2.39 CME

Cancer and Nutrition- Nurses role

Speaker: Dr. Sripriya Gopalkrishnan

Principal of Sadhu Vaswani College of Nursing, Pune

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Description

Nutrition plays a critical role in the management and recovery of cancer patients, as it directly impacts their strength, immunity, and treatment tolerance. Nurses serve as key healthcare providers in assessing nutritional status, educating patients and families about dietary needs, and collaborating with dietitians to create personalized nutrition plans. They also monitor for signs of malnutrition, manage side effects that interfere with eating (like nausea or mucositis), and encourage adequate fluid and nutrient intake. By promoting optimal nutrition, nurses help improve quality of life, enhance treatment outcomes, and support overall patient well-being during cancer care.

Summary Listen

  • Nutrition is crucial in cancer care, influencing risk, impacting health during treatment, and supporting recovery. Nurses play a vital role in providing clinical, nutritional, and holistic support to patients. Malnutrition affects a large percentage of cancer patients, especially during treatment, negatively impacting treatment outcomes and survival rates.
  • Diet itself doesn't directly cause cancer, but dietary choices can increase or decrease the risk. Obesity is a significant risk factor for many types of cancer. Cancer can lead to malnutrition and weight loss, ranging from mild deficiencies to severe cachexia, which is a wasting syndrome.
  • Dietary interventions can complement cancer therapies, enhance their effectiveness, and improve patient outcomes. Tailored nutritional plans that include specific nutrients like antioxidants and omega-3 fatty acids can be beneficial. Nurses are crucial in assessing and managing the nutritional needs of cancer patients.
  • Nutritional assessment involves anthropometric measurements, evaluation of protein and fat status, and a thorough dietary intake survey. Biochemical tests, such as serum albumin levels and lymphocyte counts, provide objective data for nutritional assessment. Challenges in implementing nutritional interventions include lack of time and training, patient non-compliance, and limited access to dietitians.
  • Various challenges exist in addressing nutritional needs, including cancer-related factors, treatment side effects, and psychological factors. Personalized dietary plans, nutritional support, and regular monitoring are essential for addressing these issues. Early identification through nutritional screening, collaboration with dieticians and caregivers, and patient education are key strategies.
  • Evidence-based nutritional guidelines from organizations like ASPEN and ASCO advocate for early and individualized nutritional support. Dietary recommendations emphasize plant-based diets rich in fruits, vegetables, and whole grains while limiting processed foods and sugar. Multiple studies have found that nurse-led nutritional support programs, dietary counseling, and targeted interventions improve patient outcomes.
  • Nursing education should be strengthened through case-based learning, practical workshops, and interdisciplinary training. Patient education and support, including tailored guidance and addressing misinformation, are crucial for empowering patients to make informed nutrition choices. Cultural sensitivity, ethical considerations, and patient autonomy are important aspects of nutritional planning.
  • Nurses initiate, guide, and sustain nutritional care, which is a critical dimension of nursing practice. They act as educators, screeners, and coordinators, collaborating with dietitians, oncologists, and caregivers. Empowering nurses through structured training, standardized assessment tools, and digital innovations is essential for elevating nursing-led nutritional support.

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