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Renal Disease (Social (Financial (Work), Who they live with? (support),…
Renal Disease
Social
Who they live with? (support)
Cooking
support
Distance to healthcare
Financial
Work
Drinking
Smoking
Dietary counselling
Quality of Life
Nutrition implications
Laryngeal & Pharyngeal tumors
Enteral Nutrition
Oral diet
Start: free fluids
Upgrade: Soft/ Full Diet
Texture modification
Unmodified
Texture A - Soft
Texture B- minced and moist
Texture C- Puree
High Protein - high energy diet
Loss of taste
Dysphagia
Oral Cavity tumors
Enteral Nutrition
Oral diet
Dysphagia
Dysguesia (taste alterations)
Dysarthria (difficulty speaking)
Laryngeal tumor
Enteral Nutritoon
Duration
Short tern (4-6 weeks)
Long term ( > 4-6 weeks)
Route
Nasogastric tubes (short term)
Gastrotomy Tube (long term)
Brands/ types
multi fiber
energy
Oral diet
Loss of taste
Dietary Counselling
Diet history
Protein and energy intake
Food restrictions / specific diet
Supplements
Oral / Enteral Nutrition Intake
Patient situation
Age
Gender
Ethnicity
treatments
Chemotherapy
Duration
Nutrition side effects
Hypokalaemia
Nausea/ vomiting
Hypocalcaemia
Taste/ smell alteration
Hypomeagnesaemia
Anorexia
malnutrition
Type of chemotherapy
Radiation
side effects :
thick saliva
Xerostomia
Dysphagia
Dental loss
Effect oral intake
malnutrition
Dental care
Trismus
Duration
Affected area
Strength of radiation
Nutrition intervention
HPHE diet
Supplements
Surgery
Medic al Hx
Biochemistry
Blood Count
WCC & Neutrophils
WCC: 4.0 - 11.0 mmol/L
Neutrophils: 2.0 - 8.0 mmol/L
Albumin
Magnesium
0.7- 1.1 mmol/L
Calcium
2.1 - 2.5 mmol/L
Potassium
3.4- 5.0 mmol/L
LFT
creatine
Renal
urea
Blood Sugar Levels
Stage of cancer
Location of cancer (Head and Neck)
oral cavity
Pharyngeal & Laryngeal
Laryngeal
Co-morbidities
Previous cancer patient
diabetes
Signs and Symptoms
clinical symptoms
Muscositis.
mouth ulcers
nausea
vomiting
bowels movement
Anthro
Fluid status
Dry weight
odema
Acieties
weight history
PG-SGA / SGA
percentage of weight loss
BMI
Medications
supplemets
steroids
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