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将老年医学医疗服务提供者纳入老年癌症患者的护理工作中。

Incorporating Geriatric Medicine Providers into the Care of the Older Adult with Cancer.

作者信息

Magnuson Allison, Canin Beverly, van Londen G J, Edwards Beatrice, Bakalarski Pamela, Parker Ira

机构信息

University of Rochester, Rochester, NY, USA.

Wilmot Cancer Institute, Strong Memorial Hospital, 601 Elmwood Avenue, Box 704, Rochester, NY, 14642, USA.

出版信息

Curr Oncol Rep. 2016 Nov;18(11):65. doi: 10.1007/s11912-016-0550-9.

Abstract

A significant proportion of cancer patients and survivors are age 65 and over. Older adults with cancer often have more complex medical and social needs than their younger counterparts. Geriatric medicine providers (GMPs) such as geriatricians, geriatric-trained advanced practice providers, and geriatric certified registered nurses have expertise in caring for older adults, managing complex medical situations, and optimizing function and independence for this population. GMPs are not routinely incorporated into cancer care for older adults; however, their particular skill set may add benefit at many points along the cancer care continuum. In this article, we review the role of geriatric assessment in the care of older cancer patients, highlight specific case scenarios in which GMPs may offer additional understanding and insight in the care of older adults with cancer, and discuss specific mechanisms for incorporating GMPs into oncology care.

摘要

相当一部分癌症患者及幸存者年龄在65岁及以上。与年轻患者相比,老年癌症患者往往有更复杂的医疗和社会需求。老年医学提供者(GMPs),如老年病医生、接受过老年医学培训的高级执业提供者以及获得老年医学认证的注册护士,在照顾老年人、处理复杂医疗情况以及优化该人群的功能和独立性方面拥有专业知识。GMPs并未常规纳入老年癌症患者的护理中;然而,他们独特的技能组合可能在癌症护理的多个环节带来益处。在本文中,我们回顾了老年评估在老年癌症患者护理中的作用,强调了特定的病例场景,在这些场景中,GMPs可能为老年癌症患者的护理提供更多理解和见解,并讨论将GMPs纳入肿瘤护理的具体机制。

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