An Evidence Based Approach To The Treatment And Care Of The Older Adult With Cancer

Author : Diane G. Cope,Anne M. Reb
Publisher : Unknown
Page : 652 pages
File Size : 42,8 Mb
Release : 2006
Category : Cancer
ISBN : CHI:75466705

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An Evidence-based Approach to the Treatment and Care of the Older Adult with Cancer by Diane G. Cope,Anne M. Reb Pdf

"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.

Author : M. Extermann
Publisher : Karger Medical and Scientific Publishers
Page : 179 pages
File Size : 54,7 Mb
Release : 2013-01-18
Category : Medical
ISBN : 9783318023077

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Cancer and Aging by M. Extermann Pdf

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.

Author : Keith M. Bellizzi,Margot Gosney
Publisher : John Wiley & Sons
Page : 499 pages
File Size : 50,6 Mb
Release : 2012-07-20
Category : Medical
ISBN : 9781118312483

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Cancer and Aging Handbook by Keith M. Bellizzi,Margot Gosney Pdf

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.

Author : Nancy Kropf,Sherry Cummings
Publisher : Oxford University Press
Page : 320 pages
File Size : 51,8 Mb
Release : 2017-04-21
Category : Social Science
ISBN : 9780190214630

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Evidence-Based Treatment with Older Adults by Nancy Kropf,Sherry Cummings Pdf

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.

Author : Janine Overcash, PhD, ARNP,Lodovice Balducci, MD
Publisher : Springer Publishing Company
Page : 321 pages
File Size : 45,9 Mb
Release : 2003-04-30
Category : Medical
ISBN : 9780826118066

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The Older Cancer Patient by Janine Overcash, PhD, ARNP,Lodovice Balducci, MD Pdf

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.

Author : Christine K. Cassel
Publisher : Springer Science & Business Media
Page : 1282 pages
File Size : 44,5 Mb
Release : 2003-01-27
Category : Medical
ISBN : 9780387955148

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Geriatric Medicine by Christine K. Cassel Pdf

This new edition of a critically-acclaimed text, completely revised and updated, offers practical and comprehensive coverage of the diseases, common problems, and medical care of older persons. Building on the third edition, this revision will present a new approach focusing on Evidence-Based Medicine, with new chapters including: Physiology of Aging, Clinical Strategies of Prescribing for Older Adults, Chronic Disease Management, Prevention, Doctor-Patient Communication Issues, Sources of Suffering in the Elderly, and many others. In addition, there will be a separate chapter on Evidence-Based Geriatrics, as well as sidebars in every chapter, where applicable, on Evidence-Based Medicine. This will be an all-encompassing, authoritative volume on geriatric medicine, needed more than ever because the over-80 population is the fastest growing age group in the country.

Author : Laurie Kennedy-Malone,Evelyn G. Duffy
Publisher : F.A. Davis
Page : 1598 pages
File Size : 52,6 Mb
Release : 2022-12-12
Category : Medical
ISBN : 9781719648363

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Advanced Practice Nursing in the Care of Older Adults by Laurie Kennedy-Malone,Evelyn G. Duffy Pdf

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

Author : Malcolm W. Reed,Riccardo A. Audisio
Publisher : Springer Science & Business Media
Page : 408 pages
File Size : 42,5 Mb
Release : 2010-01-18
Category : Medical
ISBN : 9781848002654

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Management of Breast Cancer in Older Women by Malcolm W. Reed,Riccardo A. Audisio Pdf

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.

Author : Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population,Board on Health Care Services,Institute of Medicine
Publisher : National Academies Press
Page : 0 pages
File Size : 48,6 Mb
Release : 2014-01-10
Category : Medical
ISBN : 0309286603

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Delivering High-Quality Cancer Care by Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population,Board on Health Care Services,Institute of Medicine Pdf

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.

Author : Dirk Schrijvers,Matti Aapro,Branko Zakotnik,Riccardo Audisio,Hendrik van Halteren,Hurria Arti
Publisher : CRC Press
Page : 212 pages
File Size : 50,8 Mb
Release : 2010-05-20
Category : Medical
ISBN : 9781841847481

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ESMO Handbook of Cancer in the Senior Patient by Dirk Schrijvers,Matti Aapro,Branko Zakotnik,Riccardo Audisio,Hendrik van Halteren,Hurria Arti Pdf

The incidence of cancer in senior patients has been increasing worldwide. This book reflects the state of the art in the management of senior adults with cancer. The contributors discuss epidemiology, evaluation, surgical and radiotherapy treatment, hormonal and cytotoxic treatment, and specific cancers such as lung, breast, colorectal, prostate, b

Author : Audrey Chun
Publisher : Springer Nature
Page : 580 pages
File Size : 55,9 Mb
Release : 2019-10-29
Category : Medical
ISBN : 9783030196257

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Geriatric Practice by Audrey Chun Pdf

This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.

