scholarly journals Clinical Implications of the Interdisciplinary Psychosocial Approach and Integrative Care for Patients with Advanced Cancer and Family Members in the Nutritional Support and Cancer Cachexia Clinic

2021 ◽  
Vol 16 (2) ◽  
pp. 147-152
Author(s):  
Koji Amano ◽  
Daisuke Kiuchi ◽  
Hiroto Ishiki ◽  
Hiromichi Matsuoka ◽  
Eriko Satomi ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Nutritional Support ◽  
Cancer Cachexia ◽  
Family Members ◽  
Clinical Implications ◽  
Integrative Care

Need for nutritional support in advanced cancer patients with cachexia: A survey in palliative care settings.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 100-100
Author(s):  
Koji Amano ◽  
Tatsuya Morita ◽  
Jiro Miyamoto ◽  
Teruaki Uno ◽  
Hirofumi Katayama ◽  
...  
Keyword(s):  
Palliative Care ◽  
Parenteral Nutrition ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Nutritional Support ◽  
Cancer Cachexia ◽  
Tube Feeding ◽  
Advanced Cancer Patients ◽  
Nutrition And Hydration ◽  
To Receive

100 Background: Few studies have investigated the need for nutritional support in advanced cancer patients in palliative care settings.The aim of this survey is to examine the relationship between the need for nutritional support and cancer cachexia, specific needs, perceptions, and beliefs. Methods: We conducted a questionnaire in outpatient service/palliative care teams/palliative care units. Patients were classified into two groups: 1) Non-cachexia/Pre-cachexia and 2) Cachexia/Refractory cachexia. Results: A total of 117 out of 121 patients responded (96.7%). A significant difference was observed in the need for nutritional support between the groups: Non-cachexia/Pre-cachexia (32.7%) and Cachexia/Refractory cachexia (53.6%) (p = 0.031). The specific needs of patients requiring nutritional support were nutritional counseling (93.8%), ideas to improve food intake (87.5%), oral nutritional supplements (83.0%), parenteral nutrition and hydration (77.1%), and tube feeding (22.9%). The top perceptions regarding the best time to receive nutritional support and the best medical staff to provide nutritional support were “when anorexia, weight loss, and muscle weakness become apparent” (48.6%) and “nutritional support team” (67.3%), respectively. The top three beliefs of nutritional treatments were “I do not wish to receive tube feeding” (78.6%), “parenteral nutrition and hydration are essential” (60.7%), and “parenteral hydration is essential” (59.6%). Conclusions: Patients with cancer cachexia had a greater need for nutritional support. Advanced cancer patients wished to receive nutritional support from medical staff with specific knowledge when they become unable to take sufficient nourishment orally and the negative impact of cachexia becomes apparent. Additionally, most patients wished to receive parenteral nutrition and hydration.

Eating-related distress in patients with advanced cancer cachexia and family members: A survey in palliative and supportive care settings.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 163-163
Author(s):  
Koji Amano
Keyword(s):  
Supportive Care ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Cancer Cachexia ◽  
Family Members ◽  
Well Being ◽  
Advanced Cancer Patients ◽  
Patient Groups ◽  
Nutrition Impact Symptoms ◽  
The Mean

163 Background: Few studies have investigated nutrition impact symptoms and eating-related distress among advanced cancer patients and their family members. This is an anonymous questionnaire survey to explore the severity of nutrition impact symptoms and the prevalence of eating-related distress among advanced cancer patients and their family members in palliative and supportive care settings. Methods: The questionnaires for patients and their family members have been preliminarily developed by the authors. We have chosen 16 common symptoms of advanced cancer, i.e., 9 symptoms of the ESAS-r and 7 symptoms of the PG-SGA. Each questionnaire concerning eating-related distress consists of 12 items. Results: A total of 140 out of 147 patients responded (95.2%). They were classified into two groups: 1) Non-cachexia/Pre-cachexia (n = 57) and 2) Cachexia/Refractory cachexia (n = 83). The top 3 out of 16 symptoms in all patients were feeling of well-being, lack of appetite, and tiredness. Significant differences between the two groups were observed in 5 symptoms: pain (p = 0.005), nausea (p = 0.005), diarrhea (p = 0.001), abnormal taste (p = 0.017), and difficulty swallowing (p = 0.002), respectively. Concerning eating-related distress, significant differences between the two patient groups were observed in all items except for 2, and those between the two family member groups were observed in all items. The mean numbers of items in which patients/family members answered positively were significantly higher in Cachexia/Refractory cachexia group (p < 0.001, respectively). Conclusions: Advanced cancer patients with cachexia have greater nutrition impact symptoms than those without cachexia, and patients with cachexia and their family members have higher eating-related distress than those without cachexia.

scholarly journals SIRS, CARS and MARS in relationship to cancer cachexia and its clinical implications

2018 ◽  
Vol 26 (1) ◽  
pp. 54-59
Author(s):  
Masahiko Shibata ◽  
Kenji Gonda ◽  
Tatsuo Shimura ◽  
Kenichi Sakurai ◽  
Seiichi Takenoshita
Keyword(s):  
Cancer Cachexia ◽  
Clinical Implications

Effects of patient and personal demographic, clinical and psychosocial characteristics on the burden of family members caring for patients with advanced cancer in Greece

2015 ◽  
Vol 19 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Ourania Govina ◽  
Grigorios Kotronoulas ◽  
Kyriaki Mystakidou ◽  
Stylianos Katsaragakis ◽  
Eugenia Vlachou ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Family Members ◽  
Psychosocial Characteristics

Using Three Scenarios to Explain Life Expectancy in Advanced Cancer: Attitudes of Patients, Family Members, and Other Healthcare Professionals

2021 ◽  
Author(s):  
Sharon H. Nahm ◽  
Martin R. Stockler ◽  
Andrew J. Martin ◽  
Chris Brown ◽  
Peter Grimison ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Advanced Cancer ◽  
Healthcare Professionals ◽  
Family Members
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