A Review on the Importance of Nursing Approaches in Nutrition of Children with Cancer

Authors: Ş. Çiftcioğlu, E. Efe

Abstract:

In recent years, cancer has been at the top of diseases that cause death in children. Adequate and balanced nutrition plays an important role in the treatment of cancer. Cancer and cancer treatment is affecting food intake, absorption and metabolism, causing nutritional disorders. Appropriate nutrition is very important for the cancerous child to feel well before, during and after the treatment. There are various difficulties in feeding children with cancer. These are the cancer-related factors. Other factors are environmental and behavioral. As health professionals who spend more time with children in the hospital, nurses should be able to support the children on nutrition and help them to have balanced nutrition. This study aimed to evaluate the importance of nursing approaches in the nutrition of children with cancer. This article is planned as a review article by searching the literature on this field. Anorexia may develop due to psychogenic causes or chemotherapeutic agents or accompanying infections and nutrient uptake may be reduced.  In addition, stomatitis, mucositis, taste and odor changes in the mouth, the feeling of nausea, vomiting and diarrhea can also reduce oral intake and result in significant losses in the energy deficit. In assessing the nutritional status of children with cancer, determining weight loss and good nutrition is essential anamnesis of a child.  Some anthropometric measurements and biochemical tests should be used to evaluate the nutrition of the child. The nutritional status of pediatric cancer patients has been studied for a long time and malnutrition, in particular under nutrition, in this population has long been recognized. Yet, its management remains variable with many malnourished children going unrecognized and consequently untreated. Nutritional support is important to pediatric cancer patients and should be integrated into the overall treatment of these children.

Keywords: Cancer treatment, children, complication, nutrition, nursing approaches.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1132381

References:

