Frailty in Older Adults: Assessment, Support, and Treatment Implications in Patients With Cancer

Clin J Oncol Nurs. 2018 Dec 1;22(6):8-18. doi: 10.1188/18.CJON.S2.8-18.

Abstract

Background: Frailty is defined as a disability in those of advanced age, often with comorbidities, poor nutritional status, cognitive decline, and reduced functional status.

Objectives: The purpose of this article is to discuss the concept of frailty, assess the use of a comprehensive geriatric assessment (CGA), and understand the implications for treatment to maintain or enhance physical, functional, and cognitive health of older adult patients with cancer.

Methods: Literature about frailty in older adult patients diagnosed with cancer was reviewed to determine evidence-based assessment and treatment options.

Findings: About half of all older adult patients with cancer experience some degree of frailty. CGA is a useful way to evaluate frailty and the extent of limitations. Many frailty-specific tools have been developed. Evidence-based strategies are available to address limitations associated with frailty in older adult patients with cancer.

Keywords: cancer; comprehensive geriatric assessment; frail; geriatric oncology; older adult.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Aged, 80 and over
  • Combined Modality Therapy
  • Decision Making
  • Evidence-Based Medicine
  • Female
  • Frailty / diagnosis*
  • Frailty / nursing*
  • Geriatric Assessment / methods*
  • Geriatric Nursing / organization & administration
  • Humans
  • Male
  • Needs Assessment
  • Neoplasms / diagnosis
  • Neoplasms / therapy*
  • Nursing Assessment / methods*
  • Outcome Assessment, Health Care
  • Severity of Illness Index