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An Evidence-based Approach to the Treatment and Care of the Older Adult with Cancer

An Evidence-based Approach to the Treatment and Care of the Older Adult with Cancer
Author: Diane G. Cope
Publisher:
Total Pages: 652
Release: 2006
Genre: Medical
ISBN:

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"Description: The book offers a comprehensive overview of the treatment and care of the older adult with cancer. The evidence-based practice approach is timely and provides the foundation for nursing practice that is the expected standard of care. The use of the case study at the end of each chapter assists the reader in the synthesis and application of the information. The book addresses every aspect of the care and treatment of not only the cancer patient, but also the family. The chapter on complementary therapy is a bonus. Purpose: The purpose is to focus on the unique aspects of treatment and care that the older adult with cancer requires. Addressing the older adult with cancer is of paramount importance to not only the health of the individual but of the family, community, and society. The book meets the author's objectives. Audience: This is written for all healthcare providers. The authors have written a book that can be used by gero-oncology nurses, but it is appropriate for the multidisciplinary team that provides care to the older adult with cancer. The authors have the professional background with applicable experience to edit this book. Features: This book covers more than the care and treatment of cancer in the older adult. It provides necessary background information that demonstrates the impact of cancer on the older patient and their significant others. The assessment information is useful for both experienced and novice nurses. The use of chapter case studies enables healthcare providers to apply the chapter content. The use of an evidence-based practice approach to delivering healthcare is essential. The information allows nurses to use the findings from reviewed research literature in providing the best care for their patients in an efficient manner that also considers patient preferences, the risks, and the benefits of treatment or lack thereof. Assessment: This book provides guidance to novice to expert nurses in the treatment and care of the older adult cancer patient using a holistic approach. The chapters are well written by authors who are experts in their field. The Cochrane Guidelines are considered the gold standard for evaluating research that impacts treatment selection and care of all patients. Their use in the reference materials lends credibility to the information that is presented in the book." -- Publisher.


Cancer and Aging

Cancer and Aging
Author: M. Extermann
Publisher: Karger Medical and Scientific Publishers
Total Pages: 179
Release: 2013-01-18
Genre: Medical
ISBN: 3318023078

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Cancer is clearly an age-related disease. Recent research in both aging and cancer has demonstrated the complex interaction between the two phenomena. This affects a wide spectrum of research and practice, anywhere from basic research to health care organization. Core examples of these close associations are addressed in this book. Starting with basic research, the first chapters cover cancer development, mTOR inhibition, senescent cells altering the tumor microenvironment, and immune senescence affecting cancer vaccine response. Taking into account the multidisciplinarity of geriatric oncology, several chapters focus on geriatric and oncologic aspects in patient assessment, treatment options, nursing and exercise programs. The book is rounded off by a discussion on the impact of the metabolic syndrome illustrating the interactions between comorbidity and cancer and a chapter on frailty.This book provides the reader with insights that will hopefully foster his or her reflection in their own research and practice to further the development of this most exciting field. Given the aging of the population worldwide and the high prevalence of cancer, it is essential reading not only for oncologists and geriatricians but for all health practitioners.


Delivering High-Quality Cancer Care

Delivering High-Quality Cancer Care
Author: Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population
Publisher: National Academies Press
Total Pages: 0
Release: 2014-01-10
Genre: Medical
ISBN: 9780309286602

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In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older--the group most susceptible to cancer--is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.


Advanced Practice Nursing in the Care of Older Adults

Advanced Practice Nursing in the Care of Older Adults
Author: Laurie Kennedy-Malone
Publisher: F.A. Davis
Total Pages: 1598
Release: 2022-12-12
Genre: Medical
ISBN: 1719648360

