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Problem Solving in Older Cancer Patients: A case-study based reference and learning resource
by Alistair Ring, Royal Marsden Hospital, Surrey; Danielle Harari, Tania Kalsi, Janine Mansi, Guys and St Thomas’s Hospital, London
Problem Solving Series
Book (328 Pages)
November 2015
978 1 84692 110 0
Supported by the Association of Cancer Physicians and the British Geriatrics Society.

An evidence-based guidebook that will assist the physician manage the older cancer patient implementing the appropriate treatment strategy taking account of comorbidities, frailty, and patient choice. Each clinical case will include a concise discussion on patient presentation and of scenarios underpinning issues experienced by older patients followed by a clear appraisal of how the latest clinical research impacts on patient management. This large cohort of patients requires both innovative care and individual attention, and this carefully crafted book shares the experience of an expert multidisciplinary team in the interest of patient centred care.
Oncologists, surgeons, general physicians and trainees for these positions, oncology nurses, clinical scientists, healthcare administrators.
SECTION ONE Perspectives

Cancer in Older People: an Overview, Catherine Handforth, Nicola Turner, David Jackson, Andrew Clegg, Peter Hall, Katie Spencer, Geoff Hall, Mark Lawler, Peter Selby

Clinical Epidemiology and Patterns of Care for Cancer in Older Patients, Rebecca J. Birch, Katie L. Spencer, Eva J.A. Morris

Improving Care for Older Cancer Patients in the NHS, Sean Duffy, Mike Birtwistle

Strategies to Improve Outcomes for Older Cancer Patients: Learning from the Improving Cancer Treatment Assessment and Support for Older People Project, Jane Maher

A European Perspective on Cancer Care in Older People, Gilbert Zulian, Hans Wildiers, Etienne Brain

Clinical Trials in Older Patients with Cancer, Khurum Khan, Matthew Seymour, Alistair Ring, Peter Johnson

Comprehensive Geriatric Assessment and Available Tools, Danielle Harari, Tania Kalsi

Special Issues Concerning Radiotherapy in Older Cancer Patients, Allan Price

Special Issues Concerning Systemic Anticancer Therapy in Older Cancer Patients, Satish Kumar

Special Issues in the Selection of Older Cancer Patients and Delivery of Their Surgery, Anita Hargreaves, William Cross, Paul Finan, Riccardo Audisio

Drug Therapy in Older People: Pharmacology and the Dangers of Polypharmacy, Denis Curtin, Paul Gallagher

Screening for Breast and Prostate Cancer in the Older Population, Jenna Morgan, Freddie Hamdy, Malcolm Reed

The Nursing Perspective, Natalie Doyle, Richard Henry

Allied Health Professional Perspective, Karen Hargreaves, Thangaraj Senniappan, Margot Gosney

Perspectives from a GP on Care of Older People with Cancer, Winnie Kwan
Anaesthetic Perspective, Stephen Alcorn, Irwin Foo

Ethics, Consent and Capacity in the Older Cancer Patient, Matthew Appleby, Margot Gosney

Palliative Care in Older Cancer Patients, Lucy Adkinson, Michael I. Bennett

SECTION TWO Case Studies

A Patient with Lung Cancer, Chronic Obstructive Pulmonary Disease, Hypertension and Dizziness, Aspasia Soultati, Sasi Pathmanathan, Matt Sweeting, Ana Montes

Colorectal Cancer in a Patient with an Aortic Abdominal Aneurysm, Peripheral Vascular Disease and Poor Nutritional Status, Dimitra Repana, David Shipway, Paul Ross

A Patient with Early-Stage Lung Cancer and Heart Disease, Adam P. Januszewski, Danielle Harari, Mary E.R. O'Brien

A Patient with Colorectal Cancer, Liver Metastases and Falls, Sarah J.L. Payne, Margot Gosney, Matthew Seymour

Adjuvant Chemotherapy in a Patient with Breast Cancer, Jenny Seligmann, Margot Gosney, Bob Leonard

A Patient with Intermediate-Risk Prostate Cancer, Transient Ischaemic Attack and Impotence, Kathryn Mitchell, Hannah Taylor, Danielle Harari, Malcolm Mason

Surgery for Upper Gastrointestinal Cancer in a Morbidly Obese Patient with Diabetes and Renal Impairment, Doraid Alrifai, David Shipway, Sarah Ngan

