在多学科癌症会议上探索用于描述老年患者的语言
Valerie S Kim1,2, Anthony Carrozzi1, Efthymios Papadopoulos3
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Cancers
|April 27, 2024
概括
多学科癌症会议 (MCC) 经常使用以年龄为重点的语言,而不是对老年患者进行正式的老年医学评估. 讨论中经常提及并发症和治疗耐受性,但很少提及脆弱状态或验证的工具.
科学领域:
- 老年瘤学 老年瘤学
- 癌症护理研究 癌症护理研究
- 多学科癌症会议 多学科癌症会议
背景情况:
- 患有癌症的老年人存在独特的护理复杂性.
- 在多学科癌症会议 (MCCs) 中用于管理老年患者的语言不太清楚.
研究的目的:
- 探索老年患者 (75岁以上) 在MCC中如何讨论.
- 在癌症会议上确定老年瘤患者使用的语言和评估方法.
主要方法:
- 在第三级癌症中心进行了一项混合方法研究.
- 在六个月的时间里,使用描述性统计数据和主题分析分析了75名患者的陈述.
- 收集的数据包括患者人口统计,癌症细节,非癌症因素和演讲者信息.
主要成果:
- 脆弱状态在只有20%的演讲中被明确提到.
- 伴随性疾病负担 (50.7%),年龄 (33.3%) 和治疗耐受性 (30.7%) 是常见的代孕措施.
- 没有提及正式的老年病评估或验证的脆弱工具;主观描述是普遍存在的.
结论:
- MCC通常依赖于以年龄为中心的语言,可能会延续年龄主义.
- 需要客观地将老年方面的考虑和脆弱性评估纳入瘤学讨论中.
- 需要进行进一步的研究,以改善老年瘤学原则在癌症护理环境中的整合.
相关概念视频
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Cancer Survival Analysis
345
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
345
Nursing Ethical Principles II
956
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
956
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K


