A state-of-the-art review of the management and treatment of taste and smell alterations in adult oncology patients

Thorne, Trina; Olson, Kärin; Wismer, Wendy V.

doi:10.1007/s00520-015-2827-1

Cited by 39 publications

(22 citation statements)

References 20 publications

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“…Management includes dietary counseling with guidance in food choices, food preparation and seasoning (increase spice if tolerated, increase umami foods, and umami flavoring), and avoiding unpleasant foods. Zinc sulfate supplementation has been therapeutically tested with inconsistent outcomes in clinical studies . Centrally acting medications have received limited study to date, but early suggestions include: clonazepam, gabapentin, cannabinoids, and megestrol .…”

Section: Introductionmentioning

confidence: 99%

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Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis

et al. 2017

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Patients undergoing radiation therapy for the head and neck are susceptible to a significant and often abrupt deterioration in their oral health. The oral morbidities of radiation therapy include but are not limited to an increased susceptibility to dental caries and periodontal disease. They also include profound and often permanent functional and sensory changes involving the oral soft tissue. These changes range from oral mucositis experienced during and soon after treatment, mucosal opportunistic infections, neurosensory disorders, and tissue fibrosis. Many of the oral soft tissue changes following radiation therapy are difficult challenges to the patients and their caregivers and require life‐long strategies to alleviate their deleterious effect on basic life functions and on the quality of life. We discuss the presentation, prognosis, and management strategies of the dental structure and oral soft tissue morbidities resulting from the administration of therapeutic radiation in head and neck patient. A case for a collaborative and integrated multidisciplinary approach to the management of these patients is made, with specific recommendation to include knowledgeable and experienced oral health care professionals in the treatment team.

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Section: Introductionmentioning

confidence: 99%

“…Zinc sulfate supplementation has been therapeutically tested with inconsistent outcomes in clinical studies . Centrally acting medications have received limited study to date, but early suggestions include: clonazepam, gabapentin, cannabinoids, and megestrol .…”

Section: Introductionmentioning

confidence: 99%

Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis

et al. 2017

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“…Ölçek puanının artması çocuğun tat alma değişikliği şiddetinin artmasını ifade etmektedir (47). (48,49). Çinkonun tat tomurcuklarının membranında bol miktarda bulunan alkalin fosfatazın kofaktörü olduğu bilinmektedir (49).…”

Section: Objektif Yöntemler  Kimyasal Tat Algılama Ve Tanıma Eşikunclassified

“…Doku ve organları kemoterapi veya radyoterapi ile uyarılan oksidatif hasarlara karşı korur. Ancak kusma, hipotansiyon, kızarma, metalik tat ve ağız kuruluğu gibi yan etkileri görülebilir (42,48).…”

Section: Objektif Yöntemler  Kimyasal Tat Algılama Ve Tanıma Eşikunclassified

Kanserli Hastalarda Tat Alma Değişikliği

Bılsın¹,

Yılmaz²

2018

Sağlık Bilimleri Ve Meslekleri Dergisi

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ÖZ Tat alma değişikliği kanserli hastalarda görülen en yaygın ve önemli sorunlardan bir tanesidir. Hastalar tat alma değişimini ağızda metalik, acı ya da kötü bir tat, hassasiyet, tatlıya karşı duyarsızlık ve acıya intolerans olarak tanımlamıştır. Kanserli hastalarda tat alma değişikliğinin nedeni tam olarak bilinmemektedir. Kanser tedavisi fizyolojik ve psikolojik nedenlerle tat almayı etkilemektedir. Kanserli hastalarda tat alma değişikliği sonucunda iştah kaybı, bazı yiyeceklerden hoşlanmama, yiyecek tercihinde değişme, yetersiz beslenme, yetersiz enerji alımı, kilo kaybı, malnutrisyon, kötü prognoz, yaşam kalitesinde azalma, stres, depresyon, ağız kuruluğu, hastanede kalma süresinin uzaması, koku almada bozukluk, immün sistemde bozulma ve tedaviye uyumda bozulma gelişmektedir. Tat alma değişikliğini değerlendirmek ve tedavi etmek zordur. Tat alma değişikliğini tanımlamak, sınıflandırmak ve bu sorunları yönetmek için kanıta dayalı destekleyici stratejilerde yetersizlik olduğu ve profilaktik tedavilerin başarılı olmadığı belirlenmiştir Bu nedenle kanserli hastaların bakım ve tedavisinde tat alma değişikliği yönetimi bir sorun olmaya devam etmektedir.Anahtar kelimeler: Kanser, tat alma değişikliği, hemşirelik ABSTRACT Taste alteration is one of the most common and important problems in patients with cancer. Some patients were defined taste alteration as metallic, bitter or bad taste in the mouth, sensitivity, insensitivity to sweet taste and bitter taste intolerance. The etiologies of taste alteration are not fully known in patients with cancer. Cancer treatment is influenced taste alteration by physiological and psychological causes. In patients with cancer, loss of appetite, dislike of some foods, change in food preferences, inadequate feeding, inadequate energy intake, weight loss, malnutrition, poor prognosis, reduced quality of life, stress, depression, dryness of the mouth, prolonged hospital stay, impaired smell, deterioration of the immune system and reduction compliance to treatment regimen develops as a result of taste alteration. Taste alteration are difficult to measure and treat. It has been determined that there is a lack of supportive strategies based on evidence taste alteration to describe, classify and manage these problems. It has been determined that prophylactic treatments are not successful. For this reason, the management of taste alteration remains a problem in care and treatment of patients with cancer.

