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Title Diet and nutrition in palliative care / edited by Victor R. Preedy
Published Boca Raton, FL : CRC Press, [2011]
©2011

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 MELB  616.029 Pre/Dan  AVAILABLE
Description xvii, 446 pages : illustrations ; 26 cm
regular print
Contents Note continued: 14.2.Nursing Homes -- 14.2.1.Personnel to Meet the Demands -- 14.2.2.Palliative Care Services -- 14.2.3.Palliative Care Education -- 14.2.4.Regulations -- 14.2.5.Cognitive Impairment -- 14.3.Advance Directives -- 14.3.1.Historical Evolution -- 14.3.2.Usefulness of Advance Directives -- 14.4.Artificial Nutrition -- 14.4.1.Enteral Nutrition History -- 14.4.2.Enteral Nutrition Use -- 14.5.Practical Guidelines for Alternatives to Artificial Nutrition -- Key Features of Nursing Homes -- Ethical Issues -- Summary Points -- Acknowledgments -- List of Abbreviations -- References -- ch. 15 Support for Hydration at End-of-Life / Robin L. Fainsinger -- 15.1.Introduction -- 15.2.Background to the Hydration Controversy -- 15.3.Clarifying Terminology -- 15.4.Hydration Research -- 15.5.Social, Cultural, and Ethical Issues -- 15.6.Options for Alternative Hydration -- 15.6.1.Nasogastric Tubes and Gastrostomy -- 15.6.2.Hypodermoclysis -- 15.6.3.Rectal Hydration -- Key Points -- Summary Points -- References -- ch. 16 Palliative Treatment of Dysphagia / Christian Selinger -- 16.1.Introduction -- 16.2.Pathophysiology and Anatomy of Dysphagia -- 16.2.1.Neuromuscular Dysphagia -- 16.2.2.Dysphagia by Oral, Head and Neck Cancers -- 16.2.2.1.Oesophageal and High Gastric Obstruction -- 16.2.2.2.Gastric Outlet Obstruction -- 16.3.Applications to Other Areas of Terminal or Palliative Care -- 16.4.Practical Procedures and Techniques -- 16.4.1.Nasogastric Tube (NG) Insertion -- 16.4.2.Endoscopically Placed Feeding Tubes -- 16.4.3.Radiologically Induced Gastrostomy -- 16.4.4.Stents -- 16.4.5.Surgically Placed Feeding Tubes -- 16.4.6.Surgical Bypass Procedures -- 16.5.Evidence for Dysphagia Treatment According to Indication -- 16.5.1.Neurological and Muscular Disorders -- 16.5.1.1.Stroke Disease -- 16.5.1.2.Motor-Neuron Disease -- 16.5.1.3.Dementia -- 16.5.2.Other Neuromuscular Diseases -- 16.6.Head and Neck Tumours -- 16.6.1.Oesophageal and High Gastric Obstruction -- 16.6.2.Gastric Outlet Obstruction -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 17 Fatigue in Hospice Cancer Patients: How Do Nutritional Factors Contribute? / Shiow-Ching Shun -- 17.1.Introduction -- 17.2.Definition of Cancer-Related Fatigue (CRF) -- 17.3.Pathophysiology of Fatigue -- 17.4.Malnutrition and Cancer-Related Fatigue in Terminal Patients -- 17.4.1.Malnutrition, Cachexia, and Fatigue -- 17.4.2.Malnutrition Related to Anorexia, Treatments, and Cancer -- 17.5.Cancer-Related Symptoms Directly Influencing Food Intake and Fatigue -- 17.5.1.Head and Neck Cancer-Related Problems -- 17.5.2.Gastrointestinal System-Related Problems and Malnutrition -- 17.6.Common Physical Symptoms Related to Food Intake and Fatigue -- 17.7.Psychological Distress, Fatigue, and Malnutrition -- 17.8.Managing Cancer-Related Fatigue in Terminal Cancer Patients: Integrating Nutrition-Related Factors -- Ethical Issues -- Summary Points -- List of Abbreviation -- References -- ch. 18 Taste Alteration in Palliative Care / Michio Sata -- 18.1.Introduction -- 18.2.Types of Taste Alterations -- 18.2.1.Assessments of Taste Alteration -- 18.2.2.Mechanisms of Taste Alteration -- 18.3.Practical Methods and Techniques -- 18.3.1.Modification of Food -- 