title: Vulnerable Population Challenges in the Transformation of Cancer Care.
abstract: To consider current trends and future strategies that will bring about change in cancer care delivery for vulnerable populations.
  
  
  
  Institute of Medicine reports, literature review, clinical practice observations and experiences.
  
  
  
  Vulnerable populations are older adults, both minorities and the underserved, children, and individuals at end of life. These groups pose unique challenges that require health system changes and innovative nursing models to assure access to patient-centered care in the future.
  
  
  
  In the future, attention to the needs of vulnerable populations, the growing aging cancer population and the improved outcomes in the pediatric and adolescent cancer population will all require new nursing services and models of care. System changes where nursing roles are critical to support the transition to earlier palliative care are projected.
authors.forename: Karen
authors.initials: K
authors.lastname: Meneses
authors.forename: Wendy
authors.initials: W
authors.lastname: Landier
authors.forename: J Nicholas
authors.initials: JN
authors.lastname: Dionne-Odom
mesh_terms: D002648:Child; D006801:Humans; D009369:Neoplasms / Q000451:nursing*; D024802:Nurse's Role; D010166:Palliative Care; D018802:Patient-Centered Care; D035862:Vulnerable Populations
keywords: cancer; childhood cancer; health disparity; minority and underserved population; older adults; palliative care