| Preface |
vii |
| Acknowledgments |
ix |
|
Chapter 1. Cancer and the Aging Population
|
1 |
| Introduction |
1 |
| Aging Population |
1 |
| Cancer and Aging |
2 |
| Ambulatory Oncology Care |
4 |
| Role of the Ambulatory Care Oncology Nurse |
4 |
| Conclusion |
6 |
| References |
6 |
|
Chapter 2. Physiology of Aging and Its Impact on the Older Adult
|
9 |
| Introduction |
9 |
| Theories of Aging |
10 |
| Chronologic Age Versus Physiologic Age |
10 |
| Normal Aging |
12 |
| Altered Response to Physiologic Stress |
13 |
| Physiologic Changes of Aging |
14 |
| Pharmacokinetics |
28 |
| Cytochrome P450 |
30 |
| Cytochrome P450 |
30 |
| References |
31 |
|
Chapter 3. Comprehensive Geriatric Assessment
|
37 |
| Introduction |
37 |
| Definition and Development of a Comprehensive Geriatric Assessment |
38 |
| Rapid Assessment Instruments to Include in a Comprehensive Geriatric Assessment |
47 |
| Case Study Application of the Comprehensive Geriatric Assessment |
48 |
| Conclusion |
50 |
| References |
51 |
|
Chapter 4. Symptom Management
|
57 |
| Introduction |
57 |
| Anorexia and Weight Loss |
58 |
| Cognitive Impairment |
62 |
| Constipation |
76 |
| Dehydration |
85 |
| Dysphagia |
89 |
| Dyspnea |
93 |
| Fatigue |
96 |
| Pain |
100 |
| Sexuality |
107 |
| Conclusion |
111 |
| References |
111 |
|
Chapter 5. Hospice and Palliative Care
|
125 |
| Introduction |
125 |
| What Are Palliative Care and Hospice Care, and How Do They Differ? |
126 |
| Why Do Patients Need Access to Both Palliative and Hospice Care? |
128 |
| Transitions in Goals of Care and Communication |
130 |
| Ethical Issues |
132 |
| Symptom Assessment and Management |
133 |
| Examples of Palliative Care Symptom Management Procedures |
133 |
| Conclusion |
138 |
| References |
138 |
|
Chapter 6. Survivorship Issues
|
143 |
| Introduction |
143 |
| Demographics of the Older Adult Population |
143 |
| Transitioning to Survivorship Care |
145 |
| The Survivorship Care Plan: Facilitating Quality Care |
146 |
| Monitoring for Long-Term and Late Effects of Cancer and Cancer Therapy |
147 |
| Holistic Assessment: Integrating What We Know to Ensure Quality Care |
150 |
| Conclusion |
153 |
| References |
153 |
|
Chapter 7. Psychosocial Issues
|
157 |
| Introduction |
157 |
| Psychosocial Care |
157 |
| Psychosocial Assessment |
158 |
| Advance Care Planning |
169 |
| Conclusion |
174 |
| References |
174 |
|
Chapter 8. Considering the Future of Nursing
|
177 |
| Introduction |
177 |
| Ambulatory Oncology Care |
178 |
| Future Influences on Ambulatory Oncology Nursing Practice |
178 |
| Healthcare Reform and Effectiveness of Cancer Care |
182 |
| Leadership for the Future |
183 |
| Conclusion |
185 |
| References |
185 |
| Resources |
191 |
| Gerontology Centers |
191 |
| Associations and Societies |
191 |
| Statistics and Government Sites |
192 |
| Index |
195 |