18.3.1.1.Flavors -- 18.3.1.2.Palatability -- 18.3.2.Agents -- 18.3.2.1.Sialogogues -- 18.3.2.2.Saliva substitutes -- 18.3.3.Nutrients -- 18.3.3.1.Zinc -- 18.3.3.2.BCAA -- 18.4.Conclusion -- Summary Points -- Acknowledgments -- List of Abbreviation -- References -- ch. 19 Olfaction in Palliative Care Patients / Yoav P. Talmi -- 19.1.Introduction -- 19.2.Biology of Olfaction -- 19.3.Causes of Impaired Olfaction -- 19.4.Practical Methods and Techniques -- Summary Points -- References -- ch. 20 Withholding or Withdrawing Nutritional Support at the End-of-Life in Six European Countries / Agnes van der Heide -- 20.1.Introduction -- 20.2.Nation-Wide Death Certificate Studies -- 20.2.1.Frequencies of Withholding or Withdrawing ANH in Six West European Countries -- 20.2.2.Characteristics of Patients in Whom ANH was Forgone in Six West European Countries -- 20.3.Communication About Withholding or Withdrawing ANH -- 20.4.Withholding or Withdrawing ANH in Combination with Possibly Life-Shortening Drugs to Relieve Symptoms -- 20.5.International Differences -- 20.6.Applications to Other Areas of Terminal or Palliative Care -- 20.7.Guidelines -- Key Facts in How to Distinguish Forgoing Artificial Nutrition or Hydration from Other Medical End-of-Life Decisions -- Ethical Issues -- Summary Points -- Acknowledgments -- List of Abbreviations -- References -- Section IV Cancer -- ch. 21 The Concept of Cachexia-Related Suffering (CRS) in Palliative Cancer Care / F. Strasser -- 21.1.Introduction -- 21.2.Malnutrition -- 21.3.Cachexia-Related Suffering (CRS) -- 21.3.1.Prevalence of CRS -- 21.3.2.Characteristics of CRS -- 21.3.2.1.Presentation of CRS -- 21.3.2.2.Mechanisms Leading to CRS -- 21.3.3.Reactions to CRS -- 21.3.3.1.Constructive Reactions -- 21.3.3.2.Adverse Reactions -- 21.3.4.Assessment of CRS -- 21.4.Applications to Other Areas of Terminal or Palliative Care -- 21.5.Practical Methods and Techniques -- Key Points -- Ethical Issues -- Summary Points -- Acknowledgments -- List of Abbreviations -- References -- ch. 22 An Overview of Gastrointestinal Side Effects in Tumour Therapy: Implications for Nutrition / Frank Mayer -- 22.1.Introduction -- 22.2.Nausea and Vomiting -- 22.2.1.Pharmacological Therapy of Nausea and Vomiting -- 22.2.2.Nutritional Impact of Nausea and Vomiting -- 22.2.2.1.General Aspects -- 22.2.2.2.Ginger to Prevent or Reduce Emesis -- 22.3.Mucositis -- 22.3.1.Prevention and Therapy of Mucositis -- 22.3.2.Nutritional Impact of Mucositis -- 22.4.Diarrhoea -- 22.4.1.Assessment and Early Intervention -- 22.4.2.Nutritional Impact of Diarrhoea -- 22.4.2.1.Glutamine for Protection of the Intestinal Mucosa -- 22.4.2.2.Probiotics for Prevention of Diarrhoea -- 22.5.Constipation -- 22.5.1.Pharmacological Therapy of Constipation -- 22.5.2.Managing Constipation -- 22.5.3.Nutritional Impact of Constipation -- 22.6.Changes in Perception of Taste and Smell -- Key Facts of Malnutrition -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 23 Nutritional Status and Relationship to Upper Gastrointestinal Symptoms in Patients with Advanced Cancer Receiving Palliative Care / Tiziana Sappia -- 23.1.Introduction -- 23.1.1.Malnutrition: Causes and Consequences -- 23.2.Application to Other Areas of Palliative Care -- 23.3.Practical Procedures and Techniques -- 23.3.1.Case History -- 23.3.2.Dietary Records -- 23.3.3.Physical Examination -- 23.3.4.Anthropometric Assessment -- 23.3.4.1.Body Weight -- 23.3.4.2.Body Height -- 23.3.4.3.Circumferences -- 23.3.5.Laboratory Analysis -- 23.3.5.1.Plasma Proteins -- 23.3.5.2.Laboratory Analysis to