Chapter 10: Nutrition and Cancer Survivorship

Question 1

% of patients that can live beyond the 5 year monitoring period?

Answer 1

70%

Question 2

Early survival period, post-therapy is generally up to ____ months?

Answer 2

12

Question 3

In the first 12 months after treatment (early survival period), what common symptoms can effect eating?

Answer 3

nausea, zerostomia (dry mouth), loss of dentition and/or radiation enteritis.

Question 4

Nutrition complications of breast cancer?

Answer 4

Impaired bone health,
Weight gain/metabolic syndrome,
Cardiovascular complications

Question 5

Common nutritional approaches for breast cancer?

Answer 5

Adequate Vit D/calcium, maintain healthy weight, physical activity, weight bearing exercise.

Question 6

Common nutrition complications of prostate cancer?

Answer 6

Impaired bone health, enteritis, chronic diarrhea

Question 7

Common nutrition approaches for prostate cancer?

Answer 7

Adequate calcium/ vitamin D, increase fluids and balance electrolytes, decrease fat intake, adjust fiber as needed.

Question 8

Common nutrition complications of lung and brohchus cancer?

Answer 8

Esophageal pain, dysphasia, respiratory failure.

Question 9

Common nutrition approaches for lung and bronchis cancer?

Answer 9

Alter food/beverage consistency as needed, use medical nutrition beverages as needed, alter food temperature and avoid alcohol, spicy foods, and other irritants (acidic foods)

Question 10

Common nutrition complications of colon and rectum cancer?

Answer 10

Malabsorption, altered liver function, weight changes, irregular bowel movements, enteritis/chronic diarrhea, bowel obstruction.

Question 11

Nutrition complications of urinary bladder cancer?

Answer 11

Irregular bowel movements

Question 12

Common nutrition approaches to urinary bladder cancer?

Answer 12

Alter fiber as needed, consume adequate fluids, monitor fluid status.

Question 13

Common nutrition complications of uterine cancer?

Answer 13

Impaired bone health

Question 14

Nutrition approaches for uterine corpus cancer?

Answer 14

Adequate calcium and vitamin D, promote weight bearing exercise if appropriate

Question 15

Nutrition complications of thyroid cancer?

Answer 15

Hypothyroidism

Question 16

Nutrition approaches for thyroid cancer?

Answer 16

Adjust calorie intake to maintain weight.

Question 17

Nutrition complications of non-Hodgkin lymphoma?

Answer 17

Metabolic syndrome, hypothyroidism

Question 18

Nutrition approaches for non-Hodgkin lymphoma?

Answer 18

Adjust calories, fat, etc to maintain a healthy weight, blood glucose levels & lipid levels, promote physical activity

Question 19

Nutrition complications of kidney cancer?

Answer 19

Decreased creatinine clearance, hypertension, renal failure

Question 20

Nutrition approaches for kidney cancer?

Answer 20

Monitor renal labs, adjust diet as needed, adjust (usually reduce) sodium, promote healthy weight

Question 21

Nutrition complications of oral cavity and pharynx cancer?

Answer 21

Xerostomia (dry mouth), dysphagia (change in taste/smell), tooth decay/peridontal disease

Question 22

Nutrition approaches for oral cavity and pharynx cancer?

Answer 22

Ensure adequate calories, “wet” foods, proygood oral care, alter food consistency, use nutrition supplementation beverage, consult with SLP

Question 23

Nutrition complications of Leukemia?

Answer 23

Kidney stones, impaired bone health, metabolic syndrome, hypothyroidism

Question 24

Nutrition approaches to Leukemia?

Answer 24

Increase fluids to recommend levels, adequate calcium/ vitamin D, promote healthy weight and activity level

Question 25

Nutrition complications of ovarian cancer?

Answer 25

Impaired bone health

Question 26

Nutrition approaches for ovarian cancer?

Answer 26

Adequate calcium/vitamin D, promote healthy weight

Question 27

Nutrition approaches for ovarian cancer?

Answer 27

Adequate calcium: vitamin D, promote weight bearing exercises, if appropriate.

Question 28

Nutrition complications of pancreatic cancer?

Answer 28

Anorexia, malabsorption, irregular bowel movements

Question 29

Nutrition approaches for pancreatic cancer?

Answer 29

Increase nutrient density, use nutritional beverage, modify eating schedule, consider use of pancreatic enzymes, alter fiber, use pre-/probiotics

Question 30

Nutrition approaches for fatigue?

Answer 30

Develop eating plan, use easy to prepare foods, use nutritional beverages, monitor weight, promote physical activity

Question 31

Nutrition approaches for weight change

Answer 31

Monitor weight, adjust nutrient intake, promote physical activity

Question 32

Nutrition approaches for appetite change/ nausea?

Answer 32

Use nutrient dense foods and nutritional beverages as needed, select cool, bland, light foods, avoid foods with strong odor, take anti-nausea meds if prescribed

Question 33

T/F: alcohol is generally not recommended for the post-diagnosis survivor.

Answer 33

True

Question 34

Alcohol is associated with which cancers?

Answer 34

Breast, head/neck, pancreatic, pharyngeal, laryenheal, esophageal, and hepatic cancers.