Cancer assessment and intervention Flashcards
How is the impact of tumor on the nutrition status? (3)
- host response
- presence of tumor
- anti-cancer Tx
def. NUTR screening
process of identifying characteristics associated with nutritional problem
def. NUTR assessment
- process to assess body compartment - - and analysis of structure and function of the organs
- and their effect on metabolism
what’s the most powerful independent variable that can measure the mortality?
% Wt loss
what’s the prime clinical manifestation of cachexia?
% Wt loss
how to tell the classification of cachexia based on the Wt loss in 6 m.o.
moderate > 5%
severe >10%
very severe >15%
when a Pt with excessive fluid loads, what should we consider during assessment?
Weight correction
what is the most common way to assess muscle loss in clinic
MAMA
T/F clinics use DXA to test loss of muscle mass
F, it is not accessible
T/F <50 percentile consider in low MAMA
F, < 15
How to use DXA identify sarcopenia?
AMM/Ht^2: < 7.2 (M); <5.45 (F)
What functional test is best predictive marker of morbidity and mortality?
Gait speed
4-m walk test, cut-off= 0.8 m/s
if the pt has a high ca level, it associates with what CA?
parathyroid cancer
T/F if the pt has a high ca level, decrease Ca and Vitamin D intake
F, no limit on ca intake, but decrease vitamin D
T/F if the pt has a low folate level, catch it up by folate supplementation
F, supplementation is not useful, unless the dietary intake is not sufficient
give 5 indicators of dehydration as blood test
high albumin high creatinine CBC: hematocrit high blood urea nitrogen high urine specific gravity
how to evaluate inflammation in blood test (2)
C-creative protein (CRP)
albumin
what is GPS score, and what is it based on
Glasgow Prognostic Score
based on;
CRP : low < 10 mg/L or high> 10 mg/L
albumin low < 35g/l or high >35 g/L
what tool is use to assess and screen oncology Pts?
PG-SGA
patient generated subjective global assessment
what are the 4 parts included in PG-SGA patient’s part?
Wt, food intake, activities and function, symptoms
what are the 5 worksheets included in PG-SGA healthcare professional’s part?
- Scoring Weight
- Disease and Ir-relation to nutritional requirement
- Metabolic Demand
- Physical Exam
- PG-SGA categories
for the Pts with Cancer, 7 things have to be measured at least
- muscle strength
- physical exam
- body composition: MAMA
- biochemical data
- PG-SGA
- Wt loss Hx
- Dietary Assessment