Assess Muscle Mass -- 23.3.5.3.Nitrogen Balance -- 23.3.5.4.Immunological Tests -- 23.3.5.5.Functional Tests -- 23.3.6.Nutritional Screening Tools -- 23.3.7.Human Body Composition -- 23.3.7.1.Body Composition Measurement Techniques -- 23.4.Aspects of Nutritional Status in Palliative Care -- 23.5.Relationship between Nutritional Status and Upper Gastrointestinal Symptoms -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 24 Nutrition and Palliative Surgery for Head and Neck Cancer / Ryuichi Hayashi -- 24.1.Introduction -- 24.1.1.Advanced Head and Neck Cancer -- 24.1.2.Nutrition and Quality of Life -- 24.2.Applications in Other Areas of Terminal or Palliative Care -- 24.3.Practical Methods and Techniques -- 24.3.1.Palliative Surgery -- 24.3.2.Complications and Hospitalization -- 24.3.3.Case 1 -- 24.3.4.Case 2 -- 24.3.5.Indication -- Key Facts of Head and Neck Cancer -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch
25 Total Parenteral Nutrition for Patients with Advanced, Life-Limiting Cancer: Clinical Context, Potential Risks and Benefits, and a Suggested Approach / Jane L. Wheeler -- 25.1.Introduction -- 25.2.Metabolic Changes in the Patient with Advanced Cancer -- 25.3.Cancer Anorexia-Cachexia Syndrome -- 25.4.Total Parenteral Nutrition -- 25.5.Clinical Risks Associated with TPN -- 25.6.Potential Negative Effects of TPN -- 25.7.Potential Positive Effects of TPN -- 25.8.Applications to Other Areas of Terminal or Palliative Care -- 25.9.Guidelines for Clinical Practice -- 25.9.1.Guidelines for Patients with Advanced Cancer -- 25.9.2.Additional Factors Influencing the Palliative Use of TPN -- 25.9.3.TPN: A Pragmatic Clinical Approach -- Key Points to Communicate to Patients and Their Families -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 26 Vitamin Deficiency in Patients with Terminal Cancer / Dominic J. Harrington -- 26.1.Introduction -- 26.1.1.Challenges Faced by Patients with Terminal Cancer -- 26.2.Fat-Soluble Vitamins -- 26.2.1.Vitamin A -- 26.2.2.Vitamin D -- 26.2.3.Vitamin E -- 26.2.4.Vitamin K -- 26.3.Water-Soluble Vitamins -- 26.3.1.Vitamin C (Ascorbic Acid) -- 26.3.2.Folate (Vitamin B9) -- 26.3.3.Vitamin B12 -- 26.3.4.Vitamin B6 -- 26.3.5.Thiamine (Vitamin B1) -- 26.3.6.Riboflavin (Vitamin B2) -- 26.3.7.Niacin (Vitamin B3) -- 26.3.8.Biotin (Vitamin B7) -- 26.3.9.Pantothenic Acid (Vitamin B5) -- 26.4.Practical Methods and Techniques -- 26.4.1.Fat-Soluble Vitamins -- 26.4.1.1.Vitamin A -- 26.4.1.2.Vitamin D -- 26.4.1.3.Vitamin E -- 26.4.1.4.Vitamin K -- 26.4.2.Water-Soluble Vitamins -- 26.4.2.1.Vitamin C -- 26.4.2.2.Folate -- 26.4.2.3.Vitamin B12 -- 26.4.2.4.Vitamin B6 -- 26.4.2.5.Thiamine (Vitamin B1) -- 26.4.2.6.Riboflavin (Vitamin B2) -- 26.4.2.7.Niacin (Vitamin B3) -- 26.4.2.8.Biotin (Vitamin B7) -- 26.4.2.9.Pantothenic Acid (Vitamin B5) -- Key Facts: Vitamin Deficiency in Patients with Terminal Cancer -- Summary Points -- Acknowledgments -- List of Abbreviations -- References --
Note continued: ch. 27 Position of Appetite and Nausea in Symptom Clusters in Palliative Radiation Therapy / Edward Chow -- 27.1.Introduction -- 27.2.Key Features of Symptom Clusters -- 27.2.1.What Are They? -- 27.2.2.Why Are They Useful? -- 27.3.Tools Used in Symptom Cluster Research -- 27.4.Radiation-Induced Nausea/Vomiting -- 27.5.Nausea/Vomiting and Appetite in Symptom Clusters in Bone Metastases -- 27.6.Nausea/Vomiting and Appetite in Symptom Clusters in Brain Metastases -- 27.6.1.Studies Conducted -- 27.6.2.Study Conclusions -- 27.7.Applications to Other Areas of Palliative Care -- 27.8.Guidelines -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 28 Palliative Gastrojejunostomy and the Impact on Nutrition in Cancer / Jeffrey M. Farma -- 28.1.Introduction -- 28.1.1.Acute Presentation of GOO -- 28.1.2.Clinical Presentation -- 28.1.3.Diagnostic Evaluation -- 28.2.Nutritional Complications of GOO -- 28.2.1.Proximal GOO -- 28.2.2.Duodenal and Biliary Obstruction -- 28.2.3.Pancreatic Duct Obstruction -- 28.2.4.Nutritional Deficiencies -- 28.3.Surgical Techniques -- 28.3.1.Gastrojejunostomy -- 28.3.2.Risks Associated with Gastrojejunostomy -- 28.3.3.Partial Stomach-Partitioning Gastrojejunostomy -- 28.3.4.Role of Prophylactic Gastrojejunostomy -- 28.4.Biliary Obstruction -- 28.5.Minimally Invasive Surgical Techniques -- 28.6.Non-Surgical Options -- 28.7.Guidelines -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- Section V Other Conditions -- ch. 29 Nutritional Support in the Vegetative State: Artificial Nutrition and Hydration in the Limbo between Life and Death / Giuseppe Nattino -- 29.1.Introduction -- 29.1.1.The Vegetative State -- 29.1.2.Nutrition in PVS Patients -- 29.2.Applications to Other Areas of Terminal or Palliative Care -- 29.3.Practical Methods and Techniques -- 29.3.1.Energy Expenditure -- 29.3.2.Nutritional Requirements in PVS Patients -- 29.3.3.Enteral Feeding Routes and Techniques -- 29.3.4.Complications and Their Prevention -- 29.3.4.1.Constipation, Impaired Gastrointestinal Motility, and Diarrhea -- 29.3.4.2.Tube Occlusion -- 29.3.4.3.Accidental Tube Removal -- 29.3.4.4.Gastric Sores Due to the Internal Portion of the Tube -- 29.3.4.5.Intestinal Occlusion by Tube Dragging -- 29.4.Ethical Issues -- 29.4.1.Artificial Nutrition and Hydration (ANH): Medical Treatment or Loving Care? -- 29.4.2.Withdrawing ANH -- 29.4.3.Ethical Principles Informing the Decision -- Summary Points -- List of Abbreviations -- References -- ch. 30 Nutrition and Appetite Regulation in Children and Adolescents with End-Stage Renal Failure / Jorg Dotsch -- 30.1.Introduction -- 30.2.Appetite Regulation -- 30.2.1.Normal Appetite Regulation -- 30.2.2.Dysregulation of Appetite in End-Stage Renal Disease -- 30.2.2.1.Leptin and Ghrelin -- 30.2.2.2.Uremia -- 30.3.Protein Energy Wasting -- 30.3.1.Inflammation -- 30.3.2.Dialysate Nutrient Losses -- 30.3.3.Metabolic Acidosis -- 30.3.4.Endocrine Disorders and Concomitant Diseases -- 30.4.Nutrition and Diet -- 30.4.1.General Aspects of Nutrition and Diet in End-Stage Renal Failure -- 30.4.1.1.Calories, Protein, and Body Weight -- 30.4.1.2.Sodium and Fluids -- 30.4.1.3.Phosphorus and Calcium -- 30.4.1.4.Potassium -- 30.4.1.5.Vitamins and Minerals -- 30.4.2.Infants -- 30.4.3.Children -- 30.4.4.Adolescents -- 30.4.5.Adults -- 30.5.Application to Other Areas of Terminal or Palliative Care -- 30.6.Practical Methods and Techniques -- Key Facts of Renal Failure -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 31 Nutrition in End-Stage Liver Disease / Valentina Medici -- 31.1.Introduction -- 31.2.Pathophysiology of Malnutrition in End-Stage Liver Disease -- 31.3.Specific Nutrient Deficiencies in End-Stage Liver Disease and Associated Clinical Features -- 31.3.1.Protein Calorie Malnutrition -- 31.3.2.Vitamins -- 31.3.3.Minerals -- 31.4.Evaluation of Nutritional Status in End-Stage Liver Disease -- 31.5.Treatment -- 31.6.Applications to Other Areas of Terminal or Palliative Care -- 31.7.Practical Methods and Techniques -- Key Points of Malnutrition in End-Stage Liver Disease -- Ethical Issues -- Summary Points -- List of Abbreviation -- References -- ch. 32 Nutritional Therapy in