The nursing contribution to nutritional care in cancer cachexia

Hopkinson, Jane B.

doi:10.1017/s0029665115002384

Cited by 18 publications

(28 citation statements)

References 32 publications

(61 reference statements)

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“…Sarcopenia can be identified by low muscle mass and reduced gait speed. This differentiation is important, as exercise, in the absence of appropriate protein and energy balance, may pose a risk for further functional decline in the cachectic population [76]. Rehabilitation interventions should be undertaken with insight and input from an interdisciplinary team that include an understanding of nutritional support and inflammatory profiles of the patient balanced with physical activity and muscle training interventions [77].…”

Section: Safety Considerations With Antineoplastic Treatment Adverse mentioning

confidence: 99%

A Focused Review of Safety Considerations in Cancer Rehabilitation

Maltser

Cristian

Silver

et al. 2017

PM&R

117

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Cancer and its treatments introduce various adverse effects that may impact survivors’ physical, cognitive and psychological functioning. Frequently both tolerance to activity and exercise are affected as well. Rehabilitation providers should have substantive knowledge about the effect of cancer progression and common side effects associated with anti-neoplastic treatment to safely integrate rehabilitation interventions. Rehabilitation may mitigate loss of function and disability; however, these patients are among the most medically complex that providers treat. This report provides a focused review that synthesizes the current evidence regarding disease progression and oncology-directed treatment side effects within the context of safety considerations for rehabilitation interventions throughout the continuum of cancer care. Descriptive information regarding the evidence for precautions and contraindications is provided so that rehabilitation providers can promote a safe plan of rehabilitation care. It is incumbent upon but also challenging for rehabilitation providers to stay up to date on the many advances in cancer treatment, and there are many gaps in the literature regarding safety issues. Although further research is needed to inform care, this review provides clinicians with a framework to assess patients with the goal of safely initiating rehabilitation interventions.

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Section: Safety Considerations With Antineoplastic Treatment Adverse mentioning

confidence: 99%

A Focused Review of Safety Considerations in Cancer Rehabilitation

Maltser

Cristian

Silver

et al. 2017

PM&R

117

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“…The deterioration in performance status and loss of body weight is likely to cause concern and distress to Marc and his family [21]. Therapeutic discussion should cover the causes of weight loss, main symptoms and what changing dietary intake can and cannot realistically achieve.…”

Section: Case #4: No Planned Anti-cancer Therapymentioning

confidence: 99%

“…Core component interventions would therefore include nutritional support, physical activity and exercise, and anti-inflammatory agents, for example, n -3 fatty acids or NSAIDs. These should be offered on a background of personalized oncological and nursing management, and family-centred education [21]. …”

Section: Introductionmentioning

confidence: 99%

Practical multimodal care for cancer cachexia

Maddocks

Hopkinson

Conibear

et al. 2016

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewCancer cachexia is common and reduces function, treatment tolerability and quality of life. Given its multifaceted pathophysiology a multimodal approach to cachexia management is advocated for, but can be difficult to realise in practice. We use a case-based approach to highlight practical approaches to the multimodal management of cachexia for patients across the cancer trajectory.Recent findingsFour cases with lung cancer spanning surgical resection, radical chemoradiotherapy, palliative chemotherapy and no anticancer treatment are presented. We propose multimodal care approaches that incorporate nutritional support, exercise, and anti-inflammatory agents, on a background of personalized oncology care and family-centred education. Collectively, the cases reveal that multimodal care is part of everyone's remit, often focuses on supported self-management, and demands buy-in from the patient and their family. Once operationalized, multimodal care approaches can be tested pragmatically, including alongside emerging pharmacological cachexia treatments.SummaryWe demonstrate that multimodal care for cancer cachexia can be achieved using simple treatments and without a dedicated team of specialists. The sharing of advice between health professionals can help build collective confidence and expertise, moving towards a position in which every team member feels they can contribute towards multimodal care.

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“…A recent scoping review found that although nurses recognize the importance of nutritional care and acknowledge it as part of their role that a number of challenges exist with studies consistently finding: lack of knowledge, lack of clarity of their role in nutritional care and lack of confidence in the effectiveness of nutritional care interventions. 62 F urther findings from the review found that staff identified that there was a lack of clarity around responsibility for feeding support. In particular communication and knowledge of nutrition care processes between disciplines was poor and staff felt that these factors acted as potential barriers to nutritional care of elderly patients.…”

Section: -56mentioning

confidence: 99%

Mealtime assistance for older adults in hospital settings and rehabilitation units from the perspective of patients, families and healthcare professionals

Edwards

Carrier

Hopkinson

2016

JBI Database of Systematic Reviews and Implementation Reports

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A total of 21 publications (19 studies) were included: 11 quantitative, five qualitative and three mixed method studies. Two studies were conducted in rehabilitation units, and 17 in hospital wards. Eight qualitative studies (nine papers) considered extrinsic and intrinsic factors that influence mealtime support. Evidence for the effectiveness of interventions was limited to eight studies (nine papers); the remaining quantitative studies included two cross-sectional studies, three descriptive evaluations (four papers) and one observational/case study. The following are the aggregated mixed methods syntheses: CONCLUSION: No firm conclusions can be drawn with respect to the most effective initiatives. Initiatives with merit include those that encourage social interaction, either through the use of a dining room, or employed staff or volunteers, relatives or visitors supporting the older patient during mealtimes. Volunteers value training and support and clarification of their roles and responsibilities.

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The nursing contribution to nutritional care in cancer cachexia

Abstract: Conference on 'Nutrition and age-related muscle loss, sarcopenia and cachexia' Symposium 4: Sarcopenia and cachexia and social, clinical and public health dimensions

Cited by 18 publications

References 32 publications

A Focused Review of Safety Considerations in Cancer Rehabilitation

A Focused Review of Safety Considerations in Cancer Rehabilitation

Practical multimodal care for cancer cachexia

Mealtime assistance for older adults in hospital settings and rehabilitation units from the perspective of patients, families and healthcare professionals

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