Abstract
BackgroundOver 50 % of cancers occur in people aged 70 and older, and 60 % of all cancer deaths occur in this population. Cancer care for the older adult is complex related to comorbidities, age related changes and various social needs. They also may experience cognitive and physical limitations during their cancer journey. At Moffitt Cancer Center, 49 % of patients seen in clinic, in hospital, in diagnostic and procedure areas are 65 years of age and over. The purpose of this quality project was to craft age friendly cancer care utilizing the 4 Ms framework as a roadmap to enterprise spread at an NCI Designated Comprehensive Cancer Center. MethodsEach new patient to the Senior Adult Oncology Program receives geriatric screening with SAOP-3, Timed up and Go and asked, “what matters most”. The SAOP-3 Geriatric screening tool includes domains for screening depression and cognitive impairment. High risk medications prompt a pharmacy consult for deprescribing opportunities. ResultsSince becoming recognized as an AFHS, the 4 M's have been implemented in all inpatient units at 2 hospitals and continue to spread to ambulatory clinics on 4 outpatient sites. Further enterprise spread totals over 5500 geriatric oncology patients were screened utilizing the SAOP-3 screening tool.
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