Table 2.
Cancer and Aging Resiliency Clinic Team and Assessment Parameters
| 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 |
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