老年癌症患者的姑息治疗和临终关怀。

Palliative and end-of-life care for the older adult with cancer.

机构信息

Division of Palliative Care, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

出版信息

Curr Opin Support Palliat Care. 2021 Mar 1;15(1):23-28. doi: 10.1097/SPC.0000000000000541.

Abstract

PURPOSE OF REVIEW

Despite established benefits of palliative care in the oncology population, it remains an underutilized resource particularly among older adults. The illness trajectory and needs of an older adult with cancer are unique. The purpose of this paper is to review the current literature on providing comprehensive palliative and end-of-life care for the older adult with cancer.

RECENT FINDINGS

Though the difficulties of applying traditional palliative care principles in the older patients with cancer have been discussed, this review reveals a clear gap in the literature in discussing the provision of comprehensive palliative and end-of-life care in this population. Very few articles have been published in this domain with even fewer published within the past 18 months.

SUMMARY

As such, this article reviews key aspects of palliative and geriatric medicine that need to be considered and integrated in order to provide comprehensive palliative care to the older adult with cancer. This includes a discussion of proper pain and symptoms assessment, performance status assessment, advance care planning, and end-of-life care while considering the nuances of geriatric syndromes.

摘要

目的综述

尽管姑息治疗在肿瘤患者中已被证实具有益处,但它仍然未被充分利用,尤其是在老年人群中。老年癌症患者的疾病轨迹和需求具有独特性。本文旨在综述为老年癌症患者提供全面姑息治疗和临终关怀的现有文献。

最近的发现

尽管已经讨论了在老年癌症患者中应用传统姑息治疗原则的困难,但这篇综述揭示了在讨论这一人群全面姑息治疗和临终关怀的文献中存在明显的空白。在这一领域发表的文章很少,在过去 18 个月内发表的文章就更少了。

总结

因此,本文综述了姑息治疗和老年医学中需要考虑并整合的关键方面,以便为老年癌症患者提供全面的姑息治疗。这包括讨论适当的疼痛和症状评估、功能状态评估、预先护理计划和临终关怀,同时考虑到老年综合征的细微差别。

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