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Nutritional support: an overview 

Nutritional support: an overview
Chapter:
Nutritional support: an overview
Author(s):

Tim E. Bowling

DOI:
10.1093/med/9780199550197.003.0020
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date: 17 September 2019

Chapter 20 discusses that, in addition to considering the need for nutritional support, effort should be directed at any concurrent symptomatology. Identification of treatable aetiologies, such as biochemical/metabolic disturbance (e.g. electrolyte imbalance, acid–base disturbance), dehydration and benign upper gastrointestinal tract disease (e.g. ulcers), can prove very effective. For those problems without obvious solutions, optimization of symptom control is paramount: analgesia anti-emetics (Chapter 14), anti-diarrhoeals, laxatives, chlorpromazine (for hiccoughs) and rationalization of drug therapy, where possible, are a brief list of areas that may need to be addressed. There are also some treatment options for appetite stimulation and cancer cachexia (see Part 3), and psychological help is often required, which most oncology centres can access.

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