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  • © 2021

Palliative Care for Chronic Cancer Patients in the Community

Global Approaches and Future Applications

  • Written by expects in oncology around the globe

  • Includes tele-medicine approaches, including telephone triage, tele-monitoring, and tele-consultation

  • Reviews governmental and non-governmental involvement in the development of palliative care programs

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eBook USD 129.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-54526-0
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book USD 169.99
Price excludes VAT (USA)
Hardcover Book USD 249.99
Price excludes VAT (USA)

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Table of contents (53 chapters)

  1. Front Matter

    Pages i-xxix
  2. North America: USA

    1. Front Matter

      Pages 1-1
    2. Information Technology Tools for Palliative Care for Populations

      • Richard R. Love, Sheikh I. Ahamed
      Pages 15-28
    3. Models of Community-Based Palliative Care

      • Scharlotte Spencer, Sandra Gomez
      Pages 29-37
    4. Role of the Nurse in the Palliative Care Community

      • Jeannine Brant, Regina M. Fink
      Pages 39-48
    5. Understanding the Impact of Community-Based Palliative Care

      • Phyllis Whitehead, Senaida Keating, Shereen Gamaluddin, Carolyn White, Christi Stewart, Kye Y. Kim
      Pages 49-64
    6. Culture and Palliative Care

      • Lodovico Balducci
      Pages 65-71
  3. Latin America: Guatemala

    1. Front Matter

      Pages 73-73
    2. Pediatric Hospice Experience in Guatemala: Our History

      • Linda Marisol Bustamante, Silvia Rivas, Patricia Valverde
      Pages 75-80
  4. Western Europe: France

    1. Front Matter

      Pages 81-81
  5. Western Europe: Italy

    1. Front Matter

      Pages 105-105
    2. The Role of the Physician in the Community in Running the Palliative Care Interdisciplinary Team: “Thinking out Loud”

      • Paolo Tralongo, Aurelio Saraceno, Fabrizio Romano, Daniela Respini, Annamaria Di Mari
      Pages 107-117
  6. Western Europe: Portugal

    1. Front Matter

      Pages 119-119
    2. The Importance of the Interdisciplinary Team in Running Palliative Care Services in the Community

      • Bruna Burmeister, Sofia Amado Durão, Carla Marinho Teves, Rita Cunha Ferreira, Ana Sofia Simões, Tânia dos Santos Afonso et al.
      Pages 121-130
  7. Western Europe: Spain

    1. Front Matter

      Pages 131-131
    2. Patients Suffering from a Chronic, Irreversible Illness: A Novel Study on the Psychological Intervention out of the Hospital

      • David Rudilla, Amparo Oliver, Laura Galiana, Claudia Valenzuela, Julio Ancochea
      Pages 133-143
    3. Community Palliative Care in Spain: The Critical Role of Nursing in Its Development

      • Maria Paz Fernández-Ortega, Julio César de la Torre-Montero
      Pages 145-152
    4. Collaborative Efforts in Developing Pediatric Oncology and Palliative Care Services in the Hispano-American and African Countries

      • Wilson Astudillo-Alarcón, J. Antonio Salinas-Martin, Jhon Comba Miranda, Zemilson Bastos Brandão Souza
      Pages 153-167

About this book

The new global cancer data suggests that the global burden has risen to 18.1 million new cases per year and 9.6 million cancer deaths per year.  A number of factors appear to be driving this increase, in particular, a growing and aging global population and an increase of exposure to cancer risk factors linked to social and economic development. For rapidly-growing economies, the data suggests a shift from poverty- or infection-related cancers to those associated with lifestyles more typical in industrialized countries. There is still large geographical diversity in cancer occurrence and variations in the magnitude and profile of the disease between and within world regions. There are specific types of cancer that dominate globally: lung, female breast and colorectal cancer, and the regional variations in common cancer types signal the extent to which societal, economic and lifestyle changes interplay to deferentially impact on the profile of this most complex group of diseases.

