Escolar Documentos
Profissional Documentos
Cultura Documentos
Gracie Iberle
Lexi Tiller
Molly Winkeler
Noel Konken
Raquel Novak
Learning Objectives
Audience will be able to
What is Chemotherapy?
Drug treatment using powerful chemicals to kill fastgrowing cells in your body (mayoclinic.org)
www.medscape.com
WIIFM?
Cancer is the 2nd leading cause of death in U.S.
Background
Chemo kills cancer cells but can damage healthy cells!
Benefits of a Healthy Diet
Nutrient reserves to strengthen body
Rebuild broken tissue or prevent tissue breakdown
Defense against disease
Less intense side effects
Increase drug prescriptions
polypharmacy/polychemotherapy
www.cancer.org
Nutritional Needs
Increase calories and protein
salad bars/buffets
a la cart
drinking fountains
Literature Review
A 2014 study in Nutrition and Cancer found:
Prevalence of malnutrition at all disease stages is 45%-69%
Dietary counseling and/or oral nutritional supplements
improve dietary energy and protein intake
Radiotherapy patients - counseling decreased weight loss
and maintained nutritional status
(Kiss, Krishnasamy & Isenring, 2014)
Conclusion:
(Baldwin, Spiro, McGough, Gillbanks, Thomas, Cunningham, O'Brien & Andreyev, 2011)
All malnourished
Due to chemotherapy, overlooked often
Obese
Overweight
Assessment (PG-SGA)
Bioelectrical Impedance Analysis
(BIA)
Parenteral Nutrition
Central Venous Catheters
Peripheral Venous Catheters
Conclusion
Cancer is second leading cause of death
Chemo kills cancer cells and damages healthy cells
leads to malnutrition & weakened immune system
Nutritional Needs and benefits
Increase calories & protein
Help immune system
Rebuild broken tissue
Future Directions
Continuing research on cancer treatments
Make patients more aware of nutrition benefits
References
Baldwin, C., Spiro, A., McGough, C., Gillbanks, A., Thomas, K., Cunningham, D., O'Brien, M., &
Andreyev, H. Simple nutritional intervention in patients with advanced cancers of the
gastrointestinal tract, non-small cell lung cancers or mesothelioma and weight loss receiving
chemotherapy: a randomised controlled trial. Journal of Human Nutrition and Dietetics. 2011;
24(5), 431. Retrieved from
http://web.a.ebscohost.com.proxy2.library.illinois.edu/ehost/detail?vid=7&sid=70d0d6b279e8-4bc6-8f887e62eb6bdc56@sessionmgr4005&hid=4207&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ==
Davidson, W., Teleni, L., Muller, J., Ferguson, M., McCarthy, A., Vick, J., & Isenring, E.
Malnutrition and chemotherapy-induced nausea and vomiting: Implications for practice.
Oncology Nursing Forum. 2012;39(4), E340-E345. Retrieved from
http://web.a.ebscohost.com.proxy2.library.illinois.edu/ehost/detail?vid=7&sid=70d0d6b279e8-4bc6-8f887e62eb6bdc56@sessionmgr4005&hid=4207&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ==
Kiss, N., Krishnasamy, M., & Isenring, E. The effect of nutrition intervention in lung cancer
patients undergoing chemotherapy and/or radiotherapy: A systematic review. Nutrition and
Cancer. 2014; 66(1), 47-56. doi: 10.1080/01635581.2014.847966
References Cont.
Vashi, P., Gupta, D., Lammersfeld, C., Braun, D., Popiel, B., Misra, S., & Brown, K. The
relationship between baseline nutritional status with subsequent parenteral nutrition and clinical
outcomes in cancer patients undergoing hyperthermic intraperitoneal chemotherapy. Nutrition
Journal. 2013; 12(1), 1-8. doi: 10.1186/1475-2891-12-118
www.cancer.org/treatment/survivorshipduringandaftertreatment/nutritionforpeoplewithcancer/
nutritionforthepersonwithcancer/index. Accessed April 27, 2014.
http://www.medscape.com/viewarticle/502815_5. Accessed April 29, 2014.
Questions?