Ošetřovatelské perspektivy 2023, 6(2):57-69 | DOI: 10.25142/osp.2023.011

MALNUTRITION AS A NURSING PROBLEM IN ONCOLOGICAL PATIENTS

Mária Novysedláková1, Anna Herinková2, Katarína Zrubáková1
1 Katedra ošetrovateľstva, Fakulta zdravotníctva, Katolícka univerzita v Ružomberku
2 Klinika radiačnej a klinickej onkológie, Ústredná vojenská nemocnica SNP v Ružomberku – FN

Introduction: In patients with oncological disease are nutritional disorders a risk factor, which complicate anti-tumor treatment and significantly shorten the survival of patients. In practice, the key condition for success is the assessment of the nutritional status and early nutritional intervention.

Objective: The main objective of the paper is explain the procedures of nursing interventions in ensuring the nutrition of a malnourished patient.

Methods: The main method is a case study. The choice of the respondent was deliberate. These lection criteria were: a patient with an oncological diagnosis and malnutrition, willing to cooperate. We included a 68-year-old patient with esophageal cancer in the study. The patient provided us with information about his health condition voluntarily and agreed to its processing.

Results: Based on nutritional anamnesis, anthropometric measurements and laboratory tests, the patient's nutritional status was evaluated as malnutrition. Over thecourse of five months, we ensured that the patient's nutritional needs were met through a percutaneous endoscopic gastrostomy through prescribed nutritional interventions – administration of diet No. 1 and, liquids, 6 to 8 nutridrinks per day. We managed to measure the patient's body weight stabilize at a value of 65-62kg for the monitored period of 4 months.

Conclusion: Malnutrition is the most common accompanying diagnosis in oncology patients. Despite nutritional interventions with the nutritional status of the patient worsened and after 4 months showed signs of tumor cachexia, which was confirmed by laboratory parameters.

Keywords: Malnutrition, assessment tools, nutritional interventions, percutaneous endoscopic gastrostomy

Received: June 12, 2023; Revised: August 1, 2023; Accepted: August 28, 2023; Published: February 26, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Novysedláková M, Herinková A, Zrubáková K. MALNUTRITION AS A NURSING PROBLEM IN ONCOLOGICAL PATIENTS. Ošetřovatelské perspektivy. 2023;6(2):57-69. doi: 10.25142/osp.2023.011.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. ARENDS, J. et al. ESPEN guidelines on nutrition in cancer patients. Clinical Nutrition. 2017, vol. 36, no 1, p. 11-48. ISSN 0261-5614. Go to original source... Go to PubMed...
    2. BOZZETTI, F. Nutrition support in patients. With cancer. In: PAYNE, J. J. et al. (eds.). Greenwich medical media. 2001, p. 641-680. ISBN 1-900151-93-6.
    3. DETVAY, J. a ČECHOVÁ, M. Význam enterálnej výživy u onkologického pacienta. Paliatívna medicína a liečba bolesti. 2008, roč. 1, č. 3, s. 129-131. ISSN 1337-6896.
    4. DONOHOE, C. L., RYAN, A. M. and REYNOLDS, J. V. Cancer Cachexia: mechanisms and Clinical Implications. Gastroenterology Research and Practice. 2011. ISSN 0016-5085. Go to original source... Go to PubMed...
    5. KOHOUT, P. a KOTRLÍKOVÁ, E. Základy klinické výživy. Praha: Forsapi, 2009. ISBN 978- 80-87250-05-1.
    6. KONDRUP, J. et al. ESPEN Guidelines for Nutrition Screening 2002. Clinical Nutrition [online]. 2003, vol. 22, no. 4, p. 415-421. [cit. 20. 5. 2023]. ISSN 1532-1983. DOI: 10.1016/s0261-5614(03)00098-0. Go to original source... Go to PubMed...
    7. MAGUROVÁ, D., LONGAUEROVÁ, A. a OBROČNÍKOVÁ, A. Uspokojovanie potrieb umierajúceho klienta v rámci hospicovej apaliatívnej starostlivosti. Onkológia. 2007, roč. 2, č. 4, s. 246-252. ISSN 1336-8176.
    8. ŠKRIPEKOVÁ, A. Výživa pacientov s pokročilým nádorovým ochorením. Farmakoterapia. 2013, roč. 3, č. 1, s. 55-59. ISSN 1805-1529.
    9. ŠKRIPEKOVÁ, A. a DZURILLOVÁ, L. Nádorová kachexia v ESMO odporúčaniach. Nutrition News 1/2021 Slovak Edition [online]. [cit. 24. 5. 2023]. Dostupné z: https://www.worldmednet.cz/sk/nadorova-kachexia-v-esmo-odporucaniach/.
    10. ZRUBÁKOVÁ, K. Aplikácia enterálnej výživy. In: KADUČÁKOVÁ et al. Vybrané kapitoly z ošetrovateľských techník. Ružomberok: 2020, s. 63-73. ISBN 978-80-561-0766-9.
    11. ZRUBÁKOVÁ, K., HERINKOVÁ, A. a IŽOVÁ, M. Výživa a hydratácia terminálne chorých onkologických pacientov. Paliatívna medicína a liečba bolesti. 2020, roč. 13, č. 1-2e, s. 21-25. ISSN 1337-6896.

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content