS

12. Sjovall, K. et al. J Clin Oncol; 27:4781-4786 2009 Fig 1. Health care costs (mean; Swedish kronor [SEK]) per month during a period of 4 years (24 months prediagnosis until 24 months postdiagnosis), partners of patients in all cancer groups

13. Sjovall, K. et al. J Clin Oncol; 27:4781-4786 2009 Fig A1. Psychiatric diagnoses in partners of patients with cancer (diagnosed 2000 to 2005) before and after the cancer diagnosis