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Integration of Palliative Care and Oncology Nursing.

OBJECTIVE: To describe the evolution of oncology and palliative nursing in meeting the changing landscape of cancer care.

DATA SOURCES: Peer-reviewed articles, clinical practice guidelines, professional organization, and position statements.

CONCLUSION: Nurses have been at the forefront of efforts to develop and implement oncology and palliative care programs. Fifty years ago a cancer diagnosis meant a poor prognosis, high symptom burden, and disease uncertainty. Current cancer care has advanced to include palliative care in conjunction with innovative therapies and symptom management.

IMPLICATIONS FOR NURSING PRACTICE: Specialty trained oncology and palliative care nurses are essential in disease and symptom management, psychosocial and spiritual support, and advance care planning.

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