Chapter 27: Palliative and Hospice

Question 1

Which canceres have the greatest risk of malnutrition

Answer 1

stomach, esophageal, pancreatic, liver, lung, head and neck
* = greatest wt loss

Question 2

dysguesia/paraguesia

Answer 2

bad taste in mouth

Question 3

odynophagia

Answer 3

painful swallowing

Question 4

PN can significantly improve BMI, QOL, survival time, and GI symptoms compared with oral or enteral nutrition druing palliative treatments

Answer 4

true

Question 5

AH stands for

Answer 5

artificial hydration

Question 6

you should use hydration therapy if concurrent with chemo or rx during palliative care

Answer 6

true (Conflicting results without)

Question 7

EN in palliative care

Answer 7

may slow nutrition deficiencies, prevent dehydration, improve QOL

Question 8

PN in palliative care

Answer 8

only initiate if survival >4 weeks to >2-3 months and if death is expected to occur from malnutrition before disease progression

Question 9

Aspen on palliative care EN/PN

Answer 9

rarely indicated

Question 10

ESPEN on palliative care EN/PN

Answer 10

PN may be beneficial