Treatment Considerations for the Elderly Person With Cancer

Abstract

In an aging population, the number of patients with cancer continues to rise. Little research has focused on the treatment of cancer in the elderly. Therefore, the treatment for various cancers differs across the healthcare system. A uniform approach in assessing the elderly person with cancer is lacking. This article describes two case studies in the elderly population, focusing on two common cancers: acute myelogenous leukemia and breast cancer. Common side effects of treatment and determinants of treatment options are discussed. It is important that the elderly receive appropriate screening, early detection, treatment, and management of comorbidities.

Advances in the Management of Acute Myeloid Leukemia in Older Adult Patients

“…A complete geriatric assessment should be performed at baseline, including an evaluation of functional status, comorbid conditions, current medications, organ function, social support, and nutrition status (Simpson & Rosenzweig, 2002). A complete geriatric assessment should be performed at baseline, including an evaluation of functional status, comorbid conditions, current medications, organ function, social support, and nutrition status (Simpson & Rosenzweig, 2002).…”

“…Frequent evaluation of a patient's support system (e.g., ability of caregivers to perform technical tasks, transportation, spousal support, financial resources) is critical, and referral to a social worker within the institution providing care is recommended (Simpson & Rosenzweig, 2002). Patients are likely to experience feelings of denial, depression, hopelessness, and fear.…”

Promoting Quality of Life for Geriatric Oncology Patients in Acute Care and Critical Care Settings

“…1,11,12 The presence of comorbidities in the elderly presents a challenge for healthcare providers to identify the most optimal treatment options. 5,12,13 …”