Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics
Abstract
:Simple Summary
Abstract
1. Introduction
2. Aging-Related Changes and Palliative Care
3. The Intersection of Palliative Care and Geriatrics
4. Management of Specific Symptoms in Older Adults with Cancer
4.1. Pain
4.2. Anorexia/Cachexia
4.3. Dyspnea
4.4. Delirium
4.5. Nausea
5. Shared Decision Making in Older Adults with Cancer Receiving Palliative Care
5.1. Advanced Care Planning in Older Adults
5.2. Cognitive Impairment and Shared Decision Making
6. Delivery of Palliative Care for Older Adults with Cancer
6.1. Hospitals, Long-Term Care Facilities, and Home Care
6.2. Resource-Constrained Settings
6.3. Transition and Coordination of Care
7. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Workforce |
---|
1. Continued dialogue on ways to train mid-career providers since fellowship training will not meet workforce needs |
2. Better understanding of the current workforce issues in hospice and palliative medicine and geriatrics through incorporation of questions into workforce studies and surveys |
3. Identification of areas of resistance to collaboration |
4. Delineation of unique and overlapping competencies |
Research |
1. Joint advocacy for research in advanced illness/multimorbidity/symptom burden and symptom management in older adults |
2. Increased communication to relevant stakeholders regarding the vacuum in geriatrics/hospice and palliative medicine research |
3. Increasing research funding |
Education |
1. Including educational material regarding geriatrics and palliative care in specialized conferences for both specialties |
2. Joint memberships in international and national societies |
Policy |
1. Confer on matters of mutual clinical and policy importance |
2. Share policy and advocacy initiatives regularly to highlight areas of mutual interest and emphasis |
3. Prepare statements and political approaches to “hot button” issues, including but not limited to rationing, healthcare reform, end-of-life care, Medicare cost-cutting initiatives |
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© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Castelo-Loureiro, A.; Perez-de-Acha, A.; Torres-Perez, A.C.; Cunha, V.; García-Valdés, P.; Cárdenas-Reyes, P.; Soto-Perez-de-Celis, E. Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics. Cancers 2023, 15, 3858. https://doi.org/10.3390/cancers15153858
Castelo-Loureiro A, Perez-de-Acha A, Torres-Perez AC, Cunha V, García-Valdés P, Cárdenas-Reyes P, Soto-Perez-de-Celis E. Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics. Cancers. 2023; 15(15):3858. https://doi.org/10.3390/cancers15153858
Chicago/Turabian StyleCastelo-Loureiro, Alicia, Andrea Perez-de-Acha, Ana Cristina Torres-Perez, Vanessa Cunha, Paola García-Valdés, Paula Cárdenas-Reyes, and Enrique Soto-Perez-de-Celis. 2023. "Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics" Cancers 15, no. 15: 3858. https://doi.org/10.3390/cancers15153858