Physiotherapy Role in Geriatric Oncology: Difference between revisions
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Geriatric assessment and investigations is an essential process to evaluate if an older adult is fit, vulnerable, or frail. The assessment encompass age-related conditions that should be investigate within the period of cancer treatment. One important of this is that it will guide care to best management line. | Geriatric assessment and investigations is an essential process to evaluate if an older adult is fit, vulnerable, or frail. The assessment encompass age-related conditions that should be investigate within the period of cancer treatment. One important of this is that it will guide care to best management line. | ||
The US National Comprehensive Cancer Network (NCCN) and International Society of Geriatric Oncology (SIOG) recommendation for geriatric oncology assessment are to be shoulder on the following features: functional status, comorbidity, cognition, mental health status, fatigue, social status and support, nutrition, and presence of geriatric syndromes<ref>Korc-Grodzicki B, Holmes HM, Shahrokni A. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706523/#r26 Geriatric assessment for oncologists. Cancer biology & medicine]. 2015 Dec;12(4):261.</ref> | |||
[[Oncology Examination]] | [[Oncology Examination]] | ||
Revision as of 11:49, 17 July 2020
Original Editor - Tolulope Adeniji
Top Contributors - Tolulope Adeniji, Kim Jackson, Areeba Raja, Vidya Acharya and Chelsea McleneThis article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (Template:18/Template:07/Template:2020)
Overview of Geriatric Oncology[edit | edit source]
Geriatric oncology is a special area that deals with issues surrounding assessmeny and management of older adults with cancer.Due to ageing process that is complex, most newly diagnosed cancers are among this population[1]. And it is essential to understand the baseline health status of a patient before making treatment decisions. Generally, a geriatric assessment is supposed to be a comprehensive evaluation that includes medical, psychosocial, and functional problems in older patients with cancer[1]. Geriatric oncology should includes specific areas such as identification of vulnerability, predicting survival and toxicity, assist in clinical treatment decisions, and guide interventions in routine oncology practice. The information on this write up will elaborates on how physiotherapy contributes to geriatric oncology practice.
Epidemiology[edit | edit source]
Ageing is an indirect risk factor for cancer and one reason for this can be linked to increase exposure to carcinogenic substances in greater time that could predispose such individual to genetic changes and eventually tumor[2] Cancer is highly prevalent among the older adults and the incidence and mortality of cancer increases with age. However, at very old age, >90 years, cancer prevalence decreases.[3] Aside the ageing being risk factors of cancer, gender is also associated with some certain cancer. Among common cancer in older adults, incidence of the following cancer are high among male gender: prostate, lung, and bowel cancers, while, breast, lung, bowel, stomach, and uterine cancer are of higher incident in female gender[4]
Aetiology[edit | edit source]
The underlying causes of cancer among older adults can be explain based on the biology of ancer and impact of ageing. These can be explain under the following heading:
- Molecular Changes
- Cellular Changes
- Tumorogenesis: A Simplified Model
- Physiologic Changes
For more information on the above biology of cancer and ageing kindly see follow this link [aging.html|https://www.hopkinsmedicine.org/gec/series/cancer_aging.html#biology]
Assessment and Investigations[edit | edit source]
Geriatric assessment and investigations is an essential process to evaluate if an older adult is fit, vulnerable, or frail. The assessment encompass age-related conditions that should be investigate within the period of cancer treatment. One important of this is that it will guide care to best management line.
The US National Comprehensive Cancer Network (NCCN) and International Society of Geriatric Oncology (SIOG) recommendation for geriatric oncology assessment are to be shoulder on the following features: functional status, comorbidity, cognition, mental health status, fatigue, social status and support, nutrition, and presence of geriatric syndromes[5]
Clinical Manifestations[edit | edit source]
Clinical manifestations (the signs and symptoms your patient may well present to you on an examination) ensure you relate this back to the underlying pathophysiology.
Physiotherapy Management[edit | edit source]
Physiotherapy and other management. Other health professionals will be treating your patient. What is their input?
Prevention[edit | edit source]
Brief consideration of how this pathology could be prevented and the physiotherapy role in health promotion in relation to prevention of disease or disease progression.
Resources[edit | edit source]
add appropriate resources here
References[edit | edit source]
- ↑ 1.0 1.1 Loh KP, Soto-Perez-de-Celis E, Hsu T, de Glas NA, Battisti NM, Baldini C, Rodrigues M, Lichtman SM, Wildiers H. What every oncologist should know about geriatric assessment for older patients with cancer: young international society of geriatric oncology position paper. Journal of oncology practice. 2018 Feb;14(2):85-94.
- ↑ Swaminathan D, Swaminathan V. Geriatric oncology: problems with under-treatment within this population. Cancer biology & medicine. 2015 Dec;12(4):275.
- ↑ Gentner D, Grudin J. The evolution of mental metaphors in psychology: A 90-year retrospective. American Psychologist. 1985 Feb;40(2):181.
- ↑ Ferlay J, Autier P, Boniol M, Heanue M, Colombet M, Boyle P. Estimates of the cancer incidence and mortality in Europe in 2006. Annals of oncology. 2007 Mar 1;18(3):581-92.
- ↑ Korc-Grodzicki B, Holmes HM, Shahrokni A. Geriatric assessment for oncologists. Cancer biology & medicine. 2015 Dec;12(4):261.
