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Eating-Related Distress of Patients with Advanced, Incurable Cancer and of Their Partners

  • Florian Strasser

Abstract

The mechanism of loss of weight (cachexia), appetite (anorexia), and strength (asthenia) of most patients with advanced, incurable cancer encompasses a complex combination of paraneoplastic primary anorexia-cachexia syndromes (ACS). In addition, there are often secondary ACS due to other complications of advanced cancer, such as severe symptoms, disrupted function of the gastrointestinal tract, and reduced physical ability [1].

Keywords

Cancer Cachexia Terminal Illness Incurable Cancer Hospice Patient Chronic Nausea 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Strasser F (2003) Pathophysiology of anorexia/ cachexia syndrome. In: Doyle D, Hanks G, Cherny N et al (ed) Oxford textbook of palliative medicine, 3rd edn. Oxford University Press, Oxford, pp 520–533Google Scholar
  2. 2.
    Fearon KC, Barber MD, Moses AG (2001) The cancer cachexia syndrome. Surg Oncol Clin N Am 10:109–126PubMedGoogle Scholar
  3. 3.
    Robinson K, Bruera E (1995) The management of pain in patients with advanced cancer: the importance of multidimensional assessments. J Palliat Care 11:51–53PubMedGoogle Scholar
  4. 4.
    Strasser F, Bruera ED (2002) Update on anorexia / cachexia. Hematol Oncol Clin North Am 16:589–617PubMedCrossRefGoogle Scholar
  5. 5.
    Holland_JC (2001) Improving the human side of cancer care: psycho-oncology’s contribution. Cancer J 7:458–471PubMedGoogle Scholar
  6. 6.
    Anonymous (2002) National cancer control programmes: policies and managerial guidelines, 2nd ed. World Health Organization, GenevaGoogle Scholar
  7. 7.
    Clark D (1999) ‘Total pain,’ disciplinary power and the body in the work of Cicely Saunders, 1958–1967. Soc Sci Med 49:727–736PubMedCrossRefGoogle Scholar
  8. 8.
    Bruera E, Watanabe S (1994) New developments in the assessment of pain in cancer patients. Support Care Cancer 2:312–318PubMedCrossRefGoogle Scholar
  9. 9.
    Cohen MZ, Williams L, Knight P et al (2004) Symptom masquerade: understanding the meaning of symptoms. Support Care Cancer 12:184–190PubMedCrossRefGoogle Scholar
  10. 10.
    Bruera E, Schoeller T, Wenk R et al (1995) A prospective multi-center assessment of the Edmonton Staging System for cancer pain. J Pain Symptom Manage 10:348–355PubMedCrossRefGoogle Scholar
  11. 11.
    Fainsinger RL, Nekolaichuk C, Lawlor P et al (2004) The Revised Edmonton Staging System for Cancer Pain, 3rd ed. EAPC Research Forum, Stresa (abs 27)Google Scholar
  12. 12.
    Okuyama T, Tanaka K, Akechi T et al (2001) Fatigue in ambulatory patients with advanced lung cancer: prevalence, correlated factors, and screening. J Pain Symptom Manage 22:554–564PubMedCrossRefGoogle Scholar
  13. 13.
    Ellershaw J, Ward C (2003) Care of the dying patient: the last hours of life. Br Med J 326:30–34CrossRefGoogle Scholar
  14. 14.
    McClement SE, Degner LF, Harlos MS (2003) Family beliefs regarding the nutritional care of a terminally ill relative: a qualitative study. J Palliat Med 6:737–748PubMedCrossRefGoogle Scholar
  15. 15.
    Meares CJ (1997) Meaning of gradual cessation of oral intake in adult in-home hospice patients with terminal cancer as described by women primary caregivers. Oncol Nurs Forum 24:1751–1757PubMedGoogle Scholar
  16. 16.
    Poole K, Froggatt K (2002) Loss of weight and loss of appetite in advanced cancer: a problem for the patient, the carer, or the health professional? Palliat Med 16:499–506PubMedCrossRefGoogle Scholar
  17. 17.
    Hughes N, Neal RD (2000) Adults terminal illness: their needs and wishes for food. J Adv Nurs 32:1101–1107PubMedCrossRefGoogle Scholar
  18. 18.
    Strasser F, Dietrich L, Gisselbrecht D, Studerus E (2004) Development of an assessment instrument for eating-related distress of patients with cancer cachexia and their partners, 3rd ed. EAPC Research Forum, Stresa (abs 295)Google Scholar
  19. 19.
    Ribaudo JM, Cella D, Hahn EA et al (2000) Re-validation and shortening of the Functional Assessment of Anorexia/Cachexia Therapy (FAACT) questionnaire. Qual Life Res 9:1137–1146PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2006

Authors and Affiliations

  • Florian Strasser
    • 1
  1. 1.Department of Internal Medicine, Section Oncology/Haematology, Oncology and Palliative MedicineCantonal HospitalSt.GallenSwitzerland

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