Early Nutrition Support in Head and Neck Cancer

LAUREN GREEN | June 20, 2014
Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Head and Neck Cancer Researchers presenting findings at the 2014 ONS Congress reported that many oncologists who are treating patients with head and neck cancer are proactively starting these patients on enteral nutrition (EN) support to avert malnutrition in a population which is especially vulnerable to this complication of this diagnosis and treatment.

Noreen Luszcz, RD, MBS, CNSC, and Donna Ford, RN, BSN, of Walgreens Infusion Services in Deerfield, Illinois, conducted a randomized, retrospective review of medical records of 172 patients receiving EN and found that 50% of these patients had their gastrostomy tubes placed prior to beginning treatment for head or neck cancer.

Notably, only 8% of these patients had severe malnutrition at the start of therapy, whereas 17% had malnutrition classified as moderate and 55% mild. For 27% of patients, the goal was weight gain, and for 64%, weight maintenance. Of the 62 patients who completed EN (average length = 131 days), 46% met their initial goal, and of patients remaining on EN, 70% were progressing toward their goal.

The infusion clinicians stressed that “it is important to incorporate early nutrition screening into the care plans of cancer patients to identify and treat those who may be at risk for malnutrition.”



Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Related Articles
By: Insights From: Samuel J. Klempner, MD, The Angeles Clinic and Research Institute; Cedar Sinai Medical Center; Alice Beers, RN, BSN, OCN, MedStar Health System
External Resources

MJH Associates
American Journal of Managed Care
Cure
MD Magazine
Pharmacy Times
Physicians' Education Resource
Specialty Pharmacy Times
TargetedOnc
OncNurse Resources

Blogs
Continuing Education
Discussions
Web Exclusives


About Us
Advertise
Advisory Board
Careers
Contact Us
Privacy Policy
Terms & Conditions
Intellisphere, LLC
2 Clarke Drive
Suite 100
Cranbury, NJ 08512
P: 609-716-7777
F: 609-716-4747

Copyright OncNursing 2006-2017
Intellisphere, LLC. All Rights Reserved.