[1] J. M. Argiles, “Cancer-associated malnutrition”, European Journal of Oncology Nursing, 2005, 9: 39-50.
[2] A. Korkmaz, F. Arslan, S. Uzun, “Hastanede sağlığı geliştirme uygulamaları: Hasta çocukların beslenme durumlarının incelenmesi”, TAF Preventive Medicine Bulletin, 2008, 7: 323-332.
[3] A. Brinksma, G. Huizinga, E. Sulkers, W. Kamps, P. Roodbol, W. Tissing, “Malnutrition in childhood cancer patients: A review on its prevalence and possible causes”, Critical Reviews in Oncology/Hematology, 2012, 83: 249-75.
[4] T. Yıldırım, “Kanserli çocuklarda beslenme durumunun değerlendirilmesi”, Unpublished thesis of expertise, Kartal Education and Research Hospital Child Health and Diseases, 2004, pp. 40-53. İstanbul.
[5] K. Selwood, E. Ward, F. Gibson, “Assessment and management of nutritional challenges in children’s cancer care: A survey of current practice in the United Kingdom”, European Journal of Oncology Nursing, 2010, 14: 439-46.
[6] J. J. Groben, “The Child with Cancer. In: Wong’s nursing care of infants and children”, Hockenberry MJ, Wilson D (eds). 9th ed. America, Elsevier Saunders, 2011, pp. 1417-1461.
[7] F. Taş, H. Bal Yılmaz, “Pediatrik onkoloji hastalarında yaşam kalitesi kavramı”, Türk Onkoloji Dergisi, 2008, 23: 104-107.
[8] C. M. Ruland, G. A. Hamilton, B. Schjødt-Osmo, “The complexity of symptoms and problems experienced in children with cancer: a review of the literatüre”, Journal of Pain and Symptom Management, 2009, 37: 403-418.
[9] S. R. James, K. A. Nelson, J. W. Ashwill, “Nursing care of children: Principles and practice”, Chine, Elsevier Saunders, 2013, pp. 596-611.
[10] Ö. Muhsiroğlu, “Beslenme ve kanser”, Gulhane Military Medical Academy Command Medical Oncology Department, Ankara, Gata Printery, 2007, pp. 17-25.
[11] T. Han-Markey, “Nutritional considerations in pediatric oncology”, Seminars in Oncology Nursing, 2000, 16: 146-151.
[12] H. Özen, “Enteral ve parenteral beslenmede yenilikler”, Katkı Pediatri Dergisi, 2006, 28: 235-256.
[13] R. Williams, P. S. Hinds, W. Ke, X. J. Hu, “A comparison of calorie and protein intake in hospitalized pediatric oncology patients dining with a caregiver versus patients dining alone: A randomized, prospective clinical trial”, Journal of Pediatric Oncology Nursing, 2004, 21: 223-232.
[14] G. Ertem, “Kanser Hastalarında beslenme ve hemşirelik yaklaşımı”, Dirim Tıp Gazetesi, 2008, 83: 56-63.
[15] J. M. Yasko, “Nursing Management of Symptoms Associated With Chemotherapy”, 5th ed. USA, Pharmacia Oncology, 2001, pp. 15-21.
[16] B.M. Svahn, M. Remberger, K.E. Myrbäck, K. Holmberg, B. Eriksson, P. Hentschke, et al., “Home care during the pancytopenic phase after allogeneic hematopoietic stem cell transplantation is advantageous compared with hospital care”, Blood, 2002, 100 (13): 4317-4324.
[17] B. J. Wilson, “Dietary recommendations for neutropenic patients”, Seminars in Oncology Nursing, 2002, 18 (1): 44-49.
[18] F. Erdemir, F. Taş Arslan, “Onkolojik sorunu olan çocuk ve hemşirelik bakımı” in Pediatri Hemşireliği (eds: Z. Conk, Z. Başbakkal, H. Bal Yılmaz, B. Bolışık), İstanbul, Akademisyen Medical Publication, 2013, pp. 783-787.
[19] D. DeMille, P. Deming, P. Lupinacci, L.A. Jacobs, “The effect of the neutropenic diet in the outpatient setting: a pilot study”, Oncology Nursing Forum, 2006, 33(2): 337-343.
[20] S. Regina, C. Bell, R. Bell, “Nutrition in Cancer: An Overview”, Seminars in Oncology Nursing, 2000, 16 (2): 90-98.
[21] Linder LA, "Developmental diversity in symptom research involving children and adolescents with cancer", Journal of Pediatric Nursing, 2008, 23: 296-309.
[22] Shipway L, "Providing nutritional support for patients during cancer treatment", Paediatric Nursing, 2010, 22: 20-25.
[23] Moody K, Finlay J, Mancuso C, Charlson M, "Feasibility and safety of a pilot randomized trial of infection rate: neutropenic diet versus standard food safety guidelines", Journal of Pediatric Hematology/Oncology, 2006, 28(3): 126-133.
[24] Moody K, Charlson ME, Finlay J, "The neutropenic diet: what's the evidence?.", Journal of Pediatric Hematology/Oncology, 2002, 24 (9): 717-721.
[25] Larson E, Nirenberg A, "Evidence-based nursing practice to prevent infection in hospitalized neutropenic patients with cancer", Oncology Nursing Forum, 2004, 31(4): 717-725.
[26] Akdeniz Kudubeş A, Bektaş M, "Nutrition in Pediatric Oncology Patients: A Systematic Review", The Journal of Pediatric Research, 2016, 3(1): 1-6.
[27] Atasoy BM, Özgen Z, Yüksek Kantaş Ö, Demirel B, Aksu A, Dane F et al., " Interdisciplinary Collaboration in Management of Nutrition during Chemoradiotherapy in Cancer Patients: A Pilot Study", Marmara Medical Journal, 2012, 25: 32-36.
[28] Co-Reyes E, Li R, Huh W, Chandra J, "Malnutrition and obesity in pediatric oncology patients: causes, consequences, and interventions", Pediatr Blood Cancer, 2012, 15, 59 (7): 1160–1167.