Granda-Cameron Clara, DeMille Debra, Lynch Mary Pat, Huntzinger Christine, Alcorn Theresa, Levicoff Joan, Roop Carly, Mintzer David
Philadelphia Veterans Affairs Medical Center, PA, USA.
Clin J Oncol Nurs. 2010 Feb;14(1):72-80. doi: 10.1188/10.CJON.72-80.
Cancer cachexia occurs in about 33% of newly diagnosed patients with cancer and may lead to delayed, missed, or decreased treatments. An interdisciplinary team approach to manage cancer cachexia may result in fewer missed treatments and improved outcomes. The palliative care program of an urban community cancer center developed an interdisciplinary clinic to treat cancer cachexia with the goal of using an interdisciplinary approach to improve symptom management, nutrition, function, and quality of life (QOL) for patients with cancer at high risk for malnutrition. The Cancer Appetite and Rehabilitation Clinic team completes medical, nutritional, speech, swallowing, and physical therapy evaluations and then develops an individualized program directed to meet patients' needs and improve overall QOL. Patient outcomes are measured by symptom management and nutritional and functional parameters. Early intervention and aggressive symptom management may improve performance status and overall QOL. Results from this project will be used to expand this innovative program. The process of developing and implementing this clinic may help oncology nurses and other healthcare professionals to improve management of cancer cachexia and overall cancer care.
癌症恶病质发生在约33%新确诊的癌症患者中，可能导致治疗延迟、错过或减少。采用跨学科团队方法管理癌症恶病质可能会减少错过的治疗并改善治疗结果。一个城市社区癌症中心的姑息治疗项目设立了一个跨学科诊所来治疗癌症恶病质，目标是采用跨学科方法改善营养不良高危癌症患者的症状管理、营养、功能和生活质量（QOL）。癌症食欲与康复诊所团队完成医学、营养、言语、吞咽和物理治疗评估，然后制定一个个性化项目以满足患者需求并改善整体生活质量。通过症状管理以及营养和功能参数来衡量患者的治疗结果。早期干预和积极的症状管理可能会改善身体状况和整体生活质量。该项目的结果将用于扩展这个创新项目。开发和实施这个诊所的过程可能有助于肿瘤护士和其他医疗保健专业人员改善癌症恶病质的管理以及整体癌症护理。