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“…In de dagelijkse zorgpraktijk zijn dus weinig concrete handvatten waar zorgverleners op terug kunnen vallen. Daarnaast zijn er geen medicijnen of behandelingen beschikbaar die ingezet kunnen worden bij veranderingen in reuk-en smaakvermogen door chemotherapie (Thorne et al, 2015).…”

Section: Reuk-en Smaakveranderingen In De Dagelijkse Zorgpraktijkunclassified

Reuk- en smaakveranderingen bij kankerpatiënten : De invloed op voedingsstatus, smaakbeleving en kwaliteit van leven

Postma¹

2018

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Reuk-en smaakveranderingen beïnvloeden niet alleen eetlust en eetgedrag, maar hebben ook invloed op de kwaliteit van leven. Het is belangrijk om de klachten en de effecten daarvan op het dagelijks leven bespreekbaar te maken met de patiënt en hierin ook de omgeving van de patiënt te betrekken.In de dagelijkse zorgpraktijk blijken er voor zorgverleners die werken met kankerpatiënten die lijden aan veranderingen in het reuk-en smaakvermogen geen specifieke richtlijnen beschikbaar te zijn; daarnaast zijn er geen medicijnen of behandelingen die ingezet kunnen worden. Zorgverleners geven aan dat het ontbreken van concrete oplossingen bij reuk-en smaakveranderingen er voor zorgt dat ze problemen minder snel bespreekbaar maken, omdat ze het gevoel hebben patiënten geen hulp te kunnen bieden. Ook zijn bij de behandeling van kankerpatiënten veel verschillende zorgverleners betrokken. Een gestandaardiseerde werkwijze bij reuk-en smaakveranderingen door chemotherapie die aansluit bij de dagelijkse zorgpraktijk is daarom nodig.De verpleegkundige is degene die de patiënt op veel momenten ziet. In de praktijk blijkt het lastig te zijn om kankerpatiënten goed en smaakvol te laten eten. Daarom is het van belang om de beschikbare kennis te vertalen naar praktische oplossingen die in de dagelijkse zorgpraktijk én in het dagelijks leven van de patiënt ingezet kunnen worden. Hiermee krijgen patiënten en zorgverleners handvaten om tijdens ziekte en behandeling, ondanks reuk-en smaakveranderingen, toch gezonde keuzes te blijven maken om zo het herstel te bevorderen en smakelijk te blijven eten voor een betere kwaliteit van leven. Met de bevindingen in dit rapport en de bijbehorende factsheets hopen we hier aan bij te dragen.Rapport 338 | Wageningen, Wetenschapswinkel | 11 SummaryCancer, but especially cancer treatment, can cause changes in sense of smell and taste. These

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A state-of-the-art review of the management and treatment of taste and smell alterations in adult oncology patients

Abstract: Based on this review, there does not yet appear to be an effective approach for preventing or managing TSA in adult oncology patients. Although some interventions show promise, further research is necessary to determine their efficacy.

Cited by 39 publications

References 20 publications

Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis

Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis

Kanserli Hastalarda Tat Alma Değişikliği

Reuk- en smaakveranderingen bij kankerpatiënten : De invloed op voedingsstatus, smaakbeleving en kwaliteit van leven

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