- Email: [email protected]
Spiritual aspects of complexity
S12
2013 SIOG Speaker Abstracts
beam radiotherapy necessary. So far, this combination has mainly been given with contact X-rays and only sporadically with intraluminal brachytherapy. In this presentation, an overview of different options and possible selection criteria for specific treatments will be given. Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.217
S15 Colorectal cancer - pre-habilitation before colorectal surgery P. Somasundar⁎. United States
Roger Williams Medical Center, East Greenwich,
Abstract: There have been several advances in early detection, diagnosis, surgical management, anesthesia and perioperative care. These advance have made surgery a lot safer. However there is a group of patients especially the elderly who with multiple co-morbidities and several other factors are not good candidates for surgery as their perioperative recovery is compromised in certain situations. In most situations efforts are mainly made to intervene at the postoperative period and it may not be the most opportune moment to do so. The preoperative period may be a more emotionally and physically salient time to intervene with regards to factors that contribute to better recovery. This talk will reiterate the factors that have been applied to improve the postoperative outcomes with preoperative interventions. Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.218
S16 Geriatric oncology: A case of medical complexity/Clinical Aspects of Complexity L. Balducci⁎. Geriatric Oncology, Moffitt Cancer Center, Tampa, United States Abstract: A 76 year old woman with single brain metastases from breast cancer, present with high risk myelodysplasia. The management of this case exemplifies the complexity of geriatric oncology. Complexity is derived from the Latin cum plexere which means “to weave together.” In older individuals examples of medical complexity include polymorbidity, polypharmacy, the relation of the patient with the support system, and the ability of the patient to make medical decisions and follow a treatment program. Personalized cancer care, the hallmark of geriatric oncology, involves the understanding of medical complexity. This is best studied through the development of dynamic care models, rather than randomized clinical trials. Disclosure of Interest: None Declared. Keywords: None
differently by people in various parts of the world. The issue of spirituality becomes complex with illness especially when the time to live is short. While it is important to recognise and meet the needs of those from all cultures and creeds, to see spiritual care only as religious care trivialises and diminishes its true nature. The concept of spirituality is broader than religion. Religion refers to the spiritual doctrine and practices that exist in formal religious institutions. Spirituality, however, also encompasses beliefs and needs unrelated to organised religion that can be expressed outside a religious context,. However due to the illusive nature of spirituality outside organised religion and the lack of clarity in defining it, more attention has been given to the religious aspects in clinical care. In my presentation I will discuss the aspects of spirituality as what is commonly understood. With case studies as examples I will try to illustrate the difficulties that face professionals when dealing with people from various cultures. These difficult issues form the barriers to better care of the dying patient. Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.220
S18 Anemia in the elderly: Clinical relevance, differential diagnosis (ICUS, IDUS, MDS) and therapy L. Balducci⁎. Geriatric Oncology, Moffitt Cancer Center, Tampa, United States Abstract: The incidence and prevalence of anemia increase with age. Though age may be associated with a progressive reduction in erythropoiesis and drop in hemoglobin levels, aging may not be considered at present a cause of anemia, at least until age 90. Anemia in older individuals is associated with a number of health complications that include death, functional dependence, dementia, falls, and increased risk of therapeutic complications. In cancer patients anemia may be associated with increased risk of complications of cytotoxic chemotherapy. It is not clear at present whether reversal of anemia may prevent these adverse outcomes. In approximately 50% of cases the causes of anemia are reversible and include iron deficiency, nutritional deficiency, hypothyroidism, hypogonadism, and chronic renal insufficiency. Anemia of inflammation is the most common cause of anemia in cancer patients and may respond to erythropoiesis stimulating agents, whose use is controversial. In approximately 30% of cases the cause of anemia is unknown and in some cases it may represent early form of myelodysplasia. The important diagnostic issue of anemia of aging include: definition of anemia in older women, diagnosis of anemia from multiple causes, and detection of iron deficiency in the presence of inflammation Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.221
doi:10.1016/j.jgo.2013.09.219
S17 Spiritual aspects of complexity
S19 Relevance of age and comorbidities in risk scoring and decision making in MDS in the elderly
B. Devi . Sarawak General Hospital, Kuching, Sarawak, Malaysia
R. Stauder⁎. Internal Medicine V (Haematology, and Oncology), Innsbruck Medical University, Innsbruck, Austria
Abstract: Spirituality is a complex and weakly understood matter. Often spirituality is mistaken for religious needs. Life is viewed
Abstract: Myelodysplastic syndromes (MDS) represent a broad spectrum of clonal hematological disorders characterized by dysplastic
