Nutritional approach of a patient in palliative care. Analysis of a clinical case

Authors

  • Claudia Patricia Maza Centro Médico Militar, Universidad Del Valle de Guatemala
  • Luis Demetrio Gonzalez Centro Médico Militar, Hospital General San Juan de Dios
  • Miriam Sucely Corado Lopez Centro Médico Militar

DOI:

https://doi.org/10.35454/rncm.v4n2.233

Keywords:

Gastric cancer, Intestinal obstruction, Nutritional therapy, Autonomy

Abstract

Malnutrition in patients with gastric cancer is a common problem that must be addressed. Artificial nutrition and hydration at the end-of-life are considered part of medical treatment, care process, or act of humanity. Oral, enteral, or parenteral nutritional support must be provided according to the clinical condition and on a case-by-case basis. The objective of this case study is to describe the nutritional management of a palliative care patient hospitalized in a third-level health care institution in Guatemala City.

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References

Las cifras del cáncer en España 2020 [Internet]. Sociedad Española de Oncología Médica (SEOM). 2020. (Consultado el 1 de octubre 2020). Disponible en: https://seom.org/seomcms/images/stories/recursos/Cifras_del_cancer_2020.pdf

Smyth EC, Verheij M, Allum W, Cunningham D, Cervantes A, Arnold D, et al. Gastric cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2016p;27(5):v38-v49. doi: 10.1093/annonc/mdw350.

Bozzetti F. Nutritional support of the oncology patient. Crit Rev Oncol Hematol. 2013;87(2):172-200. doi: 10.1016/j.critrevonc.2013.03.006.

Arends J, Bodoky G, Bozzetti F. ESPEN guidelines on enteral nutrition: non-surgical oncology. Clin Nutr. 2006;25(2):245-59. doi:https://doi.org/10.1016/j.clnu.2006.01.020.

Orreval Y, Tishelman C, Permert J. Home parenteral nutrition: a qualitative interview study of the experiences of advanced cancer patients and their families. Clin Nutr. 2005;24:961-70. doi: https://doi.org/10.1016/j.clnu.2009.04.011.

Bozzetti F, Arends J, Lundholm K, Micklewright A, Zurcher G, Muscaritoli M. ESPEN guidelines on parenteral nutrition: non-surgical oncology. Clin Nutr. 2009;28(4):445-54. doi: https://doi.org/10.1016/j.clnu.2009.04.011.

Miles SH. Nourishment and the ethics of lament. Linacre Quarterly 1989;56(3):64-9.https://doi.org/10.1080/00243639.1989.11878020.

Wildes K. A memo from the central office: the “ethical and religious directives for catholic health care services. Kennedy Inst Ethics J. 1995;5(2):133-9. doi: 10.1353/ken.0.0122.

Jager-Wittenaar H, Dijkstra PU, Dijkstra G, Bijzet J, Langendijk JA, van der Laan BFAM, et al. High prevalence of cachexia in newly diagnosed head and neck cancer patients: an exploratory study. Nutrition. 2017;35:114-8. doi: 10.1016/j.nut.2016.11.008.

Fearon KC. Cancer cachexia: developing multimodal therapy for a multidimensional problem. Eur J Cancer. 2008;44:1124-32. doi: https://doi.org/10.1016/j.ejca.2008.02.033.

Published

2020-12-19

How to Cite

Maza, C. P., Gonzalez, L. D., & Corado Lopez, M. S. (2020). Nutritional approach of a patient in palliative care. Analysis of a clinical case. Journal Clinical Nutrition and Metabolism, 4(2), 86–90. https://doi.org/10.35454/rncm.v4n2.233