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Malnutrition and chemotherapy-induced nausea and vomiting : implications for practice

Davidson, Wendy, Teleni, Laisa, Muller, Jacqueline, Ferguson, Maree, McCarthy, Alexandra L., Vick, Joanna, & Isenring, Elisabeth A. (2012) Malnutrition and chemotherapy-induced nausea and vomiting : implications for practice. Oncology Nursing Forum, 39(4), E340-E345.

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    Abstract

    PURPOSE/OBJECTIVES: To determine the prevalence of malnutrition and chemotherapy-induced nausea and vomiting (CINV) limiting dietary intake in a chemotherapy unit. DESIGN Cross sectional descriptive audit.

    SETTING: Chemotherapy ambulatory care unit in an Australian teaching hospital. SAMPLE 121 patients receiving chemotherapy for malignancies, ≥18yrs and able to provide verbal consent.

    METHODS: An Accredited Practicing Dietitian collected all data. Chi-square tests were used to determine the relationship of malnutrition with variables and demographic data.

    MAIN RESEARCH VARIABLES: Nutritional status, weight change, BMI, prior dietetic input, CINV and CINV that limited dietary intake. FINDINGS Thirty one (26%) participants were malnourished, 12 (10%) had intake-limiting CINV, 22 (20%) reported significant weight loss and 20 (18%) required improved nutrition symptom management. High nutrition risk diagnoses, CINV, BMI and weight loss were significantly associated with malnutrition. Thirteen (35%) participants with malnutrition, significant weight loss, intake-limiting CINV and/or critically requiring improved symptom management reported no dietetic input; the majority of whom were overweight or obese.

    CONCLUSIONS: This audit determined over one quarter of patients receiving chemotherapy in this ambulatory setting were malnourished and the majority of patients reporting intake-limiting CINV were malnourished. IMPLICATIONS FOR NURSING Patients with malnutrition and/or intake-limiting CINV and in need of improved nutrition symptom management may be overlooked, especially patients who are overweight or obese - an increasing proportion of the Australian population. Evidence-based practice guidelines recommend implementing validated nutrition screening tools, such as the Malnutrition Screening Tool, in patients undergoing chemotherapy to identify those at risk of malnutrition requiring dietitian referral.

    Impact and interest:

    6 citations in Scopus
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    6 citations in Web of Science®

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    ID Code: 47056
    Item Type: Journal Article
    Keywords: Nausea , Medical oncology, Nutrition assessment, Drug therapy, Ambulatory care
    DOI: 10.1188/12.ONF.E340-E345
    ISSN: 0190-535X
    Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Nutrition and Dietetics not elsewhere classified (111199)
    Divisions: Current > QUT Faculties and Divisions > Faculty of Health
    Current > Institutes > Institute of Health and Biomedical Innovation
    Current > Schools > School of Nursing
    Current > Schools > School of Public Health & Social Work
    Deposited On: 18 Nov 2011 08:58
    Last Modified: 07 Nov 2013 02:43

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