The family with a member who has cancer.

Optimal medical care for persons with chronic illnesses such as cancer cannot be provided unless the physician adopts a family-oriented approach to patient care. Such an approach requires little additional time or effort but profoundly affects the ability of patient and family to cope with cancer. Physicians should routinely gather data about the family system of their patients with cancer and make use of that data in understanding the unique issues the patient will face in adapting to their illness. The physician's goal should be to anticipate how the illness will affect the family at its current stage of the life cycle and recognize how the patient's family is currently affecting the patient's experience of the illness. The maintenance of clear, open communication among patient, family, and physician is critical to successful adaptation.