2.50
Hdl Handle:
http://hdl.handle.net/10755/165172
Category:
Abstract
Type:
Presentation
Title:
ADDRESSING TREATMENT CHALLENGES IN THE OLDER PATIENT WITH CANCER
Author(s):
Anselmo-Murphy, Anne; Cartwright-Alcarese, Frances
Author Details:
Anne Anselmo-Murphy, MSN RN APRN BC AOCNP, Advanced Practice Nurse, The Cancer Institute of New Jersey, New Brunswick, New Jersey, USA, email: murphyan@umdnj.edu; Frances Cartwright-Alcarese, PhD, RN, AOCN, NYU Hospitals Center, New York, New York
Abstract:
In the year 2030, 20% of the U.S. population will be 65 years and older. Because the majority of cancers are diagnosed in this age group, cancer in the older adult will reach epidemic proportions. Data from treatment studies that include older patients reveal that survival outcomes are similar when compared to their younger counterparts. The older adult is often not considered eligible for treatment based solely on chronological age. "Such assumptions have and continue to limit the adequacy of research, appropriateness of care, and currency of education within cancer care" (Oncology Nursing Society and Geriatric Oncology Consortium Joint Position on Cancer Care in the Older Adult 2004). This paper will propose a standardized method to provide evidence based care to the older patient with cancer. Strategies to evaluate physical, psychological, social, and financial factors that influence treatment decision making is included. Symptom experience and quality of life outcomes are discussed. Professional and patient education is described. The elements of a program of care for the elderly patient with cancer include: 1)The Comprehensive Geriatric Assessment (CGA), a systematic review of patient factors that affect the course of the disease and treatment outcome, 2) Interventions that influence nursing sensitive outcomes: symptom experience and quality of life to support the patient through and beyond treatment goals, 3) Professional Education: a) promote the CGA as a standard screening tool in oncology, b) description of current evidence based treatment, c) discussion of the elderly oncology patient onto clinical trials, and d) patient education needs, and 4) Patient Education: discussion of the patient and family as a partner in the treatment decision making process. Outcome measures to evaluate the success of this program in this population are: survival, disease free survival, accrual into clinical trials, hospitalizations and length of stay, and quality of life outcomes. The older patient with cancer requires specific evaluation and treatment strategies to ensure good symptom control, quality of life and clinical outcomes. The oncology nurse plays a pivotal role in advocating for the ôbest evidence based careö for the older cancer patient.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleADDRESSING TREATMENT CHALLENGES IN THE OLDER PATIENT WITH CANCERen_GB
dc.contributor.authorAnselmo-Murphy, Anneen_US
dc.contributor.authorCartwright-Alcarese, Francesen_US
dc.author.detailsAnne Anselmo-Murphy, MSN RN APRN BC AOCNP, Advanced Practice Nurse, The Cancer Institute of New Jersey, New Brunswick, New Jersey, USA, email: murphyan@umdnj.edu; Frances Cartwright-Alcarese, PhD, RN, AOCN, NYU Hospitals Center, New York, New Yorken_US
dc.identifier.urihttp://hdl.handle.net/10755/165172-
dc.description.abstractIn the year 2030, 20% of the U.S. population will be 65 years and older. Because the majority of cancers are diagnosed in this age group, cancer in the older adult will reach epidemic proportions. Data from treatment studies that include older patients reveal that survival outcomes are similar when compared to their younger counterparts. The older adult is often not considered eligible for treatment based solely on chronological age. "Such assumptions have and continue to limit the adequacy of research, appropriateness of care, and currency of education within cancer care" (Oncology Nursing Society and Geriatric Oncology Consortium Joint Position on Cancer Care in the Older Adult 2004). This paper will propose a standardized method to provide evidence based care to the older patient with cancer. Strategies to evaluate physical, psychological, social, and financial factors that influence treatment decision making is included. Symptom experience and quality of life outcomes are discussed. Professional and patient education is described. The elements of a program of care for the elderly patient with cancer include: 1)The Comprehensive Geriatric Assessment (CGA), a systematic review of patient factors that affect the course of the disease and treatment outcome, 2) Interventions that influence nursing sensitive outcomes: symptom experience and quality of life to support the patient through and beyond treatment goals, 3) Professional Education: a) promote the CGA as a standard screening tool in oncology, b) description of current evidence based treatment, c) discussion of the elderly oncology patient onto clinical trials, and d) patient education needs, and 4) Patient Education: discussion of the patient and family as a partner in the treatment decision making process. Outcome measures to evaluate the success of this program in this population are: survival, disease free survival, accrual into clinical trials, hospitalizations and length of stay, and quality of life outcomes. The older patient with cancer requires specific evaluation and treatment strategies to ensure good symptom control, quality of life and clinical outcomes. The oncology nurse plays a pivotal role in advocating for the ôbest evidence based careö for the older cancer patient.en_GB
dc.date.available2011-10-27T12:13:48Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:13:48Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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