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Table 2 Cancer and Aging Resiliency Clinic Team and Assessment Parameters

From: Implementing a multidisciplinary approach for older adults with Cancer: geriatric oncology in practice

 

Physician Assessments

Physican

Longevity – SEERa Life Expectancy by gender

Depression and anxiety – Your Feelings/LASA

Chemotherapy toxicity – CARGb Chemotherapy Toxicity Calculator

Geriatric syndromes – incontinence, insomnia, delirium, falls, pressure ulcers, constipation/diarrhea

Geriatric assessment metrics – fatigue vs exhaustion

 

Audiology Assessments

Audiologist

Hearing loss – pure tone air and pure tone bone conduction audiometry

Ear health - otoscopy

Speech and word recognition thresholds (social disengagement) – ASHAc

Middle ear conduction - tympanometry

Pharmacy Assessments

Pharmacist

Medication reconciliation – Beers Criteria [13]

Medication management – review of medication names, use, administration schedule

Clinically relevant medication issues - Drug therapy problems

Drug-induced neuropathy or ototoxicity

Potential drug toxicities and interactions – medication history

Physical Therapy Assessments

Physical Therapist

Mobility (fall risk) – Timed Up and Go [14, 15]

Higher-level balance and postural stability (fall risk) – Functional Gait Assessment

Functional lower limb strength (fall risk) – 5X sit to stand

Ambulatory assistive device (fall risk) – grab bars, chairs, rollator, cane, etc.

Pain – active range of motion/passive range of motion

Case Management Assessments

Nurse Case Manager

Financial toxicity - socioeconomic evaluation

Independence – ADLsd and IADLsd

Social isolation – caregiver and social support

Coping – psychosocial referral

Preparedness – review of advance directives

Nutrition Assessments

Nutritionist

Malnutrition –mini-nutritional assessment screening [16] and counseling

Digestive issues – diarrhea/constipation

Strength and energy – nutritional intake

Body measurements - anthropometrics

Nutritional education – information booklets

Nursing Assessments

Nurse

Cognition – Blessed [13] or MoCAe,[17]

Laboratory: abnormalities in vitals, hematologic, or chemistry and liver function tests

  1. aSEER: Surveillance Epidemiology End Results; bCARG: Cancer and Aging Research Group; cASHA: American Speech-Language-Hearing Association; d(I)ADL: (Instrumental) Activities of Daily Living; eMoCA: Montreal Cognitive Assessment