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Caring for the Older Person Who Is Diagnosed with Cancer: a Toolbox for the Geriatric Nurse

  • Nursing (R D’Aoust, Section Editor)
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Abstract

Purpose of Review

To offer a “toolbox” for geriatric nurses consisting of a general understanding of geriatric oncology, use of a comprehensive geriatric assessment (CGA), role in the multidisciplinary team (MDT), and additional roles as leader, clinician, educator, advocate, and exemplar.

Recent Findings

Geriatric oncology incorporates the use of the Ambulatory Geriatric Oncology Program (AGOC), CGA, and an MDT to determine functional status, comorbid conditions, social support, and emotional concerns in addition to diagnosing and treating cancer. Nurses have a role in all elements of geriatric oncology.

Summary

Nursing skills required in geriatric oncology should be cultivated to be able to advocate, lead, educate, and provide clinical care to older people. Resources are available to meet educational needs to continue to develop tools necessary for the geriatric oncology toolbox.

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References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. Surveillance Epidemiology and End Results Program. Cancer stat facts: cancer of any site. 2018; https://seer.cancer.gov/statfacts/html/all.html.

  2. •• Magnuson A, Sattar S, Nightingale G, Saracino R, Skonecki E, Trevino KM. A practical guide to geriatric syndromes in older adults with cancer: a focus on falls, cognition, polypharmacy, and depression. Am Soc Clin Oncol educational book American Society of Clinical Oncology Annual Meeting. 2019;39:e96–e109 This is an important work because a guide to managing geriatric syndrome has not been complied prior and is useful to those working in oncology.

    Google Scholar 

  3. de Glas N, Bastiaannet E, de Boer A, Siesling S, Liefers GJ, Portielje J. Improved survival of older patients with advanced breast cancer due to an increase in systemic treatments: a population-based study. Breast Cancer Res Treat. 2019.

  4. Easley J, Miedema B, Carroll JC, Manca DP, O'Brien MA, Webster F, et al. Coordination of cancer care between family physicians and cancer specialists: importance of communication. Can Fam Physician. 2016;62(10):e608–15.

    PubMed  PubMed Central  Google Scholar 

  5. •• Howlader NNA, Krapcho M, Miller D, Brest A, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA. SEER Cancer Statistics Review, 1975-2016, National Cancer Institute. 2018; https://seer.cancer.gov/csr/1975_2016/. The SEER data are extremely helpful in geriatric oncology.

  6. Williams GR, Pisu M, Rocque GB, et al. Unmet social support needs among older adults with cancer. Cancer. 2019;125(3):473–81.

    PubMed  Google Scholar 

  7. •• Nightingale G, Burhenn PS, Puts M, et al. Integrating nurses and allied health professionals in the care of older adults with cancer: a report from the International Society of Geriatric Oncology Nursing and Allied Health Interest Group. J Geriatr Oncol. 2019; This is important because nurses were asked to articulate role with geriatric teams.

  8. Burhenn PS, Ferrell B, Johnson S, Hurria A. Improving nurses’ knowledge about older adults with cancer. Oncol Nurs Forum. 2016;43(4):497–504.

    PubMed  Google Scholar 

  9. Victorson D, Manly J, Wallner-Allen K, Fox N, Purnell C, Hendrie H, et al. Using the NIH toolbox in special populations: considerations for assessment of pediatric, geriatric, culturally diverse, non-English-speaking, and disabled individuals. Neurology. 2013;80(11 Suppl 3):S13–9. https://doi.org/10.1212/WNL.0b013e3182872e26.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Overcash J. Integrating geriatrics into oncology ambulatory care clinics. Clin J Oncol Nurs. 2015;19(4):E80–6.

    PubMed  Google Scholar 

  11. Magnuson A, Dale W, Mohile S. Models of care in geriatric oncology. Curr Geriatr Rep. 2014;3(3):182–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Burhenn PS, Perrin S, McCarthy AL. Models of care in geriatric oncology nursing. Semin Oncol Nurs. 2016;32(1):24–32.

    PubMed  Google Scholar 

  13. Hamaker ME, Seynaeve C, Wymenga AN, et al. Baseline comprehensive geriatric assessment is associated with toxicity and survival in elderly metastatic breast cancer patients receiving single-agent chemotherapy: results from the OMEGA study of the Dutch breast cancer trialists' group. Breast. 2014;23(1):81–7.