Author : Alistair Ring,Danielle Harari,Janine Mansi,Peter Selby
Publisher : Evidence-based Networks Ltd
Page : 272 pages
File Size : 43,7 Mb
Release : 2016-01-04
Category : Medical
ISBN : 9781846921100

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Problem Solving in Older Cancer Patients by Alistair Ring,Danielle Harari,Janine Mansi,Peter Selby Pdf

This practical manual in the care of older cancer patients won best oncology book in the BMA Medical Book Awards 2016, and is an essential tool created as a joint project of the Association of Cancer Physicians (ACP) and the British Geriatric Society (BGS). Written by 134 contributors who are all experts in their fields, it offers an overview of the latest developments, with 32 real life case studies. It is a valuable learning and reference resource for doctors, nurses, trainees and other professionals managing cancer in older patients. This evidence-based guidebook will assist the physician in managing the older cancer patient when implementing the appropriate treatment strategy, taking account of comorbidities, frailty, and patient choice. Each clinical case includes a concise discussion on patient presentation and of scenarios underpinning issues experienced by older patients followed by a clear appraisal of how the latest clinical research impacts on patient management. This large cohort of patients requires both innovative care and individual attention, and this carefully crafted book shares the experience of an expert multidisciplinary team in the interest of patient-centred care. It is essential reading for specialists in oncology, specialists in geriatric care, general physicians, doctors in training, oncology nurses, healthcare managers and administrators.

Author : Michael R. Wasserman,Debra Bakerjian,Sunny Linnebur,Sharon Brangman,Matteo Cesari,Sonja Rosen
Publisher : Springer
Page : 0 pages
File Size : 45,6 Mb
Release : 2024-03-21
Category : Medical
ISBN : 3030747190

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Geriatric Medicine by Michael R. Wasserman,Debra Bakerjian,Sunny Linnebur,Sharon Brangman,Matteo Cesari,Sonja Rosen Pdf

Older adults represent the most rapidly growing demographic in the U.S. and in many developed countries around the world. The field of geriatric medicine is still relatively young, and is only recently seeing a significant increase in peer reviewed literature. Medicare and Medicaid expenditures related to older adults are nearly a trillion dollars/year in the US. How our healthcare system cares for older adults, and how those older adults navigate an increasingly complex system, is of the utmost importance. According to the Institute of Medicine, physicians and other healthcare professionals receive an inadequate amount of training in geriatric medicine. Geriatric medicine is based on the concept of delivering person centered care with a focus on function and quality of life. It is essential that physicians, nurse practitioners, physician assistants, pharmacists, social workers and other health care professionals all be knowledgeable about the geriatric approach to care. Geriatric medicine varies from most other fields in medicine. While many specialties function on the basis of evidence-based literature, geriatricians and other clinicians caring for older adults must integrate relatively limited evidence with variable physiological changes and complex psychosocial determinants. Geriatricians are used to caring for 90 year olds with multiple chronic illnesses. Their variable physiology leads to uncertain responses to pharmacotherapy, and their personal goals and wishes need to be incorporated into any plan of care. Practicing geriatric medicine requires the ability to see patterns. But it goes one step further, as the rules are constantly in flux. Every patient is an individual with particular needs and goals. In order to provide true person centered care to older adults, one has to incorporate these factors into the decision making process. The proposed handbook is designed to present a comprehensive and state-of the-art update that incorporates existing literature with clinical experience. Basic science and the physiology of aging create a background, but are not the main focus. This is because every chapter has been written through the lens of “person centered care.” This book is about focusing on what matters to the person, and how that is not always about pathology and physiology. The reader generally will not find simple solutions to symptoms, diseases and syndromes. In fact, the key to caring for geriatric patients is the ability to think both critically and divergently at the same time. Geriatrics encompasses multiple disciplines and spans all of the subspecialties. It requires knowledge of working within an interdisciplinary team. It requires an appreciation of how quality of life varies with each individual and creates treatment and care plans that also vary. And most of all, it requires a firm commitment to first learning who the person is so that all of the necessary data can be analyzed and integrated into a true person centered plan of care. This book aims to serve as an unparalleled resource for meeting these challenges. Updated and revised from the previous edition, this text features over 40 new peer-reviewed chapters, new references, and a wide array of useful new tools that are updated on a regular basis by interdisciplinary and interprofessional experts in geriatric medicine.

Author : Bruno J. Vellas
Publisher : Unknown
Page : 143 pages
File Size : 52,8 Mb
Release : 1997
Category : Aging
ISBN : 2909342468

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The Mini Nutritional Assessment, MNA by Bruno J. Vellas Pdf

Author : Meridean Maas
Publisher : Unknown
Page : 868 pages
File Size : 46,9 Mb
Release : 2001
Category : Medical
ISBN : UOM:39015049734752

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Nursing Care of Older Adults by Meridean Maas Pdf

Nursing Care of Older Adultsis designed to help nurses recognise signs and symptoms, aid diagnoses, select pertinent outcomes to monitor and evaluate the older adults status, and prescribe correct interventions. The book is organised into 11 units by functional health patterns and will include the use of standardised nursing diagnoses, nursing sensitive outcomes and interventions to assist nurses with assessment, diagnostic reasoning and evaluation of outcomes effectiveness. The book will also assist nurses to identify critical gaps and future research needs. This will help to support nursing practice and illustrate why the use and documentation of nursesdecisions and actions is essential in the development of evidence based practice, and to influence health policy decisions that benefit older adults. Each unit begins with an overview and a chapter on normal ageing to provide the basis for understanding the pathological parameters for each diagnosis Common problems are presented in each chapter in a consistent format Case studies of common problems are integrated throughout to illustrate the assessment data and diagnostic and treatment reasoning