Abstract
Breast cancer is the most common type of cancer in women worldwide World Health Organization (WHO). It is estimated that 568,000 deaths occurred in women from breast cancer in 2016. As women age their risk of breast cancer increases. The lifetime risk of developing breast cancer in women is 1 in 8. However, the older you are, the higher the risk. This means a 30 year old has a 1 in 227 risk of developing cancer as compared to a 70 year old whose risk is 1 in 26. Older adults diagnosed with cancer often have needs that are left unmet. Nurses play essential roles as part of the multi-disciplinary team caring for older women with breast cancer. As often is the case with nurses, they play many unique roles throughout patient’s trajectory of care including, but not limited to, providing clinical care, to psychosocial support, to helping patients navigate the system. This chapter will highlight the importance of nurses in providing care for older women with breast cancer through their trajectory of care.
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References
World Health Organization. Breast cancer: prevention and control. 2018a. http://www.who.int/cancer/detection/breastcancer/en/index1.html. Accessed 10 June 2018.
World Health Organization. Health statistics and information systems: Disease burden and mortality estimates. World Health Organization, Geneva Global Health Estimates 2016: Deaths by Cause, Age, Sex, by Country and by Region, 2000–2016. Geneva, World Health Organization. 2018b. http://www.who.int/healthinfo/global_burden_disease/estimates/en/. Accessed on 10 June 2018.
Centers for Disease Control and Prevention. What are the risk factors for breast cancer?. 2017. https://www.cdc.gov/cancer/breast/basic_info/risk_factors.htm. Accessed 20 May 2018.
National Cancer Institute. Breast cancer risk in American women. 2012. https://www.cancer.gov/types/breast/risk-fact-sheet. Accessed 10 June 2018.
Puts MT, Papoutsis A, Springall E, et al. A systematic review of unmet needs of newly diagnosed older cancer patients undergoing active cancer treatment. Support Care Cancer. 2012;20:1377–94.
Thavarajah N, Menjak I, Trudeau M, et al. Towards an optimal multidisciplinary approach to breast cancer treatment for older women. Can Oncol Nurs J. 2015;25:384–95.
Trevillion K, Singh-Carlson S, Wong F, et al. An evaluation report of the nurse navigator services for the breast cancer support program. Can Oncol Nurs J. 2015;25:409–21.
Montgomery M, McCrone SH. Psychological distress associated with the diagnostic phase for suspected breast cancer: systematic review. J Adv Nurs. 2010;66:2372–90.
Racz JM, Holloway CMB, Huang W, et al. Improving patient flow and timeliness in the diagnosis and management of breast abnormalities: the impact of a rapid diagnostic unit. Curr Oncol. 2016;23:e260–5.
Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Patient Educ Couns. 2008;72:283–92.
Pieters HC, Heilemann MV, Grant M, et al. Older women’s reflections on accessing care across their breast cancer trajectory: navigating beyond the triple barriers. Oncol Nurs Forum. 2011;38:175–84.
Pineault P. Breast cancer screening: women’s experiences of waiting for further testing. Oncol Nurs Forum. 2007;34:847–53.
Harding MM, McCrone S. Experiences of non-navigated women undergoing breast diagnostic evaluation. Clin J Oncol Nurs. 2013;17:E8–E12.
Walter LC, Schonberg MA. Screening mammography in older women: a review. J Am Med Assoc. 2014;311:1336–47.
Ferrante JM, Chen P, Kim S. The effect of patient navigation on time to diagnosis, anxiety, and satisfaction in urban minority women with abnormal mammograms: a randomized controlled trial. J Urban Health. 2007;85:114–24.
Baliski C, McGahan CE, Liberto CM, et al. Influence of nurse navigation on wait times for breast cancer care in a Canadian regional cancer center. Am J Surg. 2014;207:686–92.
Drageset S, Lindstrøm TC, Giske T, et al. Being in suspense: women’s experiences awaiting breast cancer surgery. J Adv Nurs. 2011;67:1941–51.
Burton M, Collins K, Lifford K, et al. The information and decision support needs of older women (>75 yrs) facing treatment choices for breast cancer: a qualitative study. Psychooncology. 2014;24:878–84.
Wildiers H, Kunkler I, Biganzoli L, et al. Management of breast cancer in elderly individuals: recommendations of the International Society of Geriatric Oncology. Lancet Oncol. 2007;8:1101–15.
Angarita FA, Chesney T, Elser C, et al. Treatment patterns of elderly breast cancer patients at two Canadian cancer centres. Eur J Surg Oncol. 2015;41:625–34.
Yeom H, Heidrick S. Effect of perceived barriers to symptom management on quality of life in older breast cancer survivors. Cancer Nurs. 2009;32:309–19.
