indications for home nutritional support in cancer … · home artificial nutrition in cancer...
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ESPEN Congress Florence 2008
Home artificial nutrition in cancer
INDICATIONS FOR HOME CARE NUTRITION IN
CANCER PATIENTS
Winnie Magambo (United Kingdom)
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INDICATIONS FOR
HOME CARE
NUTRITION IN
CANCER PATIENTSWinnie Magambo
Clinical Nurse Specialist-Nutrition
University Hospital of Wales
Cardiff and Vale NHS Trust
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AIMS
Indications for HETF
Indications for HPN
Practicalities of HETF/HPN
Summary
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GOALS OF NUTRITIONAL
SUPPORT
Patients with advanced Cancer
Lessen side effects
Reduce risk of infection
Reduce loss of strength
Improve well-being
National Cancer Institute
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INDICATIONS FOR HETF IN
CANCER PATIENTS
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HETF IN CANCER PATIENTS
U.K figures
23% of HETF is for cancer patients
↑ proportion of cancer patients
GI cancers
↑ Head & Neck cancers
BANS Report 2007
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INDICATIONS &
PRACTICALITIES FOR HEFT IN
CANCER PATIENTS
Cancer of the alimentary
canal
Complications from
chemotherapy/radiother
apy
PEG
RPG
JEJ
NG/NJ
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PRACTICALITIES FOR HETF
Patient assessment
Home assessment
Training
Social & psychological wellbeing
Support at home
Follow up & Trouble shooting
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HPN IN CANCER PATIENTS
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% HOME PARENTERAL
NUTRITION IN CANCER
PATIENTS
40%-60% of HPN patients in U.S.A, Japan &
Italy
18% of HPN patients in France
5% of new HPN patients in U.K.
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INDICATIONS FOR HPN IN
CANCER PATIENTS
Factors influencing indications
Disease process
Patient assessment
Decision making
Survival predictions
Timely referrals
Clinical assessments
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INDICATIONS FOR HPN IN
CANCER PATIENTS
Nutritional criteria
Life expectancy
Quality of life
Functional Status
Home environment
Mirhosseini et al 2005
Initial assessment
Overall assessment
Re-evaluation of
treatment
European Association for Palliative
Care
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PRACTICALITIES FOR HPN IN
CANCER PATIENTS
Patient assessment
Home assessment
Training
Social & psychological wellbeing
Support at home
Follow up & Trouble shooting
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SUMMARY
Patient assessment
Predicted life expectancy
Quality of life
Social & psychological wellbeing
Follow-up mechanisms
Periodic evaluations home nutritional support
Patient focused & suited to their individual needs