    CAS  PubMed  Google Scholar 

  14. Balducci L. Aging, frailty, and chemotherapy. Cancer Control. 2007;14(1):7–12.

    PubMed  Google Scholar 

  15. Tawfik B, Pardee TS, Isom S, Sliesoraitis S, Winter A, Lawrence J, et al. Comorbidity, age, and mortality among adults treated intensively for acute myeloid leukemia (AML). J Geriatr Oncol. 2016;7(1):24–31. https://doi.org/10.1016/j.jgo.2015.10.182.

    Article  PubMed  Google Scholar 

  16. Kim KH, Lee JJ, Kim J, et al. Association of multidimensional comorbidities with survival, toxicity, and unplanned hospitalizations in older adults with metastatic colorectal cancer treated with chemotherapy. J Geriatr Oncol. 2019.

  17. Gould MK, Munoz-Plaza CE, Hahn EE, Lee JS, Parry C, Shen E. Comorbidity profiles and their effect on treatment selection and survival among patients with lung cancer. Ann Am Thorac Soc. 2017;14(10):1571–80.

    PubMed  Google Scholar 

  18. Kalsi T, Babic-Illman G, Ross PJ, Maisey NR, Hughes S, Fields P, et al. The impact of comprehensive geriatric assessment interventions on tolerance to chemotherapy in older people. Br J Cancer. 2015;112(9):1435–44. https://doi.org/10.1038/bjc.2015.120.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Klepin HD, Pitcher BN, Ballman KV, Kornblith AB, Hurria A, Winer EP, et al. Comorbidity, chemotherapy toxicity, and outcomes among older women receiving adjuvant chemotherapy for breast cancer on a clinical trial: CALGB 49907 and CALGB 361004 (alliance). J Oncol Pract. 2014;10(5):e285–92. https://doi.org/10.1200/jop.2014.001388.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Kazhungil F, Velayudhan R, Kumar M, Thazhe Mangool R. A comparative study of caregiver burden in late-onset depression and Alzheimer’s disease. Psychogeriatrics. 2016;16(3):209–15.

    PubMed  Google Scholar 

  21. •• Krok-Schoen JL, DeSalvo J, Klemanski D, Stephens C, Noonan AM, Brill S, et al. Primary care physicians’ perspectives of the survivorship care for older breast cancer survivors: a pilot study. Support Care Cancer. 2019. https://doi.org/10.1007/s00520-019-04855-5An excellent article looking at the perspectives of geriatric oncology and primary care.

  22. Cook O, McIntyre M, Recoche K, Lee S. “Our nurse is the glue for our team” - multidisciplinary team members’ experiences and perceptions of the gynaecological oncology specialist nurse role. Eur J Oncol Nurs. 2019;41:7–15. https://doi.org/10.1016/j.ejon.2019.05.004.

    Article  PubMed  Google Scholar 

  23. Puts MTE, Strohschein FJ, Del Giudice ME, et al. Role of the geriatrician, primary care practitioner, nurses, and collaboration with oncologists during cancer treatment delivery for older adults: a narrative review of the literature. J Geriatr Oncol. 2018;9(4):398–404.

    PubMed  Google Scholar 

  24. Aaldriks AA, Maartense E, le Cessie S, et al. Predictive value of geriatric assessment for patients older than 70 years, treated with chemotherapy. Crit Rev Oncol Hematol. 2011;79(2):205–12.

    CAS  PubMed  Google Scholar 

  25. Hurria A, Togawa K, Mohile SG, et al. Predicting chemotherapy toxicity in older adults with cancer: a prospective multicenter study. J Clin Oncol. 2011;29(25):3457–65.

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Tucci A, Ferrari S, Bottelli C, Borlenghi E, Drera M, Rossi G. A comprehensive geriatric assessment is more effective than clinical judgment to identify elderly diffuse large cell lymphoma patients who benefit from aggressive therapy. Cancer. 2009;115(19):4547–53.

    PubMed  Google Scholar 

  27. Hurria A, Lichtman SM, Gardes J, Li D, Limaye S, Patil S, et al. Identifying vulnerable older adults with cancer: integrating geriatric assessment into oncology practice. J Am Geriatr Soc. 2007;55(10):1604–8.

    PubMed  Google Scholar 

  28. Kirkhus L, Saltyte Benth J, Rostoft S, et al. Geriatric assessment is superior to oncologists’ clinical judgement in identifying frailty. Br J Cancer. 2017;117(4):470–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Mazya AL, Garvin P, Ekdahl AW. Outpatient comprehensive geriatric assessment: effects on frailty and mortality in old people with multimorbidity and high health care utilization. Aging Clin Exp Res. 2019;31(4):519–25.

