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Assessment and Management of Older Adults With Cancer

presented by Nicole L. Stout, DPT, CLT-LANA, FAPTA

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Target Audience:

Disclosure Statement:

Financial: Nicole Stout receives compensation from Survivorship Solutions, LLC, and is an SME consultant. She also receives compensation from MedBridge for this course.

Nonfinancial: Nicole Stout is a member of the WHO Development Group on the Package of Essential Interventions in Cancer Rehabilitation. She is also a steering committee member of the Exercise is Medicine™ Moving Through Cancer Task Force.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 47 Minutes; Learning Assessment Time: 46 Minutes

Older adults with cancer are a large and growing segment of our population. Geriatric oncology is a medical discipline that has emerged with evidence for specific assessment tools and interventions that are tailored to the needs of older adults. Rehabilitation providers should be aware of the specific guidelines and recommendations that support care interventions for older adults with cancer. This course will describe the unique needs of older adults with cancer and outline the specific assessment tools and evidence-based rehabilitation interventions for this population. The course will review current oncology guidelines for older adults with cancer and identify the relevant recommendations that impact the rehabilitation plan of care.

Meet Your Instructor

Nicole L. Stout, DPT, CLT-LANA, FAPTA

Dr. Nicole L. Stout is a research assistant professor in the School of Medicine, Department of Hematology/Oncology at West Virginia University Cancer Institute and with the School of Public Health, Department of Health Policy, Management, and Leadership. She also serves as the associate director of the WVU Cancer Institute's Survivorship Program, where she coordinates the…

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Chapters & Learning Objectives

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1. Cancer in Older Adults

As an individual ages, the risk of developing cancer increases. Older adults with cancer, however, experience the disease and the treatment side effects and outcomes differently due to the confluence of age-related factors and preexisting comorbidities alongside cancer treatments. This chapter will discuss the unique needs of older adults with cancer and will introduce the discipline of geriatric oncology and its comprehensive approach to cancer care for older adults.

2. Assessment of Older Adults With Cancer

Older adults with cancer require a comprehensive approach to assessing function and performance throughout the duration of cancer care delivery. The use of a comprehensive geriatric assessment for individuals with cancer has a large and growing evidence base with demonstrable improvement in outcomes through comprehensive assessment and morbidity management. This chapter will cover the domains of the geriatric assessment and will review guidelines for clinical use in older adults with cancer.

3. Rehabilitation Intervention Considerations for Geriatric Oncology

Cancer care occurs along a protracted timeline, with individuals in active treatment for one year or more. Side effects differ with each antineoplastic modality and often accumulate over time. This chapter will review the time course of cancer treatment, the common side effects associated with each phase of cancer care, and the impact on older adults’ function. Rehabilitation strategies and interventions will be discussed.

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