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Meet the diverse health care needs of older adults! Explore effective ways to enhance the wellness and independence of older adults across the wellness-illness continuum, including acute, primary, and long-term care. From an overview of the theories of aging and assessment through the treatment of disorders, including complex illnesses, this evidence-based book provides the comprehensive gerontological coverage you need to prepare for your role as an Advanced Practice Nurse. With information on healthy aging, comprehensive geriatric assessment, and common symptoms and illnesses that present in older adults, this text serves as a guide for students preparing for boards, as well as a reliable source of information for practicing nurses. Five Stars “To the point resources on geriatric conditions/syndromes. Very easy to read/access the content you need…bulleted and formatted for quick reference. Helpful sections on evidence-based guidelines.”—Ben, Online Reviewer Should be titled "GET THIS BOOK NOW!" “GREAT book for my new job...I've been an NP to college students and in urgent care, but this is the first time I've been a nurse practitioner for a geriatric house call practice and this book is perfect. I am really enjoying the format, the timely and research backed treatment protocols and the compassionate, well written style for advising anyone in the business of taking care of old folks! This is a must-read for all medical people but is especially suited to a Geriatric NP or Family Practice NP who see elderly patients regularly.”—Online Reviewer Expanded, Revised & Updated! Thoroughly updated to reflect the art and the science of care of the older adult as well as the newest evidence and changes in health care Expanded! Coverage of approximately 20 new disorders New Chapter! Settings of Care New Chapter Online! Infectious Diseases with coverage of COVID-19, HIV/AIDS, and more New! Coverage of LGBTQ+ and transgender issues in Chapter 2 Body systems chapters covering common disorders in the older adult Coverage of psychosocial issues that can affect the health and wellness of the older adult, family, and society. Polypharmacy information to guide you through the complexity of prescribing for older adults taking multiple medications “Signal Symptoms” feature to help you quickly target potential differential diagnoses Strength of Recommendation Taxonomy (SORT), a patient-centered approach to grading evidence in medical literature which provides a direct reference to evidence-based practice recommendations for clinicians to consider in the care of older adults In-text case studies to provide further practice and review


Cancer and Aging Handbook

Cancer and Aging Handbook
Author: Keith M. Bellizzi
Publisher: John Wiley & Sons
Total Pages: 499
Release: 2012-07-20
Genre: Medical
ISBN: 1118312481

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A state-of-the-art, multidisciplinary approach to cancer and aging With the majority of cancers occurring in individuals over the age of 65 against a backdrop of an expanding aging population, there is an urgent need to integrate the areas of clinical oncology and geriatric care. This timely work tackles these issues head-on, presenting a truly multidisciplinary and international perspective on cancer and aging from world-renowned experts in geriatrics, oncology, behavioral science, psychology, gerontology, and public health. Unlike other books on geriatric oncology that focus mainly on treatment, Cancer and Aging Handbook: Research and Practice examines all phases of the cancer care continuum, from prevention through evidence-based diagnosis and treatment to end-of-life care. Detailed clinical and research information helps guide readers on effective patient care as well as caregiver training, research, and intervention. Coverage includes: Epidemiology of cancer in older adults, plus the unique physical, mental, and social issues involved Strategies and guidelines for prevention, screening, and treatment of older individuals with cancer The most common cancers in the elderly, including breast, colorectal, lung, prostate, and ovarian cancer Cancer survivorship in older adults as well as the all-critical issues of palliative care and pain management Emerging topics such as caregiver and family issues, different models of care, and cost considerations An essential resource for clinicians and caregivers as well as researchers interested in this evolving field, Cancer and Aging Handbook is also useful for public health professionals and policymakers who need to formulate services and allocate resources for the growing population of older cancer patients.


Evidence-Based Treatment with Older Adults

Evidence-Based Treatment with Older Adults
Author: Nancy Kropf
Publisher: Oxford University Press
Total Pages: 291
Release: 2017-04-21
Genre: Social Science
ISBN: 0190214635

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Evidence Based Treatment with Older Adults: Theory, Practice, and Research provides a detailed examination of five research-supported psychosocial interventions for use with older adults: cognitive behavioral therapy, motivational interviewing, life review/reminiscence, problem solving therapy, and psychoeducational/social support approaches. These interventions address the diversity of mental health conditions and late-life challenges that older adults and their family members experience. Detailed explanations of the approaches, skills, and strategies employed in each intervention are provided, as are adaptions for use of the interventions with older adults. Vignettes are also used to demonstrate the use of specific practice skills and techniques with older clients. The theory undergirding each approach and the historical development of the interventions is explained, and provides the reader with a rich understanding of background and context of each therapy. In addition, the distinct issues such as depression, anxiety, substance abuse/misuse for which evidence exists are highlighted. Research support for application of the interventions in community-based, acute care, and long-term care settings and in individual and group formats is also discussed. Finally, implementation issues encountered in therapeutic work with older adults are described as are accommodations to enhance treatment efficacy. In sum, this book provides a comprehensive overview of evidence based psychosocial interventions for older adults; it is ideal for students and mental health professionals interested in clinical work with older adults and their families.