Unfortunately, despite advances in cancer care, a significant proportion of patients at home, experience sub-optimal outcomes. Barriers to successful treatment outcomes include, but are not limited to: access to oncologists in the primary health centers, non-adherence, lack of experienced oncology and palliative care nurses in the community, inadequate monitoring and the lack of training of family and pediatric physicians. Telemedicine approaches, including telephone triage/education, telemonitoring, teleconsultation and status tracking through mobile applications, have shown promise in further improving outcomes, in particular for chronic cancer patients following their hospitalization.  

Lessons can be learned from existing hospices in North America, the United Kingdom, Australia, Centers of Excellence in African (Uganda) and modern community services in India (Kerala).  An important goal of this book is to describe and encourage professionals to develop new community programs in palliative care, which include training and empowering physicians and nurses in the community on the principles of palliative care. The Middle East Cancer Consortium (MECC) together with the American Society of Clinical Oncology (ASCO) and the American Oncology Nursing Society (ONS) have conducted multiple courses ranging from basic palliative care to more specialized training in palliative care for multiple nationalities in Europe, Asia and Africa.  Our experience clearly indicates that, to promote such activities, one needs strong leadership and confirmed political will to support the endeavor.  The new book will emphasize the importance of having a core of multiple stakeholders including community leaders, government, NGOs and media to be actively involved in advocating for the cause and generating public awareness.

This text will provide the reader with a comprehensive understanding of the outside-of-the-hospital treatment of cancer patients by medical, paramedical and volunteer personnel. In doing so, this text will encourage the creation of new palliative care services improving upon the existing ones and stimulate further research in this field.

Part 1 of the text will begin with an overview of the current state of affairs of services provided to cancer patients while being cared for by primary health centers.  It will also review the current literature regarding medical and psychological-based therapy options in the community for cancer patients at different stages of their disease. Part 2 will address the unique role of the community nurse, within the framework of the multidisciplinary team treating the patient, in the attempt to provide optimal evaluation and care in very challenging situations (such as with terminal patients). Part 3 will provide insightful models of this new discipline and serve as a valuable resource for physicians, nurses, social workers and others involved in the care of cancer patients. The book will take a multidisciplinary approach, integrating clinical and environmental data for practical management to enhance the efficacy of treatment while relieving suffering. Part 4 will also discuss the application of modern technological approaches to track symptoms, quality of life, diet, mobility, duration of sleep and medication use (including pain killers) in chronic cancer patients in the community. Part 5 of the book will also be devoted to modes of developing a collaborative program between governmental and non-governmental organization sectors. This includes volunteer workers in close collaboration with medical professionals for providing emotional and spiritual support, nursing care, nutritional support and empowering family caregivers. Such a model makes palliative care in the community a “people’s movement”, thus transferring part of the responsibility and ownership to the community. 


  • Interdisciplinary Cancer Team
  • cancer care in the middle east
  • cancer care in developing countries
  • improving global health care
  • cancer care in regions of political and military conflicts

Editors and Affiliations

  • Middle East Cancer Consortium, Haifa, Israel

    Michael Silbermann

About the editor

Michael Silbermann, PhD

Middle East Cancer Consortium

Haifa, Israel

Bibliographic Information

  • Book Title: Palliative Care for Chronic Cancer Patients in the Community

  • Book Subtitle: Global Approaches and Future Applications

  • Editors: Michael Silbermann

  • DOI:

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2021

  • Hardcover ISBN: 978-3-030-54525-3Published: 30 October 2020

  • Softcover ISBN: 978-3-030-54528-4Published: 31 October 2021

  • eBook ISBN: 978-3-030-54526-0Published: 29 October 2020

  • Edition Number: 1

  • Number of Pages: XXIX, 599

  • Topics: Oncology, Public Health, Palliative Care, Nursing

Buying options

eBook USD 129.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-54526-0
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book USD 169.99
Price excludes VAT (USA)
Hardcover Book USD 249.99
Price excludes VAT (USA)