Nutritional problems and care of patients with far-advanced disease

Abstract

Nutritional problems in far-advanced disease have complex and interrelated causes. This is particularly true with cancer patients, who may have systemic disease producing multiple physical and psychological effects and who require complex treatment. Some solutions can be found which, if tailored to the individual patient, can improve the quality of life for both relatives and patients.

Keywords

anorexia appetite disorders food preferences neoplasms nutrition disorders palliative treatment

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References

Editorial. Palliative Medicine 1987; 1.

Bistrian BR , Blackburn GL , Vitale J. et al. Prevalence of malnutrition in general medical patients. JAMA 1976; 235: 1567-70.

Todd E. , Hunt P. , Crowe P. , Royle GT What do patients eat in hospital? Human Nutrition: Applied Nutrition 1984; 38A: 294-97.

Coates V. Are they being served? London: Royal College of Nursing, 1985.

Taylor M. Food, glorious food. Nursing Times 1988; 84(13): 28-30.

Detsky AS , Baker JP , Mendelson RA et al. Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients: methodology and comparisons. Journal of Parenteral and Enteral Nutrition 1984; 8: 153-59.

Heatley RV Do dietary factors cause cancer in man? Clinical Nutrition 1985; 4: 1-6.

Dewys WD , Begg C. , Lavin PT et al. Prognostic effect of weight loss prior to chemotherapy in cancer patients. Am J Med 1980; 68: 683-90.

Dowd PS , Heatley PV The influence of undernutrition on immunity. Clinical Science 1984; 66: 241-48.

10.

Dewys WD Nutritional care of the cancer patient. JAMA 1980; 244: 374-76.

11.

Cerami A. , Beutler B. The role of cachectin/ TNF in endotoxic shock and cachexia. Immunology Today 1988; 9(1): 28-31.

12.

Walsh TD , West TS Controlling symptoms in advanced cancer. Br Med J 1988; 296: 477-81.

13.

Schulze-Delrieu K. Metoclopramide. N EnglJ Med 1981; 305: 28-32.

14.

Bruera E. , Roca E. , Cedaro L. et al. Action of oral methylprednisolone in terminal cancer patients; a prospective double blind study. Cancer Treat Rep 1985; 69: 751-54.

15.

Anonymous. Cyproheptadine. Lancet 1978; i: 367-68.

16.

Weisman AD Coping with cancer. McGraw-Hill, 1979 .

17.

Fowlie M. , Berkeley J. Quality of life - a review of the literature. Family Practice 1987; 4(3): 226-34.