⁎
2013 SIOG Speaker Abstracts
beam radiotherapy necessary. So far, this combination has mainly been given with contact X-rays and only sporadically with intraluminal brachytherapy. In this presentation, an overview of different options and possible selection criteria for specific treatments will be given. Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.217
S15 Colorectal cancer - pre-habilitation before colorectal surgery P. Somasundar⁎. United States
Roger Williams Medical Center, East Greenwich,
Abstract: There have been several advances in early detection, diagnosis, surgical management, anesthesia and perioperative care. These advance have made surgery a lot safer. However there is a group of patients especially the elderly who with multiple co-morbidities and several other factors are not good candidates for surgery as their perioperative recovery is compromised in certain situations. In most situations efforts are mainly made to intervene at the postoperative period and it may not be the most opportune moment to do so. The preoperative period may be a more emotionally and physically salient time to intervene with regards to factors that contribute to better recovery. This talk will reiterate the factors that have been applied to improve the postoperative outcomes with preoperative interventions. Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.218
S16 Geriatric oncology: A case of medical complexity/Clinical Aspects of Complexity L. Balducci⁎. Geriatric Oncology, Moffitt Cancer Center, Tampa, United States Abstract: A 76 year old woman with single brain metastases from breast cancer, present with high risk myelodysplasia. The management of this case exemplifies the complexity of geriatric oncology. Complexity is derived from the Latin cum plexere which means “to weave together.” In older individuals examples of medical complexity include polymorbidity, polypharmacy, the relation of the patient with the support system, and the ability of the patient to make medical decisions and follow a treatment program. Personalized cancer care, the hallmark of geriatric oncology, involves the understanding of medical complexity. This is best studied through the development of dynamic care models, rather than randomized clinical trials. Disclosure of Interest: None Declared. Keywords: None
differently by people in various parts of the world. The issue of spirituality becomes complex with illness especially when the time to live is short. While it is important to recognise and meet the needs of those from all cultures and creeds, to see spiritual care only as religious care trivialises and diminishes its true nature. The concept of spirituality is broader than religion. Religion refers to the spiritual doctrine and practices that exist in formal religious institutions. Spirituality, however, also encompasses beliefs and needs unrelated to organised religion that can be expressed outside a religious context,. However due to the illusive nature of spirituality outside organised religion and the lack of clarity in defining it, more attention has been given to the religious aspects in clinical care. In my presentation I will discuss the aspects of spirituality as what is commonly understood. With case studies as examples I will try to illustrate the difficulties that face professionals when dealing with people from various cultures. These difficult issues form the barriers to better care of the dying patient. Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.220
S18 Anemia in the elderly: Clinical relevance, differential diagnosis (ICUS, IDUS, MDS) and therapy L. Balducci⁎. Geriatric Oncology, Moffitt Cancer Center, Tampa, United States Abstract: The incidence and prevalence of anemia increase with age. Though age may be associated with a progressive reduction in erythropoiesis and drop in hemoglobin levels, aging may not be considered at present a cause of anemia, at least until age 90. Anemia in older individuals is associated with a number of health complications that include death, functional dependence, dementia, falls, and increased risk of therapeutic complications. In cancer patients anemia may be associated with increased risk of complications of cytotoxic chemotherapy. It is not clear at present whether reversal of anemia may prevent these adverse outcomes. In approximately 50% of cases the causes of anemia are reversible and include iron deficiency, nutritional deficiency, hypothyroidism, hypogonadism, and chronic renal insufficiency. Anemia of inflammation is the most common cause of anemia in cancer patients and may respond to erythropoiesis stimulating agents, whose use is controversial. In approximately 30% of cases the cause of anemia is unknown and in some cases it may represent early form of myelodysplasia. The important diagnostic issue of anemia of aging include: definition of anemia in older women, diagnosis of anemia from multiple causes, and detection of iron deficiency in the presence of inflammation Disclosure of Interest: None Declared. Keywords: None doi:10.1016/j.jgo.2013.09.221
doi:10.1016/j.jgo.2013.09.219
S17 Spiritual aspects of complexity
S19 Relevance of age and comorbidities in risk scoring and decision making in MDS in the elderly
B. Devi . Sarawak General Hospital, Kuching, Sarawak, Malaysia
R. Stauder⁎. Internal Medicine V (Haematology, and Oncology), Innsbruck Medical University, Innsbruck, Austria
Abstract: Spirituality is a complex and weakly understood matter. Often spirituality is mistaken for religious needs. Life is viewed
Abstract: Myelodysplastic syndromes (MDS) represent a broad spectrum of clonal hematological disorders characterized by dysplastic
⁎