title: The end of the survival journey.
abstract: OBJECTIVE
  To review the problems encountered by cancer survivors who face the end of their cancer journey.
  
  
  METHODS
  Published review and research articles and textbook chapters.
  
  
  CONCLUSIONS
  The experiences found at the end of the survivorship journey may be exacerbations of previously encountered symptoms and feelings. Achieving physical comfort replaces the goal of controlling the tumor.
  
  
  CONCLUSIONS
  Continued support is needed from the oncology health care team as expertise is sought from hospice or a palliative care team to provide a seamless transition in care.
authors.affiliation: National Cancer Institute, Bethesda, MD, USA.
authors.forename: J R
authors.initials: JR
authors.lastname: Lunney
authors.forename: A
authors.initials: A
authors.lastname: O'Mara
mesh_terms: D001293:Attitude to Death; D002100:Cachexia / Q000209:etiology*; D004417:Dyspnea / Q000209:etiology*; D004644:Emotions; D005221:Fatigue / Q000209:etiology*; D006801:Humans; D009369:Neoplasms / Q000451:nursing / Q000503:physiopathology / Q000523:psychology; D013727:Terminal Care