title: Palliative care: past, present, and future perspectives.
abstract: OBJECTIVE
  To provide a review of the development and impact of palliative care; to discuss quality of lie as a framework for guiding clinical practice and research in palliative care; and to identify future trends that are likely to affect palliative care services.
  
  
  METHODS
  Research studies, review articles, and book chapters.
  
  
  CONCLUSIONS
  Palliative care is in the process of dynamic change. Advocates of palliative care are suggesting that cost-effective holistic care strategies should be available to patients and families throughout the illness trajectory, not just reserved for end of life care.
  
  
  CONCLUSIONS
  Incorporation of palliative care principles across the cancer illness trajectory requires an attitude shift by all members of the multidisciplinary team.
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia 19104-6096, USA.
authors.forename: M
authors.initials: M
authors.lastname: Pickett
authors.forename: M E
authors.initials: ME
authors.lastname: Cooley
authors.forename: D B
authors.initials: DB
authors.lastname: Gordon
mesh_terms: D017051:Hospice Care / Q000639:trends*; D006801:Humans; D009369:Neoplasms / Q000451:nursing* / Q000628:therapy; D009859:Oncology Nursing / Q000639:trends*; D010148:Intractable Pain / Q000451:nursing* / Q000628:therapy; D010166:Palliative Care / Q000639:trends*; D011788:Quality of Life