A Feasibility Study to Investigate the Effect of Nutritional Support for Advanced Cancer Patients in an Inpatient Hospice in Japan

Integration of palliative, supportive, and nutritional care to alleviate eating-related distress among advanced cancer patients with cachexia and their family members

“…Conflicts over food between patients and family members [10][11][12][13][14][15][16][17][18][19][20][21][22][34][35][36][37] • Changes in both patients' food preferences and eating habits of whole families Manage nutrition impact symptoms [21-25, 28-32, 39] Provide psychosocial support for coping of patients and family members [10][11][12][13][14][15][16][17][18][19][20][21][22][34][35][36][37] Provide nutritional support according to evidence-based clinical practice guidelines [1,2,4,6,8,9,46,47] Provide evidence-based information and advice on nutritional care for patients by family members [10][11][12][13][14]…”

“…A 2018 meta-analysis demonstrated that intake of high energy, high protein supplements enriched with n-3 fatty acids resulted in body weight gain in patients undergoing chemotherapy or chemo-radiation with palliative intent [45]. In the very advanced cancer patients, only preliminary studies have shown that nutritional support may be associated with beneficial effects, i.e., prevented bedsores, improved performance status [46,47].…”

Differential Diagnosis of Cachexia and Refractory Cachexia and the Impact of Appropriate Nutritional Intervention for Cachexia on Survival in Terminal Cancer Patients

“…Considering the mean survival time of patients with refractory cachexia, we defined the effective group as those who maintained the stage of cachexia for more than three weeks after the start of the nutritional intervention, and the non-effective group as those who shifted to the stage of refractory cachexia within three weeks [ 5 , 8 , 12 , 13 ]. The indices described in 2.1 were measured every week before and after the nutritional intervention, and compared week by week between the two groups.…”