    PubMed  Google Scholar 

  30. Kenis C, Baitar A, Decoster L, et al. The added value of geriatric screening and assessment for predicting overall survival in older patients with cancer. Cancer. 2018;124(18):3753–63.

    PubMed  Google Scholar 

  31. Kristjansson SR, Nesbakken A, Jordhoy MS, et al. Comprehensive geriatric assessment can predict complications in elderly patients after elective surgery for colorectal cancer: a prospective observational cohort study. Crit Rev Oncol Hematol. 2010;76(3):208–17.

    PubMed  Google Scholar 

  32. Soto-Perez-de-Celis E, Li D, Yuan Y, Lau YM, Hurria A. Functional versus chronological age: geriatric assessments to guide decision making in older patients with cancer. Lancet Oncol. 2018;19(6):e305–16.

    PubMed  Google Scholar 

  33. Given B, Sherwood PR, Given CW. What knowledge and skills do caregivers need? Am J Nurs. 2008;108(9 Suppl):28–34 quiz 34.

    PubMed  Google Scholar 

  34. Verweij NM, Souwer ETD, Schiphorst AHW, Maas HA, Portielje JEA, Pronk A, et al. The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer. Int J Color Dis. 2017;32(11):1625–9. https://doi.org/10.1007/s00384-017-2883-8.

    Article  CAS  Google Scholar 

  35. Droz JP, Boyle H, Albrand G, Mottet N, Puts M. Role of geriatric oncologists in optimizing care of urological oncology patients. Eur Urol Focus. 2017;3(4-5):385–94. https://doi.org/10.1016/j.euf.2017.10.012.

    Article  PubMed  Google Scholar 

  36. Burhenn PS, McCarthy AL, Begue A, Nightingale G, Cheng K, Kenis C. Geriatric assessment in daily oncology practice for nurses and allied health care professionals: opinion paper of the Nursing and Allied Health Interest Group of the International Society of Geriatric Oncology (SIOG). J Geriatr Oncol. 2016;7(5):315–24.

    PubMed  Google Scholar 

  37. Ellis G, Gardner M, Tsiachristas A, et al. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev. 2017;9:CD006211.

    PubMed  Google Scholar 

  38. Hamaker ME, van Huis-Tanja LH, Rostoft S. Optimizing the geriatrician’s contribution to cancer care for older patients. J Geriatr Oncol. 2019. https://doi.org/10.1016/j.jgo.2019.06.018.

  39. Flaherty E, Bartels SJ. Addressing the community-based geriatric healthcare workforce shortage by leveraging the potential of interprofessional teams. J Am Geriatr Soc. 2019;67(S2):S400–8. https://doi.org/10.1111/jgs.15924.

    Article  PubMed  Google Scholar 

  40. Deschodt M, Claes V, Van Grootven B, Van den Heede K, Flamaing J, Boland B, et al. Structure and processes of interdisciplinary geriatric consultation teams in acute care hospitals: a scoping review. Int J Nurs Stud. 2016;55:98–114. https://doi.org/10.1016/j.ijnurstu.2015.09.015.

    Article  PubMed  Google Scholar 

  41. Palmer RM, Landefeld CS, Kresevic D, Kowal J. A medical unit for the acute care of the elderly. J Am Geriatr Soc. 1994;42(5):545–52. https://doi.org/10.1111/j.1532-5415.1994.tb04978.x.

    Article  CAS  PubMed  Google Scholar 

  42. Flood KL, Booth K, Vickers J, Simmons E, James DH, Biswal S, et al. Acute care for elders (ACE) team model of care: a clinical overview. Geriatrics (Basel). 2018;3(3). https://doi.org/10.3390/geriatrics3030050.

    PubMed Central  Google Scholar 

  43. Patel JN, Klein DS, Sreekumar S, Liporace FA, Yoon RS. Outcomes in multidisciplinary team-based approach in geriatric hip fracture care: a systematic review. J Am Acad Orthop Surg. 2019. https://doi.org/10.5435/jaaos-d-18-00425.

  44. Schubert CC, Myers LJ, Allen K, Counsell SR. Implementing geriatric resources for assessment and care of elders team care in a veterans affairs medical center: lessons learned and effects observed. J Am Geriatr Soc. 2016;64(7):1503–9. https://doi.org/10.1111/jgs.14179.

