Nurse-led interventions among older adults affected by cancer: An integrative review

Alemania, Elizabeth; Hind, Alica; Samara, Juliane; Turner, Murray; Ralph, Nick; Paterson, Catherine

doi:10.1016/j.apjon.2023.100289

Cited by 4 publications

(2 citation statements)

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“…The review also addressed the cognitive landscape affected by aging and cancer treatments, shedding light on alterations in decisionmaking abilities [55]. Psychological factors, particularly stress and caregiver support, were found to significantly influence cognitive well-being.…”

Section: Discussionmentioning

confidence: 99%

Unveiling Psychological Perspectives on Aging Minds and Cancer: A Review

Sheelam

2023

ijcsrr

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In geriatric oncology, the intersection of aging complexities and cancer care intricacies shapes the journey of elderly individuals facing cancer. This review explores emotional, cognitive, and social dynamics influencing their experiences and care. Following a cancer diagnosis, older adults navigate a spectrum of emotions—from shock to resilience—crucial in shaping coping strategies and treatment decisions. The toll of cancer treatments, compounded by age-related vulnerabilities, underscores the need for tailored care plans that account for social and familial dynamics. Cognitive functions undergo shifts influenced by aging and treatments, emphasizing the importance of understanding these changes in decision-making processes. Caregiver-patient relationships emerge as pivotal, impacting cognitive well-being and necessitating interventions supporting both parties. Psychological interventions, from counselling to mindfulness practices, offer avenues for comprehensive care. Integrating these interventions into multidisciplinary care fosters resilience and enriches survivorship experiences among elderly cancer patients. This review advocates a personalized approach in geriatric oncology, emphasizing tailored interventions and comprehensive care strategies that honour individual experiences. Future research directions focus on exploring emotional resilience, cognitive adaptability, and intervention outcomes to enhance care for elderly individuals navigating cancer’s challenges. In conclusion, geriatric oncology demands personalized, multidisciplinary care strategies that integrate psychological support and acknowledge the complexities of aging. This integration marks a transformative shift towards holistic care, paving the way for tailored and effective interventions supporting elderly patients throughout their cancer journey.

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Section: Discussionmentioning

confidence: 99%

Unveiling Psychological Perspectives on Aging Minds and Cancer: A Review

Sheelam

2023

ijcsrr

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“…There is limited literature that specifically reports on nurse-led models of care for older people with cancer. 19 However, while several models of care cited in the literature do not identify as nurse-led, nurses commonly play a key role in the multidisciplinary team (MDT) and in caring for older people with cancer. 17 20 21 Existing literature on nurse-led models of care for older adults with cancer has shown that these models are feasible and acceptable, 22 23 and resulted in lower rates of treatment-related complications and fewer days spent in hospital.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a nurse-led, multidisciplinary model of care for older adults with cancer: a process evaluation protocol

Dufton,

Tarasenko,

Midgley

et al. 2024

BMJ Open

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IntroductionCancer is predominantly a disease of older adults, with an increasing number of cancer diagnoses in individuals aged 65 or older. Multiple geriatric factors have been shown to impact patient outcomes in cancer treatment. However, oncology specialists are not well adapted to incorporate geriatric assessment into practice due to a lack of resources and knowledge of the specialty.The primary aim of this study is to implement and evaluate a nurse-led, multidisciplinary model of care for older adults with cancer at two public tertiary hospitals in Melbourne, Australia.Methods and analysisThis study will aim to assess 200 patients across 2 sites. Both sites will assess individuals with lung cancer; the second site will also include individuals with genitourinary, upper gastrointestinal and colorectal cancers.This process evaluation will use quantitative and qualitative methods to explore the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) of the nurse-led, multidisciplinary model of care.Ethics and disseminationEthical approval and local governance approvals have been obtained by Austin Health and Monash Health Human Research Ethics committees. Dissemination will occur via publications, conferences, social medical and local engagement with clinicians, consumers and managers.

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