Care of the patient with hematologic malignancy: a point of view

The patient with hematologic malignancy is nowadays afforded longer periods of remission through appropriate chemotherapy and, while this provides comfort and encouragement to the patient, the usual outcome is death. The problems that face the patient, the families of patients, and the primary care physician during the course of malignant disease are discussed. Perspectives on the reactions of all concerned are presented for three phases of illness: The Initial or Diagnostic and Remission-Induction Phase, The Treatment Phase with its remissions and exacerbations, and The Final Phase, or dying process. Case presentations are used to illustrate the problems which affect patients, their families, and the physician. While pharmacologic treatment is important and essential, emphasis is placed on emotional support to be offered by the physician and his team throughout the three phases of illness.