Optional discussion worksheet

Later-life cancer care

Bring everyday function, medicines, nutrition, communication and available support into a treatment conversation.

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1. Start with the person, not their age

This sheet does not diagnose frailty or replace a geriatric assessment. Tell the team about changes from the person’s usual abilities and ask what can be improved.

The patient’s own goals, valued activities and acceptable trade-offs

Usual ability and recent changes: washing, dressing, meals, shopping and money tasks

Walking, balance, falls, stairs or equipment that helps

Memory or concentration changes; hearing, sight, language or reading support

What the patient would like to manage independently; help they are comfortable accepting

2. Medicines, food and real-world support

Attach the current medicine list or caregiver-toolkit record. Include over-the-counter, herbal and traditional products. Do not stop medicines or change doses yourself.

Medicine-list location; allergies; problems taking medicines or collecting prescriptions

Appetite, weight change, swallowing, teeth, shopping or cooking difficulties

Other medical conditions, pain, sleep or mood concerns to discuss

Who is realistically available; transport, finances, home access and caregiver limits

Questions for pharmacy, nutrition, rehabilitation or other assessment

3. Turn assessment into an agreed support plan

A different dose or schedule may be considered for clinical reasons. Ask about the goal and evidence rather than assuming age alone determines treatment.

Team-confirmed options and effects on independence, symptoms and expected benefit

Actions to improve function or safety before or during treatment / owner / date

Support and transport arranged; backup if the main caregiver is unavailable

Team-confirmed urgent symptoms and contact route

Review date; what to monitor and when the plan should be reconsidered

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These are discussion prompts, not prescriptions, emergency instructions or formal medical or legal documents. Use the current verified plan from your care team.

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Sources and further reading

These prompts accompany the source-checked guides linked above. Their Sources and further reading sections contain the original references.

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