Ensuring Quality Cancer Care

Ensuring Quality Cancer Care
Author: National Cancer Policy Board
Publisher: National Academies Press
Total Pages: 257
Release: 1999-08-04
Genre: Medical
ISBN: 0309518792

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We all want to believe that when people get cancer, they will receive medical care of the highest quality. Even as new scientific breakthroughs are announced, though, many cancer patients may be getting the wrong care, too little care, or too much care, in the form of unnecessary procedures. How close is American medicine to the ideal of quality cancer care for every person with cancer? Ensuring Quality Cancer Care provides a comprehensive picture of how cancer care is delivered in our nation, from early detection to end-of-life issues. The National Cancer Policy Board defines quality care and recommends how to monitor, measure, and extend quality care to all people with cancer. Approaches to accountability in health care are reviewed. What keeps people from getting care? The book explains how lack of medical coverage, social and economic status, patient beliefs, physician decision-making, and other factors can stand between the patient and the best possible care. The board explores how cancer care is shaped by the current focus on evidence-based medicine, the widespread adoption of managed care, where services are provided, and who provides care. Specific shortfalls in the care of breast and prostate cancer are identified. A status report on health services research is included. Ensuring Quality Cancer Care offers wide-ranging data and information in clear context. As the baby boomers approach the years when most cancer occurs, this timely volume will be of special interest to health policy makers, public and private healthcare purchasers, medical professionals, patient advocates, researchers, and people with cancer.


Management of Breast Cancer in Older Women

Management of Breast Cancer in Older Women
Author: Malcolm W. Reed
Publisher: Springer Science & Business Media
Total Pages: 408
Release: 2010-01-18
Genre: Medical
ISBN: 1848002653

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I was looking at Mrs T – all 45 kilos of her – with somewhat puzzled thoughts. I had prescribed her capecitabine at very prudent doses, in view of her 91-year-old kidneys and physiology. She had reduced my treatment even further, “because it was making her tired.” As a result, she was taking a grand total of 500 mg of capecitabine a day. Yet, her metastatic, ER/PR-negative, Her2-positive breast cancer was undoubtedly responding. Her pain was improving and her chest mass was shrinking, as were her lung metastases... What was the secret of that response? Were Mrs T’s kidneys eli- nating even less drug than predicted by her creatinine clearance? Was her sarcopenia altering drug distribution? Was she absorbing more drug than average? Or was her tumor exquisitely sensitive to fluoropyrimidines? “Physicians,” said Voltaire, “pour drugs they know little for diseases they know even less into patients they know no- ing about.” Medicine has made tremendous progress since the eighteenth century. Yet, there are fields where quite a lot remains to be learned. In developed countries, 25% of breast cancers occur in patients aged 75 years and older. Yet, these patients represent only 4% of the population of traditional clinical trials. That ought to let us wonder how relevant data acquired in patients in their 60s are to a nonagenarian. Fortunately, geriatric oncologists have been stepping up to the task and have gen- ated data to help us to treat such patients.


The Older Cancer Patient

The Older Cancer Patient
Author: Janine Overcash, PhD, ARNP
Publisher: Springer Publishing Company
Total Pages: 321
Release: 2003-04-30
Genre: Medical
ISBN: 0826118062

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Because cancer in the older adult may be present in combination with other chronic conditions, including dementia and frailty, multidisciplinary care is especially important. This book provides nurses with essential information on the care and treatment of the older adult with cancer, including: An overview of cancer in the older adult, and barriers to treatment Prevention and screening of cancer in the older adult How to perform a comprehensive geriatric assessment, as a methodfor planning multidisciplinary care Practical applications of qualiy of life assessment and decision analysis Special considerations in radiation therapy and chemotherapy with the older adult Social and caregiver issues This book reflects lessons learned from a nurse-physician team who planned and implemented the Senior Adult Oncology Program at the.Moffit Cancer Center and Research Institute in Florida.


Comprehensive Geriatric Oncology, Second Edition

Comprehensive Geriatric Oncology, Second Edition
Author: Lodovico Balducci
Publisher: CRC Press
Total Pages: 1610
Release: 2004-11-26
Genre: Medical
ISBN: 1841842966

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The prevention and treatment of cancer in older patients requires an individualized approach, as age causes unpredictable results from patient to patient. Completely revised and updated, the Second Edition of Comprehensive Geriatric Oncology enables clinicians to choose the best possible cancer care. Highlighting newly emerging issues in geriatric oncology, it helps physicians promote cancer prevention. Like its groundbreaking, bestselling predecessor, this new edition exhaustively reviews the biology of cancer and aging, epidemiologic trends, and clinical trials that concern cancer prevention and treatment in the elderly. New chapters contain material on topics such as assessment, fragility, symptom management, and emergencies, and studies the effectiveness of training programs in geriatric oncology. The book addresses issues of healthcare delivery, including cost and evaluation of utility and outcome, suggests new research approaches, reviews existing guidelines for the prevention and treatment of cancer in the elderly, and more. Providing a frame of reference for the ongoing dialogue in the field of geriatric oncology, this is a major reference work for basic, population, and clinical scientists interested in the issue and for practices ministering to older patients.