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Welcome Slides
HE
by
Hams El Zonfouly
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Updated Nov 14, 2022
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00:00 - 00:05
Hi today I'm gonna talk about cancer. Cancer at this high.
00:05 - 00:08
Today I'm gonna talk about cancer high. Today I'm gonna talk about cancer.
00:08 - 00:12
Cancer is a disorder of cell growth, abnormal cell division.
00:12 - 00:16
It is not controlled and can invade other tissues and spread all over the body.
00:16 - 00:20
Cancer is the second leading cause of mortality in the U. S. A.
00:20 - 00:24
There are many unknowns about what causes cancer.
00:24 - 00:27
Something's put us at a higher risk. However, the actual
00:27 - 00:31
evidence is still not profound regarding nutrition in general.
00:31 - 00:35
It is well known that poor nutrition increases the risk of
00:35 - 00:36
cancer.
00:36 - 00:37
For example,
00:37 - 00:40
there are many others that can put us at a
00:40 - 00:44
higher risk of developing cancer such as processed meats,
00:44 - 00:49
salami, hot dogs, cooking food at a high temperature,
00:49 - 00:55
low fiber food and high or rich saturated fat food.
00:55 - 01:01
But still there is no direct link that this food causes.
01:01 - 01:07
That specific type of cancer nutrition therapy is a science of nutrition
01:07 - 01:11
that benefits overall wellness and has
01:11 - 01:13
therapeutic benefits to help manage cancer.
01:13 - 01:21
It is accomplished by doing nutrition assessment, diagnosis and intervention
01:22 - 01:26
for nutrition assessment assessing patients nutritional status
01:26 - 01:29
is essential to see where they are.
01:29 - 01:31
Many patients lose weight.
01:31 - 01:37
They become malnourished and lose muscle mass at that disease.
01:37 - 01:42
This disease that the body go through the wasting process.
01:42 - 01:44
The longer the history of cancer,
01:44 - 01:47
the more extended the cancer treatment and the more
01:47 - 01:52
the patient is suspected to malnutrition so that patients
01:52 - 01:53
have,
01:58 - 02:00
okay for example, Pink
02:00 - 02:07
for example, pancreatic cancer and gi cancer are at higher risk of malnutrition.
02:07 - 02:11
As digestion and absorption processes will be compromised.
02:11 - 02:19
The assessment is done or performed by two different tools P. G. S. G. A.
02:19 - 02:23
And must for nutrition diagnosis,
02:23 - 02:27
diagnosis depends on on three factors type of cancer,
02:28 - 02:31
tumor burden and treatment modality
02:31 - 02:35
possible diagnosis include inadequate oral intake,
02:35 - 02:38
inadequate fluid intake and alter G.
02:38 - 02:39
I. T. Function.
02:39 - 02:45
This helps provide the patient with that explanation or supplementation.
02:45 - 02:46
Sometimes the patient needs
02:47 - 02:51
to feeding and sometimes they need I. V. Feeding.
02:52 - 02:55
Talking about the nutrition intervention,
02:55 - 03:01
nutrition intervention for the side effects of cancer and cancer treatment.
03:01 - 03:08
I'm gonna start talking about nausea, vomiting and early satiety.
03:08 - 03:11
Sometimes people talk people taking chemotherapy
03:11 - 03:14
experience severe symptoms that do not tolerate
03:14 - 03:17
the side effects of nutrition such as
03:17 - 03:21
nausea vomiting and abdominal bowel movement.
03:21 - 03:23
So some people,
03:23 - 03:31
on the other hand receive radiation therapy and those experience this Fadia
03:31 - 03:36
and pain when swallowing because of the radiation.
03:36 - 03:40
So the use of nutrition intervention for common side effect
03:41 - 03:45
of cancer and treatment to address nutritional status and to increase
03:46 - 03:48
the density of the patients
03:49 - 03:49
mm.
03:51 - 03:56
Like some people taking chemotherapy experienced severe symptoms that do
03:56 - 04:00
not tolerate the side effects of nutrition such as nausea,
04:00 - 04:03
vomiting and abdominal bowel movement.
04:04 - 04:07
Others who receive radiation therapy
04:07 - 04:08
may experience this failure
04:10 - 04:12
and may have much pain
04:12 - 04:15
when swallowing because of the radiations.
04:15 - 04:18
So the use of nutrition intervention for
04:18 - 04:21
common side effects of cancer and treatment
04:21 - 04:27
to address nutritional status is to increase the density of the patient's food.
04:27 - 04:32
To make every bite count for example is to make and nutrient
04:32 - 04:37
is to make a nutrient dense smoothie to increase all intake.