    Article  PubMed  Google Scholar 

  45. Counsell SR, Callahan CM, Buttar AB, Clark DO, Frank KI. Geriatric Resources for Assessment and Care of Elders (GRACE): a new model of primary care for low-income seniors. J Am Geriatr Soc. 2006;54(7):1136–41. https://doi.org/10.1111/j.1532-5415.2006.00791.x.

    Article  PubMed  Google Scholar 

  46. Bouzereau V, Le Caer F, Guardiola E, Scavennec C, Barriere JR, Chaix L, et al. Experience of multidisciplinary assessment of elderly patients with cancer in a French general hospital during 1 year: a new model care study. J Geriatr Oncol. 2013;4(4):394–401. https://doi.org/10.1016/j.jgo.2013.04.006.

    Article  CAS  PubMed  Google Scholar 

  47. •• Festen S, Kok M, Hopstaken JS, van der Wal-Huisman H, van der Leest A, Reyners AKL, et al. How to incorporate geriatric assessment in clinical decision-making for older patients with cancer. An implementation study. J Geriatr Oncol. 2019. https://doi.org/10.1016/j.jgo.2019.04.006An excellent article to help understand how CGA can be better used for decision-making.

    PubMed  Google Scholar 

  48. van Walree IC, van Breukelen ELG, Thielen N, van Rens MTM, van Huis-Tanja LH, Hamaker ME. Chemotherapy in the oldest old: choices and outcomes. Eur J Cancer Care (Engl). 2019;28(4):e13049. https://doi.org/10.1111/ecc.13049.

    Article  Google Scholar 

  49. DeSantis CE, Miller KD, Dale W, Mohile SG, Cohen HJ, Leach CR, et al. Cancer statistics for adults aged 85 years and older, 2019. CA Cancer J Clin. 2019. https://doi.org/10.3322/caac.21577.

    Google Scholar 

  50. Magnuson A, Elias R, Koll T. Expanding therapeutic options for older adults: case-based updates in breast and lung cancer. J Am Geriatr Soc. 2019;67(5):1012–9. https://doi.org/10.1111/jgs.15943.

    Article  PubMed  Google Scholar 

  51. Hurria A. Management of elderly patients with cancer. J Natl Compr Cancer Netw. 2013;11(5 Suppl):698–701.

    Google Scholar 

  52. •• Lynch MP, DeDonato DM, Kutney-Lee A. Geriatric oncology program development and gero-oncology nursing. Semin Oncol Nurs. 2016;32(1):44–54 This article highlights the importance of AGOC and nurses role.

    PubMed  Google Scholar 

  53. Canoui-Poitrine F, Lievre A, Dayde F, Lopez-Trabada-Ataz D, Baumgaertner I, Dubreuil O, et al. Inclusion of older patients with cancer in clinical trials: the SAGE prospective multicenter cohort survey. Oncologist. 2019. https://doi.org/10.1634/theoncologist.2019-0166.

    PubMed  Google Scholar 

  54. Katheria V, Lee T, Charles K, et al. Building a successful geriatric oncology research program: lessons learned from Dr. Arti Hurria’s cancer and aging research team. J Geriatr Oncol 2019.

  55. Magnuson A, Wallace J, Canin B, et al. Shared goal setting in team-based geriatric oncology. J Oncol Pract. 2016;12(11):1115–22.

    PubMed  PubMed Central  Google Scholar 

  56. Fessele KL. Financial toxicity: management as an adverse effect of cancer treatment. Clin J Oncol Nurs. 2017;21(6):762–4.

    PubMed  Google Scholar 

  57. Ellington L, Billitteri J, Reblin M, Clayton MF. Spiritual care communication in cancer patients. Semin Oncol Nurs. 2017;33(5):517–25.

    PubMed  Google Scholar 

  58. Leslie JL, Lonneman W. Promoting trust in the registered nurse-patient relationship. Home Healthcare Now. 2016;34(1):38–42.

    PubMed  Google Scholar 

  59. Extermann M, Aapro M, Bernabei R, Cohen HJ, Droz JP, Lichtman S, et al. Use of comprehensive geriatric assessment in older cancer patients: recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG). Crit Rev Oncol Hematol. 2005;55(3):241–52. https://doi.org/10.1016/j.critrevonc.2005.06.003.