Carcinoma of Unknown Primary in a Patient with Multiple Comorbidities, Kiruthikah Thillai, Jacqueline Simms, Sarah Rudman, Jonathan Birns

Incontinence Developing During Chemotherapy in a Patient with Advanced Ovarian Cancer and Diabetes, Jane Hook, Eileen Burns, David Jackson

A Patient with Breast Cancer and Dementia, Debra Josephs, Kimberley Kok, Finbarr Martin, Eleni Karapanagioto

A Patient with Acute Myeloid Leukaemia, Comorbidities and Fatigue, Emma Drasar,
Emily Bart-Smith, Gulnaz Shah, Tania Kalsi, Timothy Chevassut

A Frail Patient with Colorectal Cancer Considered for Chemotherapy Who Struggles to Complete Activities of Daily Living, Sharmistha Ghosh, Joanna Hardwick, Peter Diem, Debashis Sarker

Optimal First-Line Management of a Patient with Metastatic Renal Cell Carcinoma, Michael Davidson, Samantha Keeling, Lisa Pickering

Lymphoma in a Patient with Pre-existing Depression and Parkinson’s Disease Who Struggles to Complete Activities of Daily Living, Hazel Lote, Andrew Webb, Edward Spilg

A Patient with Carcinoma of the Thyroid and Delirium, Cressida Lorimer, James Fleet,
Kate Newbold

Pancreatic Cancer in a Patient on More Than 10 Internal Medicine Therapies, Alicia Okines, Ian Chau, Juliet Wright

Advanced Ovarian Cancer in a Patient who Is Socially Isolated and Deaf, Emily Grist,
Lucy Dumas, Jacqueline Gilbert, Susana Banerjee

Fitness for Radical Surgery in a Patient with Uterine Cancer, Hypertension, Obesity and Peripheral Vascular Disease, Edward Armstrong, Ingrid Kane, Sonali Kaushik, Kate Lankester

A Patient with Head and Neck Cancer Who Is a Heavy Smoker with Emphysema and Poor Nutrition, Kee Howe Wong, Fionna Martin, Peter Diem, Shree Bhide

Fitness of a Patient with Advanced Melanoma for Therapy with Checkpoint Inhibitors, Lucy Dumas, Joanna Hampton, James Larkin

A Patient with Parkinson’s Disease and Oesophageal Cancer Exhibiting Significant Upper Gastrointestinal Toxicity, Nausea and Vomiting from Chemotherapy, Adam Sharp,
Pamela Seenan, David Watkins

Diarrhoea in a Patient on Chemotherapy for Colorectal Cancer, Alexandra Pender,
James Fleet, Danielle Harari, Naureen Starling

A Patient with Breast Cancer Experiencing Cardiac Toxicity on Chemotherapy, M.H. Ruhe Chowdhury, Joanna Hardwick, Mark Kinirons, Mark Harries

Chemotherapy Resulting in Acute Kidney Injury in a Patient with Bladder Cancer, Iva Damyanova, Vidhya Nair, Christy Ralph

Partial Nephrectomy Followed by Hand-Foot Syndrome in a Patient with Renal Cancer Receiving Tyrosine Kinase Inhibitor Therapy, Nicola Hughes, Vidhya Nair, Naveen Vasudev

They Disagree! Choice of Therapy by a Patient with Cholangiocarcinoma and His Family, Adel Jebar, Nicola Turner, Daniel Swinson

A Patient with Muscle-Invasive Bladder Cancer for Radiotherapy or Surgery Who Experiences Falls, Daniel Lee, Naveen Vasudev, William Cross, Zuzanna Sawicka, Ann Henry

Early Prostate Cancer in an Asymptomatic Patient with Urinary Incontinence and History of Deep Vein Thrombosis, Vijay Bhagawati-Prasad, Satinder Jagdev, William Cross, Eileen Burns

A Blind Patient with a Large Gastrointestinal Stromal Tumour for Radical Surgery,
Sebastian Trainor, Zuzanna Sawicka, Maria Marples

Use of Radical Radiotherapy in a Patient with a Brain Tumour and Deafness, Vinton Cheng, Nicola Turner, Susan Short

A Patient with Gastric Cancer and Problems with Vascular Access, Samantha Turnbull, Claire Scampion, Nicola Turner, Alan Anthoney

A Patient with Infectious Complications and Neutropenia on Chemotherapy, Gordon Urquhart, Claire Scampion, Nicola Turner, Tim Perren

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