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Changing the negativ representations of old age cancer patients in geriatric oncology

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abstract_textpWith regard to the elderly cancer patient, different approaches by care providers hinder appropriate patient care and bring the matter of possible conditions for improving practices into consideration. An observation of the procedures for informing patients by the care providers allows the avoidance and truth avoidance tactics to be identified, which highlights the pessimism of care providers' thoughts with regard to elderly cancer patients. The study of patients' attitudes showed that, from their point of view, they "manipulate" the information they give to care providers, making light of their situation and thus preserving as much of their independence as possible. Finally, although from a different area, patients and care providers are driven by identical negative thoughts, that often shape the relationship without allowing attention to be given to each other's specific needs. A return to the psychological characteristics of a cancer patient suggests another possible perspective on the elderly cancer patient, and identifies the ways in which to support the changes in practices with regard to elderly cancer patients. The implementation of a participatory approach (an approach seen in the palliative care domain and applicable to all care situations) that encompasses the concept of a team project, professional training and areas dedicated to discussions with colleagues, is suggested as an alternative way to look at the care of elderly cancer patients. In conclusion, the concept of a Geriatric Oncology project, developed within the scope of a participatory approach, is proposed for all adult Oncology and Haematology departments, to change the negative ideas of care providers and contribute to the improvement of the management of elderly cancer patients./p/abstract_text

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