    Article  PubMed  Google Scholar 

  60. Eamer G, Saravana-Bawan B, van der Westhuizen B, Chambers T, Ohinmaa A, Khadaroo RG. Economic evaluations of comprehensive geriatric assessment in surgical patients: a systematic review. J Surg Res. 2017;218:9–17. https://doi.org/10.1016/j.jss.2017.03.041.

    Article  PubMed  Google Scholar 

  61. Lundqvist M, Alwin J, Henriksson M, Husberg M, Carlsson P, Ekdahl AW. Cost-effectiveness of comprehensive geriatric assessment at an ambulatory geriatric unit based on the AGe-FIT trial. BMC Geriatr. 2018;18(1):32. https://doi.org/10.1186/s12877-017-0703-1.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Deschodt M, Flamaing J, Rock G, Boland B, Boonen S, Milisen K. Implementation of inpatient geriatric consultation teams and geriatric resource nurses in acute hospitals: a national survey study. Int J Nurs Stud. 2012;49(7):842–9.

    PubMed  Google Scholar 

  63. Miller CJ, Kim B, Silverman A, Bauer MS. A systematic review of team-building interventions in non-acute healthcare settings. BMC Health Serv Res. 2018;18(1):146.

    PubMed  PubMed Central  Google Scholar 

  64. Giuliante MM, Greenberg SA, McDonald MV, Squires A, Moore R, Cortes TA. Geriatric Interdisciplinary Team Training 2.0: a collaborative team-based approach to delivering care. J Interprof Care. 2018;32(5):629–33. https://doi.org/10.1080/13561820.2018.1457630.

    Article  PubMed  Google Scholar 

  65. Hurlock-Chorostecki C, Forchuk C, Orchard C, van Soeren M, Reeves S. Labour saver or building a cohesive interprofessional team? The role of the nurse practitioner within hospitals. J interprofessional care. 2014;28(3):260–6.

    Google Scholar 

  66. Balducci L, Ershler WB. Cancer and ageing: a nexus at several levels. Nat Rev Cancer. 2005;5(8):655–62.

    CAS  PubMed  Google Scholar 

  67. NCCN. Clinical practice guidelines in oncology: older adult oncology. 2019;1.2016.

  68. •• Wildiers H, Heeren P, Puts M, et al. International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol. 2014;32(24):2595–603 This article supports CGA to be conducted in older cancer patients.

    PubMed  PubMed Central  Google Scholar 

  69. Ellis G, Sevdalis N. Understanding and improving multidisciplinary team working in geriatric medicine. Age Ageing. 2019.

  70. Trotta RL, Rao AD, Hermann RM, Boltz MP. Development of a comprehensive geriatric assessment led by geriatric nurse consultants: a feasibility study. J Gerontol Nurs. 2018;44(12):25–34.

    PubMed  Google Scholar 

  71. Extermann M. Geriatric assessment with focus on instrument selectivity for outcomes. Cancer J. 2005;11(6):474–80.

    PubMed  Google Scholar 

  72. Parker SG, McCue P, Phelps K, et al. What is comprehensive geriatric assessment (CGA)? An umbrella review. Age Ageing. 2018;47(1):149–55.

    CAS  PubMed  Google Scholar 

  73. •• Decoster L, Van Puyvelde K, Mohile S, et al. Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: an update on SIOG recommendationsdagger. Ann Oncol. 2015;26(2):288–300 An excellent article that complies CGA data and provides recommendation.

    CAS  PubMed  Google Scholar 

  74. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982;17(1):37–49.

    PubMed  Google Scholar 

  75. Hoyl MT, Alessi CA, Harker JO, Josephson KR, Pietruszka FM, Koelfgen M, et al. Development and testing of a five-item version of the Geriatric Depression Scale. J Am Geriatr Soc. 1999;47(7):873–8.

    CAS  PubMed  Google Scholar 

  76. Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A. The mini-cog: a cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry. 2000;15(11):1021–7.

    CAS  Google Scholar 

  77. Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist Spring. 970;10(1):20–30.

    CAS  PubMed  Google Scholar 

  78. Lawton M, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist Autumn. 1969;9(3):179–86.

    CAS  Google Scholar 

  79. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142–8.

    CAS  PubMed  Google Scholar 

  80. Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg [Am]. 1984;9(2):222–6.

    CAS  Google Scholar 

  81. Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. Feb 1999;15(2):116–22.

