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"Make it up, dammit! Just lie! How can you expect to become a physician if you don't learn how to lie?" I used to recommend to junior medical students the first day they walked into a ward. I shared the wisdom accumulated in more than thirty years. I had survived thanks to a carefully woven web of lies. The mother of all lies holds there is an objective good, such as money, power, or prestige. We are expected to pursue it at the cost of denying ourselves, our unique living truth. This book narrates the journey of Lodovico Balducci in his discovery of the living truth: the ability to give and receive unconditional love. "Agape" is purposeful, determined, and committed love inspired by our own mystery, the most intimate needs and inspiration. Agape allowed Balducci to convert his worst liabilities, such as depression, into his most valuable assets when ministering to the suffering. Agape showed Balducci that he was "sacred," that is, endowed with a mission only he can accomplish, that "sacrifice" (the recognition of one's sacredness) is the meaning of existence, and that redemption (the paying of somebody else's debt for the common good) is the goal of personal sacrifice.
Because cancer in the older adult may be present in combination with other chronic conditions, including dementia and frailty, multidisciplinary care is especially important. This book provides nurses with essential information on the care and treatment of the older adult with cancer, including: An overview of cancer in the older adult, and barriers to treatment Prevention and screening of cancer in the older adult How to perform a comprehensive geriatric assessment, as a methodfor planning multidisciplinary care Practical applications of qualiy of life assessment and decision analysis Special considerations in radiation therapy and chemotherapy with the older adult Social and caregiver issues This book reflects lessons learned from a nurse-physician team who planned and implemented the Senior Adult Oncology Program at the.Moffit Cancer Center and Research Institute in Florida.
This volume highlights research issues specific to geriatric oncology in the field of carcinogenesis and cancer prevention and treatment, based on the biologic interactions of cancer and age. It conveys a sustainable way of thinking about cancer and aging.
The prevention and treatment of cancer in older patients requires an individualized approach, as age causes unpredictable results from patient to patient. Completely revised and updated, the Second Edition of Comprehensive Geriatric Oncology enables clinicians to choose the best possible cancer care. Highlighting newly emerging issues in geriatric oncology, it helps physicians promote cancer prevention. Like its groundbreaking, bestselling predecessor, this new edition exhaustively reviews the biology of cancer and aging, epidemiologic trends, and clinical trials that concern cancer prevention and treatment in the elderly. New chapters contain material on topics such as assessment, fragility...
Published in 2004: This new edition of Comprehensive Geriatric Oncology still offers an exhaustive review of the biology of cancer and aging, of the epidemiologic trends in the country and in the world, and of the clinical trials that concern cancer prevention and cancer treatment in the elderly.
The developed world has an increasingly aging population, with approximately 10% of the population aged over 65 years. As the incidence and prevalence of blood disorders increases with age, these conditions are a heavy burden on healthcare systems. Blood Disorders in the Elderly will provide hematologists, geriatricians and all clinicians involved in the care of patients with blood disorders with clear clinical advice on the diagnosis and management of these conditions. The introductory section reviews epidemiology of aging and anemia and provides a comprehensive approach to the management of cancer in the aging patient. This is followed by a full discussion of hemopoiesis and changes it undergoes in aging. The remaining sections cover the diagnosis and management of all major disorders: anemia, malignancy, coagulation and platelet disorders and hemophilia. A detailed chapter on antithrombotic therapies is also included.
Cancer and aging are integrally related. Cancer incidence and mortality increase with age, with most cancer diagnoses and deaths occurring in patients aged 65 and older. The aging of the Baby Boomer population, along with an overall increase in life expectancy, points to a doubling of the U.S. population over age 65 by the year 2030. This demographic shift, combined with the known association of cancer and aging, is expected to bring about a rapid growth in the older cancer-patient population. It is clear that geriatric principles must become part of oncology care. The evaluation and development of treatment recommen- tions for an older adult with cancer can be challenging for many reasons. Tumor biology and response to therapy are affected by age. In addition, age-related factors may impact treatment patterns, tolerance, and efficacy. These age-related factors include functional status declines, comorbid conditions, changes in cognitive function, weakening of organ function, decreases in physiologic reserve, and faltering social support.
Progress in the treatment of cancer over the past two decades has been rapid with many new and novel therapeutic modalities arriving at an unprecedented pace. Overall cancer mortality rates have actually begun to fall in parallel with progress in the diagnosis and treatment of malignant disease. Despite our advances in the understanding of the biology and molecular genetics of cancer, as well as the availability of an increasing array of effective therapies, cancer treatment today and for the foreseeable future will include the traditional modalities of surgery, radiation therapy and chemotherapy. Myelosuppressive agents with their potential hematopoietic toxicities remain the mainstay of sy...
The risk of cancer increases with age, and the number of older adults seeking treatment is increasing dramatically in line with the aging population. The care of older patients differs from that of younger adults because of differences in the biology of the tumor, age-related differences in host physiology, co-morbidity burden and psychosocial issues, which might impact the efficacy and side effects of cancer therapy. This book focuses on the management of hematological cancer and provides guidance on the management issues specific to older patients, spanning background and epidemiology, special considerations in the management of older people, therapeutics and psychosocial considerations.