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综合老年医学评估:一例针对老年头颈癌患者个性化癌症护理的病例报告

Comprehensive Geriatric Assessment: A Case Report on Personalizing Cancer Care of an Older Adult Patient With Head and Neck Cancer.

作者信息

Strohschein Fay J, Loucks Allison, Jin Rana, Vanderbyl Brandy

机构信息

Jewish General Hospital.

Princess Margaret Cancer Centre.

出版信息

Clin J Oncol Nurs. 2020 Oct 1;24(5):514-525. doi: 10.1188/20.CJON.514-525.

Abstract

BACKGROUND

Understanding multidimensional screening and assessment is key to optimizing cancer care in older adults.

OBJECTIVES

This article aims to present comprehensive geriatric assessment (CGA) as an approach to personalizing care for older adults with cancer.

METHODS

A case study of an 89-year-old man with head and neck cancer is presented as a framework to describe the process of CGA and an overview of geriatric oncology screening and assessment.

FINDINGS

CGA enables personalized care by informing decision making about cancer treatment and guiding implementation of enhanced supportive interventions. Screening tools can help identify older adult patients who would benefit from CGA. Oncology nurses can integrate geriatric assessment tools into practice to identify and address age-related concerns, facilitate communication, and contribute to personalization of care.

摘要

背景

了解多维筛查和评估是优化老年癌症患者护理的关键。

目的

本文旨在介绍综合老年评估(CGA),作为一种为老年癌症患者提供个性化护理的方法。

方法

以一名89岁头颈癌男性患者的病例研究为框架,描述CGA的过程以及老年肿瘤学筛查和评估的概述。

结果

CGA通过为癌症治疗决策提供信息并指导加强支持性干预措施的实施,实现个性化护理。筛查工具有助于识别将从CGA中受益的老年患者。肿瘤学护士可将老年评估工具纳入实践,以识别和解决与年龄相关的问题,促进沟通,并为护理个性化做出贡献。

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