    CAS  PubMed  Google Scholar 

  82. Fehrenbacher JC. Chemotherapy-induced peripheral neuropathy. Prog Mol Biol Transl Sci. 2015;131:471–508. https://doi.org/10.1016/bs.pmbts.2014.12.002.

    Article  PubMed  Google Scholar 

  83. Cuesta-Vargas A, Buchan J, Pajares B, Alba E, Roldan-Jimenez C. Cancer-related fatigue stratification system based on patient-reported outcomes and objective outcomes: a cancer-related fatigue ambulatory index. PLoS One. 2019;14(4):e0215662. https://doi.org/10.1371/journal.pone.0215662.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Overcash J. Comprehensive geriatric assessment: interprofessional team recommendations for older adult women with breast cancer. Clin J Oncol Nurs. 2018;22(3):304–15.

    PubMed  Google Scholar 

  85. Morin T, Laniece I, Desbois A, Amiard S, Gavazzi G, Couturier P. [Evaluation of adherence to recommendations within 3 months after comprehensive geriatric assessment by an inpatient geriatric consultation team]. Geriatr. Psychol. Neuropsychiatr. Vieil. Sep 2012;10(3):285–93.

    Google Scholar 

  86. Bolle S, Smets EMA, Hamaker ME, Loos EF, van Weert JCM. Medical decision making for older patients during multidisciplinary oncology team meetings. J Geriatr Oncol. 2019;10(1):74–83. https://doi.org/10.1016/j.jgo.2018.07.016.

    Article  PubMed  Google Scholar 

  87. Shahrokni A, Alexander K. What will perioperative geriatric assessment for older cancer patients look like in 2025? Advantages and limitations of new technologies in geriatric assessment. Eur J Surg Oncol. 2019. https://doi.org/10.1016/j.ejso.2019.07.026.

  88. Basch E, Deal AM, Kris MG, Scher HI, Hudis CA, Sabbatini P, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. J Clin Oncol. 2016;34(6):557–65. https://doi.org/10.1200/jco.2015.63.0830.

    Article  CAS  PubMed  Google Scholar 

  89. Mooney KH, Beck SL, Wong B, Dunson W, Wujcik D, Whisenant M, et al. Automated home monitoring and management of patient-reported symptoms during chemotherapy: results of the symptom care at home RCT. Cancer Med. 2017;6(3):537–46. https://doi.org/10.1002/cam4.1002.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Michael M, Wilson C, Jester DJ, et al. Application of curriculum mapping concepts to integrate multidisciplinary competencies in the care of older adults in graduate nurse practitioner curricula. J Prof Nurs. 2019;35(3):228–39.

    PubMed  Google Scholar 

  91. •• Nunnelee J, Tanner EI, Cotton A, et al. NGNA: position paper on essential gerontological nursing education in registered nursing and continuing education programs. Geriatr Nurs. 2015;36(3):239–41 Important to nursing education.

    PubMed  Google Scholar 

  92. Society of International Oncology Geriatrics. 2019; http://www.siog.org/, 2019.

  93. National Hartford Center of Gerontological Nursing Excellence. 2019; https://www.nhcgne.org/.

  94. Oncology Nursing Society. 2019; https://www.ons.org/.

  95. NCCN. (2019). Clinical practice guidelines in oncology: older adult oncology. 1.2016

  96. Conti G, Bowers C, O'Connell MB, Bruer S, Bugdalski-Stutrud C, Smith G, et al. Examining the effects of an experiential interprofessional education activity with older adults. J Interprof Care. 2016;30(2):184–90. https://doi.org/10.3109/13561820.2015.1092428.

    Article  PubMed  Google Scholar 

  97. Spetz J, Dudley N. Consensus-based recommendations for an adequate workforce to care for people with serious illness. J Am Geriatr Soc. 2019;67(S2):S392–9. https://doi.org/10.1111/jgs.15938.

    Article  PubMed  Google Scholar 

  98. Harden JT, Watman RA. The national hartford center of gerontological nursing excellence: an evolution of a nursing initiative to improve care of older adults. Gerontologist. 2015;55(Suppl 1):S1–12. https://doi.org/10.1093/geront/gnv056.

    Article  PubMed  Google Scholar 

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Overcash, J. Caring for the Older Person Who Is Diagnosed with Cancer: a Toolbox for the Geriatric Nurse. Curr Geri Rep 8, 302–309 (2019). https://doi.org/10.1007/s13670-019-00305-6

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