Dr. McMillan's research focuses on symptom assessment and management and quality of life in persons with cancer. She has developed clinically relevant tools that nurses may use in assessing patient symptoms. The Constipation Assessment Scale, for example, has been widely used both nationally and internationally to improve assessment and management of opiate-induced constipation in persons with cancer. It has been translated into Italian, Turkish, and Chinese. Dr. McMillan recently completed a pain management study at the two local veterans hospitals in which pain resource nurses provided the intervention for staff nurses working with inpatients with cancer. Those data have been analyzed and the papers are being written. Dr. McMillan and her colleagues are now in the process of analyzing data from their hospice caregiver intervention study. The purpose of that project was to teach a psychoeducational intervention called COPE to caregivers of hospice patients with cancer with the goal of improving symptom management for patients and improving quality of life for both patients and caregivers. That study included the Hospice Quality of Life Index developed by Dr. McMillan. The index has been translated into Japanese and Chinese. Currently, Dr. McMillan and her colleagues have a project in for review at NIH that focuses on use of systematic assessment to improve hospice outcomes.