Amyotrophic Lateral Sclerosis / Susanne Petri -- 32.1.Introduction -- 32.2.Nutrition Principles in ALS -- 32.3.Management of Dysphagia -- 32.4.Enteral Nutrition in ALS -- 32.4.1.Nasogastric Tube in ALS -- 32.4.2.Percutaneous Endoscopic Gastrostomy in ALS -- 32.4.2.1.Timing of PEG Tube Placement -- 32.4.2.2.PEG and Aspiration -- 32.4.3.Percutaneous Radiologic Gastrostomy/Radiologically Inserted Gastrostomy -- 32.5.Home Parenteral Nutrition in ALS -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 33 Nutritional Considerations of Palliative Care in Rare Disease: The Motor Disorder Disease Achalasia / Fabio Cisaro -- 33.1.Introduction -- 33.2.Pathophysiology -- 33.3.Clinical Picture and Diagnosis -- 33.4.Treatment Options -- 33.4.1.Pharmacologic Treatments -- 33.4.2.Endoscopic Procedures -- 33.4.3.Surgical Treatment -- 33.5.Applications to Other Areas of Palliative Care -- 33.6.Guidelines and Practical Methods and Techniques -- 33.7.Nutritional Aspects of Achalasia -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- Section VI Pharmacological Aspects -- ch. 34 Steroid-Induced Side Effects Affecting Diet and Nutrition in Palliative Care: Oral Candidiasis and Other Conditions / Jana Pilkey -- 34.1.Introduction -- 34.2.Oral and Esophageal Candidiasis -- 34.3.Risk Factors -- 34.4.Practical Methods and Techniques -- 34.4.1.Diagnosis -- 34.4.2.Treatment -- 34.4.3.Ethical Issues -- 34.5.Gastritis and Gastroduodenal Ulceration -- 34.5.1.Incidence -- 34.5.2.Risk Factors -- 34.6.Practical Methods and Techniques -- 34.6.1.Prophylaxis and Treatment -- 34.6.2.Ethical Issues -- 34.7.Impaired Glucose Metabolism -- 34.7.1.Monitoring -- 34.7.2.Practical Methods and Techniques -- 34.7.2.1.Oral Agents -- 34.7.2.2.Insulin -- 34.7.3.Ethics and Diabetic Management in the Dying -- 34.7.4.Hiccups -- 34.8.Applications to Other Areas of Palliative Care -- Summary Points -- Acknowledgments -- List of Abbreviations -- References -- ch. 35 Appetite Stimulant Use in the Palliative Care of Cystic Fibrosis / Darcie D. Streetman -- 35.1.Introduction -- 35.2.Appetite Stimulants -- 35.2.1.Megestrol Acetate (MA) -- 35.2.2.Cyproheptadine Hydrochloride (CH) -- 35.2.3.Dronobinal (Marinol®) -- 35.2.4.Antipsychotic/Antidepressant Agents -- 35.2.4.1.Antipsychotic Drugs -- 35.2.4.2.Antidepressants -- 35.2.5.Recombinant Human Growth Hormone (rhGH) -- 35.2.6.Anabolic Androgenic Steroids (AAS) -- 35.3.Applications to Other Areas of Terminal or Palliative Care -- Ethical Issues -- Summary Points -- List of Abbreviations -- References -- ch. 36 Warfarin -- Nutrition Interactions in the Hospice and Palliative Care Setting / Jeffrey L. Spiess -- 36.1.Introduction -- 36.2.The Coagulation Cascade -- 36.3.Vitamin K Antagonists -- 36.4.Warfarin in Clinical Practice -- 36.5.Warfarin Indications and Cautions -- 36.6.Vitamin K -- 36.7.Vitamin K as a Therapeutic Agent -- 36.8.Non-Vitamin K Warfarin-Nutrition Interactions -- 36.9.Application to Other Areas of Terminal or Palliative Care -- 36.10.Guidelines -- Ethical Issues -- Summary Points -- Acknowledgments -- List of Abbreviations -- References
Notes Formerly CIP. Uk
Bibliography Includes bibliographical references and index
Notes Donated by Mrs Erica Diment for the Library Bookplate appeal 2008 Mrs Erica Diment
Subject Diet therapy.
Nursing.
Palliative treatment.
Terminal care.
Terminally ill -- Nutrition.
Palliative Care.
Nutrition Therapy.
Terminal Care.
Diet Therapy.
Nutrition
Palliative Care.
Author Preedy, Victor R.
ISBN 1439819327 (hbk.)
9781439819326 (hbk.)
Other Titles Diet & nutrition in palliative care