Kanaskie Mary Louise, Tringali Carol A
Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania 17033, USA.
Crit Care Nurs Q. 2008 Jan-Mar;31(1):2-11; quiz 12-3. doi: 10.1097/01.CNQ.0000306389.56411.ad.
In 2004, the Oncology Nursing Society published a position paper on cancer in the elderly identifying cancer as a disease of aging. The National Cancer Institute Surveillance Epidemiology End Results data report that more than 50% of all cancers are diagnosed in individuals who are aged 65 or greater. Comorbidities prevalent in the elderly population place them at increased risk of developing side effects and toxicities from cancer treatment. This article presents 2 case studies that demonstrate the complex nature of treatment decisions related to advanced cancer diagnoses. Real and potential nursing problems are identified. Evidence-based practice and interdisciplinary collaboration for the purpose of achieving comprehensive patient- and family-centered care are outlined. Quality-of-life concerns, including decisional capacity, are addressed. The role of the critical care nurse in promoting quality of life in the care of the oncology geriatric patient in the acute care and critical care settings is discussed.
2004年，肿瘤护理协会发表了一篇关于老年癌症的立场文件，将癌症确定为一种老年疾病。美国国家癌症研究所监测、流行病学和最终结果数据报告显示，所有癌症中有超过50%是在65岁及以上的人群中诊断出来的。老年人群中普遍存在的合并症使他们在接受癌症治疗时出现副作用和毒性的风险增加。本文介绍了两个案例研究，展示了与晚期癌症诊断相关的治疗决策的复杂性。确定了实际和潜在的护理问题。概述了为实现以患者和家庭为中心的全面护理而进行的循证实践和跨学科协作。讨论了生活质量问题，包括决策能力。探讨了重症护理护士在急性护理和重症护理环境中促进肿瘤老年患者护理生活质量方面的作用。
