chapter 19 - cancer Flashcards

Question

gen cancer preventations

Answer 1

breastfeed ex luvely for up to 6 months then add other liquids and foods not rely on dietary supplements not smoke or chew tobacco

Answer 2

unexplain wt loss weakness amorexia (15-25% of all cancer patients) hypoalbuminemia and loss of muscle tissue anemia sense of taste and smell may be afffected (food may taste differ) cancer clients after chemo may exp metallic taste when eating protein, complain food taste too sweet radiation to neck and head can cause damage to taste budgs ands could also affect taste and smell amy be satieed earlier than normal, possibly vc decreased digestive secretion, insulin production may be abn, hyperglycemia can delay stomach empytying and dull appetite hypercalcemia, chronic could lead to renal stomes and impareid kidney fuction also locatio affects symtpoms; esophageal or intstinal tumor may block gi tract, causing malapbsorption if left untreated, cancer can cause anorexia, and wt loss then malnutrition the cachexia then death

Answer 3

- surgical removal - raidatoin - chemo

Answer 4

surgery on mouth could affect ability to chew or swall gastric or intstinal resection can affect absorption and result in nutritional deficient removal of pancreas = T2D

Answer 5

radiation of head or neck can cause decrease in salivary secretions which causes dry mouth (xerostomia) and dysphagia reduction of saliva als causes tooth decay and loss of teeth severe wt loss could reduce amoutn of absopriton tissue in small intestine

Answer 6

reudce ability of small intestine to regeneratione absorptive cells and cause hemorrhagic olitis both radiation and chemo depress appetite amy cause nausea, vomiting, and diarrhea, leading to fluid and electroyle imbalances which can lead to fluid rentention wt loss may resilt with some chemo but w breast cancer could have wt gain due to inclusion of steriods in some of chemo

Answer 7

high protein high cal nutrient dense

Answer 8

chemo withled for 2-3 hours before and after meals appetite and absoprition usually improve after chemo is completed give chemo at bed team for children at bedtime to alleviate name and vomiting and allow them to sleep thorugh emetic effects, play soft music such as lullabies or play ercording o caregiver singing soft songs is soothign and may allevate symptoms of nauesea nd vomtiing

Answer 9

- small amt of food - sip on beverages btw meals -food and liquid at room temp or cooler - avoid foods w storng oders, spicy, fatty, or overly sweet - upright for an hour after eating - dont eat or drink until vomiting us ocntorlled the nsip on clearl liuquids and nibble as toelrated on plain, starchy foods - antinausea med

Answer 10

- cooler foods have less aroma so may be more appealing then hot foods - small amt of sugar may mask foods bitter or salty traste - frozen melon balls, grapes, and orages that are juice and nuatraly sweet may be desirlbe as may tart foods and becerages - if taste aversion to red meat, use starchy beans, poultry, fish, eggs, and nut butter as protein sources - marinades and spice can mask unpleasant tastes - keep mouth clean bhy brushing and rinsing often (dilute salt and baking soda solution are effective mouth rinse)

Answer 11

soft, moust foods w exrta gravy sauce or dressing - alc spicy or acidic foods and caffeine and dry, corase, or rough foods my cause irritation - find temp of foods that sothes iritated thorat or mouths - drink plenrty of fluids - rinse mouth several times w dulte salt and baking soda soultion

Answer 12

- eat mail when hungriest and start w high protein offering when appetite is strongest - 5/6 smaller meals - nutritious, high-cal foods and beverages within easyt access- himemade energy bars, hummus, egg salad w mayo, peanut butter and crackers, high-protein shakes and smoothies - work w lpved one to help buy grocieries andp repare nutritious meals

Answer 13

keep hydrated w water, dilute clear jucies, sports drinks, weak tea or elecyrlye or rehytdsratio nsolution avaialble at local pharmacies - soft, bland foods w soluble fiber such as banans, boiled ptoates, oatmeal, cooked apple, rice, yogurt, plain toaste, tea - pass on high fiber foods like popcorn, high fier cereal and breads, nuts, and seeds, and raw veg, skin w fruit - small amt of food and anti-darrhe med

Answer 14

- keep up fluid intake - intake high-fiber foods (starchy beans such ask idney beans, garbanzo beans, whoel grains, higher giber cereals such as ran flakes and oatmeal), fresh fruits and veg, dried fruits and uts - increase physical activity as able as prescribed by healthcare team

Answer 15

good nutritonal staitus ; 1-1.2 g per kg malnourished 1.3-2g protein per kg

Answer 16

- some dietary supplementa lcontaining levels of antioxidatns such as vitamin C and E - during chemo and radiation oncologist recommendt against higher doses of antoxidatn supplements tus avoid dietary supplements that are more than 100% of fdaily value for antioxidants drink fluid