Nutrition and the Cancer Patient

* Will enable physicians, nurses and also dieticians to better discuss the complex issues of nutrition with cancer patients and their families
* Provides both background information and practical, clinical advice
* Includes information that relates to patients who are continuing to receive disease-specific therapy, the cancer survivor, as well as patients with advanced or recurrent cancer receiving palliative care

Nutrition, appetite, and involuntary weight loss are issues that affect a large number of cancer patients and cancer survivors. Aspects such as symptom management, behavioural modification, exercise and medication are all important aspects of cancer care, but nutritional issues at the end of life can be accompanied by contentious ethical factors as well as religious and cultural influences that need to be addressed by health professionals. This book enables physicians, nurses and also dieticians to better discuss these complex issues with patients and their families.

This comprehensive reference book provides both background information and practical, clinical advice for managing the cancer patient at all stages of their disease trajectory. It includes information that relates to patients who are continuing to receive disease-specific therapy, the cancer survivor, as well as patients with advanced or recurrent cancer receiving palliative care.

Basic principles such as epidemiology and physiology set the scene, leading into the cachexia/anorexia syndrome, treatment options, nutritional counselling, enteral and parenteral nutrition, complementary/alternative therapies, exercise, clinical outcomes measures in each of the clinical groups, and focus on special populations and their specific needs. Multidimensional, interdisciplinary clinical evaluation and treatment is emphasised, and ethical, religious, and cultural factors are also addressed.

Multidisciplinary in nature, this book draws on the experience of the editors' work across the fields of oncology, palliative care, surgery, primary care, nursing, dietetics and nutritional science. It will prove invaluable to all general practitioners, internists, medical oncologists and surgeons, nurses, palliative care specialists and related professionals involved in the care of the cancer patient.

1 - Basic principles
1: Vickie E. Baracos: Definitions and epidemiology
2: Vickie E. Baracos and Henrique A. Parsons: Metabolism and physiology
3: Vickie E. Baracos, CMM Prado, S Antoun, and I Gioulbasanis: The assessment of nutritional status
2 - The cachexia/anorexia syndrome
4: Egidio Del Fabbro and Vickie E. Baracos: The epidemiology of body weight and body weight loss and its relation to cancer
5: Vickie E. Baracos and Henrique A. Parsons: The mechanisms of primary cachexia
3 - The treatment of primary cachexia
6: Henrique A. Parsons and Eduardo Bruera: Challenges and opportunities in conducting clinical research in cancer cachexia
7: Florian Strasser: Appetite stimulants
8: Jose Garcia: Anabolic hormones
9: Egidio del Fabbro: Immune modulators
10: Nada Fadul: Autonomic system modulators
11: Eduardo Bruera and Egidio del Fabbro: Multimodality therapy
4 - The treatment of secondary cachexia
12: Florian Strasser: Classification of cancer cachexia and secondary nutrition impact symptoms
13: Carla Ida Ripamonti, Nicla La Verde, Gabriella Farina, and Marina Chiara Garassino: Oral complications
14: Mellar P. Davis: Nausea and vomiting in advanced cancer
15: Mellar P. Davis: Early satiety
16: David Blum: Disordered bowel function
17: Elizabeth Kvale, Casey Balentine Azuero, and Eric Walker: Depression and fatigue
5 - Nutritional counselling
18: Laura Elliot and Barbara Parry: Counselling by a dietitian
19: Colette Hawkins, Inga Andrew, Tessa Aston, Trevelyan Beyer, Jacqueline Cairns, Bob Hansford, Jane Hopkinson, Reverend Caroline Worsfold: The multi-disciplinary approach to nutritional problems in patients with cancer
6 - Artificial nutritional support
20: Tim Bowling: Nutritional support: an overview
21: Jeremy Woodward: Oral and enteral nutrition
22: Pradeep F. Thomas and Dileep N Lobo: Nutrition in advanced malignancy: parenteral nutrition, palliative surgery and gastrointestinal stents
7 - Ethics, culture and spirituality
23: Paulina Taboada, Alejandra Palma, and Beatriz Shand: Ethics and medically assisted nutrition and hydration in cancer
24: Sarah Toule: Cultural and religious factors
8 - Nutrition and Complementary and Alternative Medicine (CAM) in cancer
25: Eran Ben-Arye, Dena Norton, Moshe Frenkel, and Nicola Hembry: Nutrition and Complementary and Alternative Medicine (CAM) in cancer care
9 - Exercise
26: Lee W. Jones: Exercise therapy for persons diagnosed with cancer
10 - Clinical groups
27: Wendy Demark-Wahnefried: The cancer survivor
28: R.D. Johnston, R.A. Barrett, and T.E. Bowling: Nutritional management of patients receiving primary cancer therapy
29: Shalini Dalal: Nutritional management of patients with recurrent, advanced or metastatic cancer
30: Egidio del Fabbro: Patients at the end of life
11 - Special opulations
31: Sian Kirkham and Martin Hewitt: Paediatric patients
32: Jane Hopkinson and Christopher Bailey: Nutritional care of older people with cancer
33: Marvin Omar Delgado Guay: Nutrition and comorbidities in patients with cancer
34: Richard Harding and Liz Gwyther: Patients in the developing world
35: Susan E. McClement: The experience of involuntary weight loss and altered body image in patients with cancer anorexia-cachexia syndrome (CACS): Patient and family perspectives