Chapter 6: Defining & Developing an Oncology Nutrition Program

Question 1

What is the best resource for using the nutrition car plan and provide desired outcomes in nutrition assessment and interventions to best meet the patient’s needs?

Answer 1

Both AND’s Evidence Based Analysis Library and the Onocolgy Toolkit

Question 2

When designing a nutritional program, you must take into consideration what?

Answer 2

Age
Ethnicity
Cultural
Socioeconomics

Question 3

Nutritional assessment and subsequent interventions should be _____, _____, and _____ to best meet the patient’s needs

Answer 3

Appropriate
Individualized
Specific

Question 4

Malnutrition is reported in approximately ____% of cancer patients at the time of diagnosis, and up to ___% over the course of care

Answer 4

15-20% and 80%

Question 5

True or False: Result of outcome measures can be used as evidence to support nutrition program within the cancer center, increasing staffing, improve services and overall nutrition care.

Answer 5

True

Question 6

How does the type of cancer treatment center (e.g. teaching hospital, private practice, independent radiation facility) influence staff structure needs?

Answer 6

There are currently no standards on RD staffing across the spectrum of care, however having a dedicated RD is optimal

Question 7

Classes offered by a nutrition program at a cancer center may include:

Answer 7

Healthy eating on a budget
Cooking classes
Cancer Nutrition Myths

Can’t include: light exercises for lean body mass maintenance - leave that to physical therapy (scope of practice concerns)

Question 8

True or False: TJC ambulatory standards state that nutrition screen must be done in the outpatient setting within 24 hours of initial clinical visit

Answer 8

False

Question 9

A comprehensive nutrition program for cancer Care should model the Nutrition Care Process to help all aspects of the cancer continuum. These NCP aspects include:

Answer 9

Nutrition screening, nutrition assessment, intervention, education, and nutrition monitoring

Question 10

When incorporating nutrition services into a cancer center, what organizational structure would benefit from adding nutritional services to for improved collaboration and research opportunities?

Answer 10

Department of Psychosocial Oncology, Patient Navigation, or Support Services

Question 11

True or False: Nutrition care should be provided throughout all of the following cancer continuum pieces: prevention, treatment, survivorship, palliative care and hospice

Answer 11

True

Question 12

Name specific areas within cancer nutrition programming to increase visibility:

Answer 12

prevention and survivorship programs
educational materials and community resources
demonstration kitchens
online presence
integrative medicine
community relations
creative and innovative programming

Question 13

Essential component(s) of a nutrition program include:

Answer 13

Prevention
treatment
survivorship
palliative care
hospice