Problem Solving in Older Cancer Patients

Ring, Alistair, Harari, Danielle, Kalsi, Tania, Mansi, Janine, Ring, Alistair, Harari, Danielle, Kalsi, Tania, Mansi, Janine

• Publisher: EBN Health
• Year: 2015
• Print ISBN: 9781846921100
• eBook ISBN: 9781846926505
• Topic: Medicine
• Subtopic: Oncology

Problem Solving in Older Cancer Patients provides an evidence-based guidebook to current thinking and clinical practice in this field. By referring to individual case studies written and/or overseen by experienced physicians, the reader can learn how to approach the management of older cancer patients and implement the appropriate treatment strategy that best suits the patient, taking account of comorbidities, frailty, and patient choice. This guide is for physicians in oncology or geriatrics (and other medical disciplines) involved with older cancer patients, working in primary care, district hospitals or main general hospitals, cancer units and cancer centres. This work is also of importance to specialist nurses, trainee specialists and senior students. The first part of the book consists of general perspective chapters, discussing generic issues such as radiotherapy in older patients and anaesthetic issues. The second part offers clinical case scenarios. 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. The aim is to help the busy clinician modify daily medical practice in response to individual cases.

Table of contents

• Contents
• Contributors
• Acknowledgements
• Preface
• Abbreviations
• 01 Cancer in Older People: an Overview
• 02 Clinical Epidemiology and Patterns of Care for Cancer in Older Patients
• 03 Improving Care for Older Cancer Patients in the NHS
• 04 Strategies to Improve Outcomes for Older Cancer Patients: Learning from the Improving Cancer Treatment Assessment and Support for Older People Project
• 05 A European Perspective on Cancer Care in Older People
• 06 Clinical Trials in Older Patients with Cancer
• 07 Comprehensive Geriatric Assessment and Available Tools
• 08 Special Issues Concerning Radiotherapy in Older Cancer Patients
• 09 Special Issues Concerning Systemic Anticancer Therapy in Older Cancer Patients
• 10 Special Issues in the Selection of Older Cancer Patients and Delivery of Their Surgery
• 11 Drug Therapy in Older People: Pharmacology and the Dangers of Polypharmacy
• 12 Screening for Breast and Prostate Cancer in the Older Population
• 13 The Nursing Perspective
• 14 Allied Health Professional Perspective
• 15 Perspectives from a GP on Care of Older People with Cancer
• 16 Anaesthetic Perspective
• 17 Ethics, Consent and Capacity in the Older Cancer Patient
• 18 Palliative Care in Older Cancer Patients
• 01 A Patient with Lung Cancer, Chronic Obstructive Pulmonary Disease, Hypertension and Dizziness
• 02 Colorectal Cancer in a Patient with an Aortic Abdominal Aneurysm, Peripheral Vascular Disease and Poor Nutritional Status
• 03 A Patient with Early-Stage Lung Cancer and Heart Disease
• 04 A Patient with Colorectal Cancer, Liver Metastases and Falls
• 05 Adjuvant Chemotherapy in a Patient with Breast Cancer
• 06 A Patient with Intermediate-Risk Prostate Cancer, Transient Ischaemic Attack and Impotence
• 07 Surgery for Upper Gastrointestinal Cancer in a Morbidly Obese Patient with Diabetes and Renal Impairment
• 08 Carcinoma of Unknown Primary in a Patient with Multiple Comorbidities
• 09 Incontinence Developing During Chemotherapy in a Patient with Advanced Ovarian Cancer and Diabetes
• 10 A Patient with Breast Cancer and Dementia
• 11 A Patient with Acute Myeloid Leukaemia, Comorbidities and Fatigue
• 12 A Frail Patient with Colorectal Cancer Considered for Chemotherapy Who Struggles to Complete Activities of Daily Living
• 13 Optimal First-Line Management of a Patient with Metastatic Renal Cell Carcinoma
• 14 Lymphoma in a Patient with Pre-existing Depression and Parkinson's Disease Who Struggles to Complete Acitivites of Daily Living
• 15 A Patient with Carcinoma of the Thyroid and Delirium
• 16 Pancreatic Cancer in a Patient on More Than 10 Internal Medicine Therapies
• 17 Advanced Ovarian Cancer in a Patient Who is Socially Isolated and Deaf
• 18 Fitness for Radical Surgery in a Patient with Uterine Cancer, Hypertenson, Obesity and Peripheral Vascular Disease
• 19 A Patient with Head and Neck Cancer Who is a Heavy Smoker with Emphysema and Poor Nutrition
• 20 Fitness of a Patient with Advanced Melanoma for Therapy with Checkpoint Inhibitors
• 21 A Patient with Parkinson’s Disease and Oesophageal Cancer Exhibiting Significant Upper Gastrointestinal Toxicity, Nausea and Vomiting from Chemotherapy
• 22 Diarrhoea in a Patient on Chemotherapy for Colorectal Cancer
• 23 A Patient with Breast Cancer Experiencing Cardiac Toxicity on Chemotherapy
• 24 Chemotherapy Resulting in Acute Kidney Injury in a Patient with Bladder Cancer
• 25 Partial Nephrectomy Followed by Hand-Foot Syndrome in a Patient with Renal Cancer Receiving Tyrosine Kinase Inhibitor Therapy
• 26 They Disagree! Choice of Therapy by a Patient with Cholangiocarcinoma and His Family
• 27 A Patient with Muscle-Invasive Bladder Cancer for Radiotherapy or Surgery Who Experiences Falls
• 28 Early Prostate Cancer in an Asymptomatic Patient with Urinary Incontinence and History of Deep Vein Thrombosis
• 29 A Blind Patient with a Large Gastrointestinal Stromal Tumour for Radical Surgery
• 30 Use of Radical Radiotherapy in a Patient with a Brain Tumour and Deafness
• 31 A Patient with Gastric Cancer and Problems with Vascular Access
• 32 A Patient with Infectious Complications and Neutropenia on Chemotherapy
• Index