Alterations in the cancer patient's nutritional status could be induced by chemotherapy. These the signs of anorexia and cachexia can severely compromise the patient's nutritional status, which may be irreversible and fatal. Anorexia may be the insufficient need to eat, combined with decreased intake of food.
It's multifactorial, caused by the abnormally increased synthesis of serotonins, which stimulates a sense of satiety; alterations in taste; cancer treatments; aversion to particular foods; as well as an wherewithal to digest nutrients. In cancer, the tumor cells compete for nutrients using the normal cells. Because the tumor grows, weight decreases and also the patient loses weight.
Have the patient's baseline weight and height. Ask the individual for any good reputation for weight reduction. Take notice of the patient's weight before each chemotherapy treatment. Teach the individual to weigh themselves once per week and also to report an appetite suppressant of 3 lb or more each week.
Monitor protein and albumin levels. Analyze dietary intake and instruct the individual to maintain a 3-day journal of intake. Assess the way the patient's mood or relationship with other people affects their intake. Investigate any social or psychological factors that may affect eating patterns. Determine the patient's capability to prepare and acquire food. Refer her or him to available community resources for example Meals on Wheels.
Urge the individual to consume high-protein, high-calorie foods. Encourage small, frequent meals in a pleasing atmosphere. Using a glass of vino or any other alcoholic drink before meals can stimulate the appetite. Instruct the individual to consider antiemetics to reduce nausea and vomiting.
Administer appetite stimulants as ordered. Provide electrolyte, mineral, along with other supplements as needed. Measure the patient's need for enteral or total parenteral nutrition.
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1. Immunotoxin therapy and chemotherapy in cancer treatment
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