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 method for planning multidisciplinary care; practical applications of quality of life assessment and decision analysis; special considerations in radiation therapy and chemotherapy with the older adult; and 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.
Section 1 Overview of the problem: Kathy's diagnosis; epidemiology and pathology of cancer and ageing; the care of the older cancer patient - delayed diagnosis, inadequate treatment and information gap; cancer prevention in the older cancer patient. Section 2 Management of care: Kathy's treatment; a typical presentation of cancer in the elderly - nursing diagnosis; the assessment of the older cancer patient; understanding patient preferences; health care decisions - how cancer treatment decisions are made by the health care team; radiation therapy of older persons; chemotherapy in the older person; cancer fatigue and ageing; cancer-related anaemia; caring when cure is no longer possible; Dr Brown's story; social support networks of the older cancer patient; helping family caregivers of elderly cancer patients - the CARE model; nursing research and quality of life; strategies for the enrollment of older patients into clinical trials of cancer treatment; the cost of cancer prevention and treatment in the older person.