Management of Cancer in the Older Patient, by Drs. Arash Naeim, David Reuben, and Patricia Ganz, offers the help you need to effectively diagnose, refer, and manage cancer in geriatric patients. You’ll see how to provide effective cancer screening; refer your patients to the right oncologist; deal with comorbidities, frailties, and other complications; navigate end-of-life issues; and much more. A templated, user-friendly format makes it easy to find and apply the answers you need. See how to best manage geriatric cancer patients with help from leading specialists in both geriatrics and oncology Make informed decisions as to when to refer patients to specialists. Provide the supportive care your patients and their families need on issues such as such as mental health, pain, fatigue, nausea, insomnia. Be prepared to help cancer survivors navigate their after-treatment care including adjuvant therapy, side effects, second cancers, quality of life, and other concerns. Offer accurate guidance on ethical issues like competency, end of life, hospice, the role of the caregiver, and more.

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.

This book will help all health professionals involved in the rehabilitation of older people to provide their patients with the highest possible quality of life and autonomy. Expanded and rewritten by a diverse team of authors, the text is suitable for doctors in all specialties that see older patients, as well as nurses, physiotherapists, occupational therapists, psychologists, dietitians, speech and language therapists/pathologists, physician associates/assistants, healthcare assistants, and many others including patients, family members and students. The book is written in an accessible, no-jargon style and provides a patient-centred perspective on recent advances in the field of rehabilitation – an increasingly important aspect of care for older people. Clear explanations of relevant concepts: ageing, frailty, comprehensive assessment, rehabilitation Broad coverage of all aspects of rehabilitation including different settings Explanations of input from multiple health professionals Problem-based section that highlights solutions to common issues during rehabilitation Specialty-specific areas of rehabilitation such as stroke rehabilitation, cancer rehabilitation, post-operative rehabilitation, trauma, rehabilitation in the community Practical section explaining how to plan discharge safely, run a care planning meeting, organize home supports, continue rehabilitation at home Evidence-based but accessible writing, complemented by practical clinical wisdom Aimed at a broader audience – applicable to all health professionals who see older patients Resources for patients and their caregivers Multiple-choice questions to test knowledge

Completely revised with new chapters and sections covering everything the health-care provider needs to know when working with the older adult either at home or in nursing and long-term care facilities. Chapters cover factors affecting nutrition, nutrition and disease, nutritional assessment, dining challenges and regulatory compliance. This scientifically sound and practical resource for new and experienced nutrition professionals includes new forms, resources, the food guide pyramid for older adults and an index of tales.

This book aims to provide an up-to-date review of the literature in each of the major areas relating to the management of older colorectal cancers patients, and makes recommendations for best practice and future research. The authors come from a broad geographic spread including the UK, mainland Europe and North America to ensure a worldwide relevance.

"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.