Aspects of taste and compliance in patients with cancer

European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society
Paula Ravasco

Abstract

Taste alterations are common in patients with cancer, and can be the result of the disease itself and/or its treatment(s). Specifically, chemotherapy and/or radiotherapy to the head and neck area have been shown to induce significant taste changes. Alterations in taste are distressing for patients and can lead to food aversions, a reduction in food intake and nutritional deficits. Ultimately, this can lead to weight loss and, in severe cases, malnutrition, which has been associated with poor patient outcomes, including a negative effect on survival. Dietary counselling and advice tailored to the individual can improve nutritional status, and several effective strategies are available to accommodate taste changes and increase nutritional intake. Oral supplements may provide additional nutritional support when dietary intake is insufficient. The success of supplementation depends, however, on the product acceptability and on patient compliance over the long term. Patient compliance is linked to perceived supplement taste, which may be affected by a variety of taste changes reported by patients both before and after therapy, or as a consequence of disease progression. Supplements which offer a variety of flavours are likely to pro...Continue Reading

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Related Concepts

Antineoplastic Agents
Energy Intake
Food Selection
Malignant Neoplasms
Nutritional Status
Patient Non-Compliance
Patient Education
Radiotherapy, Targeted
Taste, Metallic
Reinforcing Factors

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