04:39 - 04:44
Another thing is to consider selecting a high caloric or a high key low calorie,
04:44 - 04:46
high protein nutritional beverage.
04:46 - 04:49
This will help to reach our goal to take
04:49 - 04:52
the suitable amount of nutrients needed for each patient.
04:53 - 04:57
This geisha, which is some patients experience alter taste.
04:58 - 05:00
These changes are very common.
05:00 - 05:04
Some patients stays metal and some flavors. Nothing
05:04 - 05:05
at the time.
05:05 - 05:10
The patient is advised to use plastic utensils other than metal instances
05:10 - 05:12
to improve their nutrition intake.
05:14 - 05:17
Another side effect, which is anorexia.
05:17 - 05:22
Cancer treatment also causes anorexia which is loss of appetite.
05:22 - 05:27
Patients and anorexia are advised patients with anorexia are advised to
05:27 - 05:33
eat smaller frequent meals and limit fluids to avoid early fullness.
05:33 - 05:34
Keeping the patients
05:36 - 05:39
or giving the keeping the patient's favorite food
05:39 - 05:44
available is always preferred to increase their patients appetite
05:48 - 05:52
nutrition intervention during chemotherapy and radiation therapy,
05:52 - 05:55
patients with chemo and radiation therapy who
05:55 - 05:59
cannot ingest adequate fluids or oral food
05:59 - 06:04
and are malnourished, need specialized nutrition support to the body
06:05 - 06:06
with the needed nutrients
06:07 - 06:08
at that time,
06:09 - 06:11
central or parental nutrition is considered.
06:12 - 06:15
Central nutrition is considered or is indicated for
06:15 - 06:18
patients with a functional with a functioning G.
06:18 - 06:21
I tract who have
06:21 - 06:25
Inadequate auto intake for 7-14 days.
06:25 - 06:28
While for parental nutrition is for patients who cannot
06:28 - 06:33
eat or absorb enough food through to feeding formula
06:33 - 06:35
or by mouth
06:35 - 06:38
so they need another replacement
06:38 - 06:39
for nutrition therapy,
06:41 - 06:46
nutrition intervention before and after surgery patient surgery is a controlled
06:46 - 06:52
trauma that would need increase in the patient's energy and protein.
06:52 - 06:55
That's why it is recommended that
06:55 - 06:59
to provide a good nutrition intervention before the surgery.
06:59 - 07:00
To avoid malnutrition.
07:00 - 07:04
After surgery, unless the gut is not working, it is recommended to use
07:05 - 07:05
central
07:05 - 07:06
nutrition
07:06 - 07:07
to stimulate
07:07 - 07:08
intestine
07:08 - 07:10
and to reduce complications.
07:12 - 07:16
Nutrition intervention for hematopoietic cells, transplantation.
07:16 - 07:19
Aspirin recommend for patients with bone
07:19 - 07:23
marrow transplants who are malnourished and with
07:23 - 07:30
no oral intake is to do dietary counseling for food that they impose.
07:30 - 07:33
That may impose ingestion risk.
07:35 - 07:36
Aspirin recommend
07:36 - 07:38
for patients with bone marrow transplant.
07:40 - 07:42
As we recommend for patients with bone marrow transplant
07:43 - 07:44
who are malnourished
07:45 - 07:47
and with no oral
07:47 - 07:48
intake is to
07:49 - 07:50
do dietary counseling
07:51 - 07:56
for the food that that may impose infection high risk and safe food handling
07:56 - 07:57
also
07:58 - 08:01
enter nutrition for patients with a functioning gut.
08:03 - 08:07
After nutrition intervention, monitoring and evaluation is essential
08:08 - 08:12
to monitor and evaluate weight and weight changes. That
08:14 - 08:17
and monitoring and evaluation is essential.
08:17 - 08:20
Weight and weight changes should be measured also,
08:20 - 08:25
caloric and protein intake must be determined to avoid the risk of malnutrition.
08:26 - 08:29
To sum it up and as a conclusion for what I mentioned,
08:29 - 08:32
nutrition is essential for people fighting cancer,
08:32 - 08:36
nutrition fuels the body to maintain muscle
08:36 - 08:39
and lean mass to perform daily activities.
08:40 - 08:44
It is also necessary for healing and supporting immune function
08:44 - 08:45
during cancer treatment
08:46 - 08:47
as well.
08:47 - 08:51
Nourished patients can be can get the right amount of treatment at
08:51 - 08:54
the right time to manage the side effects of cancer treatment.
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