Onkologie 2020: 14(Suppl.C): 35-38 | DOI: 10.36290/xon.2020.054

How to approach anorexia and nutrition in palliative patients?

Lukáš Pochop
Klinika komplexní onkologické péče, Masarykův onkologický ústav, Brno

Nutrition is an integral part of comprehensive patient care. Diet intake is associated with vitality and the possibility of continuing cancer therapy. It should be noted that with advanced cancer, the body's ability to use energy changes. Weight loss and anorexia can have various causes. In many cases, these causes can be influenced by appropriate medication adjustment as well as by dietary measures. Adequate education of caregivers leads to less urge for "healthy nutrition" and the associated effort to find a miracle pill. The goal is proper nutrition at the right time, thus providing appropriate comfort to palliative patients.

Keywords: palliative care, nutritional support, anorexia, cachexia, sipping, malnutrition.

Published: June 2, 2020  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Pochop L. How to approach anorexia and nutrition in palliative patients? Onkologie. 2020;14(Suppl.C):35-38. doi: 10.36290/xon.2020.054.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Matsuo N, Morita T, Matsuda Y. Predictors of responses to corticosteroids for anorexia in advanced cancer patients: a multicenter prospective observational study. Support Care Cancer. 2017; 25(1): 41-50. Go to original source... Go to PubMed...
    2. Lesniak W, Bala M, Jaeschke R. Effects of megestrol acetate in patients with cancer anorexia-cachexia syndrome--a systematic review and meta-analysis. Pol Arch Med Wewn. 2008; 118(11): 636-44. Go to original source... Go to PubMed...
    3. Jatoi A, Rowland K, Loprinzi CL, et al. An eicosapentaenoic acid supplement versus megestrol acetate versus both for patients with cancer-associated wasting: a North Central Cancer Treatment Group and National Cancer Institute of Canada collaborative effort. J Clin Oncol. 2004 Jun 15; 22(12): 2469-2476. Go to original source... Go to PubMed...
    4. Miller S, McNutt L, McCann MA, Use of corticosteroids for anorexia in palliative medicine: a systematic review. J Palliat Med. 2014; 17(4): 482-485. Go to original source... Go to PubMed...
    5. Modrá kniha České onkologické společnosti v 1/2020 dostupné na https://www.linkos.cz/files/modra-kniha/18/696.pdf
    6. Jatoi A, Windschitl HE, Loprinzi CL, Dronabinol versus megestrol acetate versus combination therapy for cancer-associated anorexia: a North Central Cancer Treatment Group study. J Clin Oncol. 2002; 20(2): 567-573. Go to original source... Go to PubMed...
    7. Kast RE, Foley KF. Cancer chemotherapy and cachexia: mirtazapine and olanzapine are 5-HT3 antagonists with good antinausea effects. Eur J Cancer Care (Engl). 2007 Jul; 16(4): 351-354. Go to original source... Go to PubMed...
    8. Sochor M, Závadová I, Sláma O. Paliativní péče v onkologii. Praha: Mladá fronta 2019: 17-187, 282-287.
    9. Tomíška M. Výživa onkologických pacientů. Praha: Mladá fronta 2019: 633-662, 685-698.
    10. ESPEN Cancer Guidelines 2016. Clin Nutr. 2016 Aug 6. pii: S0261-5614(16)30181-9.
    11. Caccialanza R, Constans T, Cotogni P, Subcutaneous Infusion of Fluids for Hydration or Nutrition: A Review. JPEN J Parenter Enteral Nutr. 2018; 42(2): 296-307. Go to original source... Go to PubMed...

    Return to the content


    Oncology

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.