Palliative Care and Pain Management in the United States

  • James Hallenbeck
  • Shana McDaniel


In approaching the topic of pain and palliative care, we will first discuss the cultural evolution of the modern palliative care movement. This should help establish a foundation for a more detailed discussion of the relationship between palliative care and pain management in the United States and in the United Kingdom. We believe some understanding of this history is important in fleshing out this relationship. Then, we will contrast the clinical worlds of “palliative care” and “pain management” as specifically practiced in the United States. We will then review and discuss the impact the palliative care field has had on evidence based practice. Finally, we discuss future directions for this field.

The Cultural Evolution of the Modern Palliative Care Movement: A Brief History

Palliative care is a relatively modern term for a most ancient practice – the relief of suffering associated with illness. The root word, palliare, in Latin means to cloak or to shield. The term,...


Palliative Care Pain Management Palliative Care Service Palliative Care Specialist Hospice Care 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We would like to acknowledge David Clark and Russell Portenoy for kindly reviewing the manuscript for this chapter and for their contributions to the field, without which this work would not have been possible.


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© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Stanford University School of Medicine, VA Palo Alto Health Care SystemStanfordUSA

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