Oh D, Flitcroft K, Brennan M, et al. Patterns and outcome of breast reconstruction in older women- a systematic review of the literature. Eur J Surg Oncol. 2016;42:604–15.
Saxena S, Lawley D. Delirium in the elderly: a clinical review. Postgrad Med J. 2009;85:405–13.
Mata L, Azevedo C, Policarpo A, et al. Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study. Rev Lat Am Enfermagem. 2017;25:e2904.
Buckeridge D, Huang A, Hanley J, et al. Risk of injury associated with opioid use in older adults. J Am Geriatr Soc. 2010;58:1664–70.
Morris BA, Benetti M, Marro H, et al. Clinical practice guideline for early mobilization hours after surgery. Orthop Nurs. 2010;29:317–8.
Crivellari D, Aapro M, Leonard R, et al. Breast cancer in the elderly. J Clin Oncol. 2007;25:1882–90.
Diab SG, Elledge RM, Clark GM. Tumor characteristics and clinical outcome of elderly women with breast cancer. J Natl Cancer Inst. 2000;92:550–6.
Dunnwald LK, Rossing MA, Li CI. Hormone receptor status, tumor characteristics, and prognosis: a prospective cohort of breast cancer patients. Breast Cancer Res. 2007;9:1–10.
Smith BD, Buchholz TA. Radiation treatments after breast-conserving therapy for elderly patients. J Clin Oncol. 2013;31:2367–8.
Burdette-Radoux S, Muss HB. Adjuvant chemotherapy in the elderly: whom to treat, what regimen? Oncologist. 2006;11:234–42.
Malik MK, Tartter PI, Belfer R. Undertreated breast cancer in elderly. J Cancer Epidemiol. 2013;7:1–7.
Grace JY, Ellen GL, Caryn A, et al. Older women, breast cancer, and social support. Support Care Cancer. 2010;18:1521–30.
Posma ER, Weert J, Jansen J, et al. Older cancer patients’ information and support needs surrounding treatment: an evaluation through the eyes of patients, relatives and professionals. BMC Nurs. 2009;8:1–15.
Wong J, D’Alimonte L, Angus J, et al. Development of patients’ decision aid for older women with stage I breast cancer considering radiotherapy after lumpectomy. Int J Radiat Oncol Biol Phys. 2012;84:30–8.
Puts MT, Santos B, Hardt J, et al. An update on a systematic review of the use of geriatric assessment for older adults in oncology. Ann Oncol. 2014;25:307–15.
Fried TR, Bradley EH, Towle VR, et al. Understanding the treatment preferences of seriously ill patients. N Engl J Med. 2002;346:1061–6.
Goodwin JS, Satish S, Anderson ET, et al. Effect of nurse case management of the treatment of older women with breast cancer. J Am Geriatr Soc. 2003;51:1252–9.
Brown L, Mutter R, Halyard M. Benefits, risks, and safety of external beam radiation therapy for breast cancer. Int J Women’s Health. 2015;7:449–58.
Wickberg A, Liljegern G, Killander F, et al. Omitting radiotherapy in women ≥ 65 years with low-risk early breast cancer after breast conserving surgery and adjuvant endocrine therapy is safe. Eur J Surg Oncol. 2018;44:951–6.
Dikken C, Sitzia J. Patients’ experiences of chemo-therapy: side-effects with 5-fluorouracil = folinic acid in the treatment of colorectal cancer. J Clin Nurs. 1998;7:371–9.
Maguire R, Miller M, Sage M, et al. Results of a UK based pilot study of a mobile phone based advanced symptom management system (ASyMS©) in the remote monitoring of chemotherapy related toxicity. Clin Eff Nurs. 2005;9:202–10.
McCann L, Maguire R, Miller M, et al. Patients’ perceptions and experiences of using a mobile phone-based advanced symptom management system (ASyMS©) to monitor and manage chemotherapy related toxicity. Eur J Cancer Care. 2009;18:156–64.
Mazanec P, Maryjo PP. Integrating palliative care into active cancer treatment. Semin Oncol Nurs. 2014;30:203–11.
Dahlin C. Palliative care: delivering comprehensive oncology nursing care. Semin Oncol Nurs. 2015;31:327–37.
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Prajapati, V., Rotstein, S., Sarvanantham, S. (2019). Nurses’ Role in Care of Older Women with Breast Cancer. In: Reed, M., Audisio, R. (eds) Management of Breast Cancer in Older Women. Springer, Cham. https://doi.org/10.1007/978-3-030-11875-4_15
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DOI: https://doi.org/10.1007/978-3-030-11875-4_15
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