Maintaining healthy nutrition post-treatment is incredibly important, but can often be difficult when the appetite has been diminished during chemo and taste buds have been affected during prolonged treatment. Ronnie Fortunato, a nutritionist from God's Love We Deliver, addresses maintaining healthy nutrition and suggests easy to prepare meals. She also gices advice and tips, so that you can help your loved one maintain healthy nutrition during their cancer diagnosis.
This program will take place during the Caregiver Support Group.
Diabetes is a disease that affects your body’s ability to produce or use insulin. Insulin is a hormone. When your body turns the food you eat into energy (also called sugar or glucose), insulin is released to help transport this energy to the cells. Insulin acts as a “key.” Its chemical message tells the cell to open and receive glucose.
Diabetes is a disease that affects your body’s ability to produce or use insulin. Insulin is a hormone. When your body turns the food you eat into energy (also called sugar or glucose), insulin is released to help transport this energy to the cells. Insulin acts as a “key.” Its chemical message tells the cell to open and receive glucose.
Lifestyle Diseases are diseases that are caused partly by unhealthy behaviors and partly by other factors. "Lifestyle-Related" Diseases are now the leading cause of death worldwide. To get tips to active lifestyle, visit at http://gisurgery.info
Diabetes support site diabetes and elderly people presentationMaureen Coughlan
Of course, seniors (those over 65) are not the only people to be affected by diabetes: type 1 diabetes (previously known as insulin-dependent diabetes or juvenile-onset diabetes) is usually diagnosed during childhood, while type 2 diabetes (previously known as non-insulin dependent diabetes or adult-onset diabetes), the most common type, is usually diagnosed in adults over the age of 45, although a growing number of young people are developing type 2 diabetes. Gestational diabetes is a type of diabetes that occurs only during pregnancy.
Type 2 diabetes is linked to an unhealthy lifestyle. Major risk factors for type 2 diabetes include age, being overweight, genetic predisposition to diabetes, and a reduction in activity levels. The rates of type 2 diabetes steadily increase with age.
A case of a Young boy of 15 years with JUVENILE DIABETES treated by Homeopathy - Speciality Homeopathic Clinic
JUVENILE DIABETES, homeopathic consultation, homeopathy, homeopathic treatment of DIABETES, homoeopathy DIABETES, Specility Homeopathic Clinic, JUVENILE DIABETES, Homeopathy for DIABETES, diabetes, Blood sugar
Visit http://www.specialityclinic.com/ for online homeopathic treatment
The holidays can be a difficult time to control your weight due to social events, stress, busy schedules and the availability of unhealthy foods. In this webinar you'll learn simple strategies for managing hunger, keeping cravings under control and handling stress. There are a handful of recipes at the end for you to enjoy!
These prompt cards will provide healthcare and public healthcare staff with dies on how to raise questions to elicit further information about an individual's health and wellbeing on specific lifestyle areas.
Lifestyle Diseases are diseases that are caused partly by unhealthy behaviors and partly by other factors. "Lifestyle-Related" Diseases are now the leading cause of death worldwide. To get tips to active lifestyle, visit at http://gisurgery.info
Diabetes support site diabetes and elderly people presentationMaureen Coughlan
Of course, seniors (those over 65) are not the only people to be affected by diabetes: type 1 diabetes (previously known as insulin-dependent diabetes or juvenile-onset diabetes) is usually diagnosed during childhood, while type 2 diabetes (previously known as non-insulin dependent diabetes or adult-onset diabetes), the most common type, is usually diagnosed in adults over the age of 45, although a growing number of young people are developing type 2 diabetes. Gestational diabetes is a type of diabetes that occurs only during pregnancy.
Type 2 diabetes is linked to an unhealthy lifestyle. Major risk factors for type 2 diabetes include age, being overweight, genetic predisposition to diabetes, and a reduction in activity levels. The rates of type 2 diabetes steadily increase with age.
A case of a Young boy of 15 years with JUVENILE DIABETES treated by Homeopathy - Speciality Homeopathic Clinic
JUVENILE DIABETES, homeopathic consultation, homeopathy, homeopathic treatment of DIABETES, homoeopathy DIABETES, Specility Homeopathic Clinic, JUVENILE DIABETES, Homeopathy for DIABETES, diabetes, Blood sugar
Visit http://www.specialityclinic.com/ for online homeopathic treatment
The holidays can be a difficult time to control your weight due to social events, stress, busy schedules and the availability of unhealthy foods. In this webinar you'll learn simple strategies for managing hunger, keeping cravings under control and handling stress. There are a handful of recipes at the end for you to enjoy!
These prompt cards will provide healthcare and public healthcare staff with dies on how to raise questions to elicit further information about an individual's health and wellbeing on specific lifestyle areas.
lifestyle disease, diabetes, cardiovascular disease, cancer, work life balance, heart quiz, work life balance quiz, prevention and management of lifestyle diseases, women and disease, fruit and benefits for lifestyle disease, Bible verses on lifestyle
lifestyle disease, diabetes, cardiovascular disease, cancer, work life balance, heart quiz, work life balance quiz, prevention and management of lifestyle diseases, women and disease, fruit and benefits for lifestyle disease, Bilbe verses on lifestyle
Global Medical Cures™ | Tasty Recipes for People with Diabetes & their Families Global Medical Cures™
Global Medical Cures™ | Tasty Recipes for People with Diabetes & their Families
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
The November edition of CBIZ Wellbeing Insights has been released. November's Wellbeing Insights features articles on diabetes, eye health, social security and more!
High blood pressure can get away from you, but
there’s plenty you can do to rein it in. Find out the
difference it can make to lose those extra pounds
and tweak your diet, as well as how to get the most
from your medications.
Are you thinking of starting diet program for weight loss? Then try this free diet plan which also includes guidelines for its maintenance, This will assist you to initiate the process and results will encourage you to continue your weight loss journey.
Similar to Maintaining Healthy Nutrition During a Cancer Diagnosis Program (20)
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Let's Talk About It: Ovarian Cancer (The Emotional Toll of Treatment Decision...bkling
Making treatment decisions is stressful. The work of understanding complex medical information, crafting questions for your medical team, and trusting oneself is hard. We break down this intense time in ways that might feel more manageable and help you regain a sense of calm as you work hard to care for yourself at each turn in the road. Let’s talk about it.
Report Back from SGO: What’s the Latest in Ovarian Cancer?bkling
Are you curious about what’s new in ovarian cancer research or unsure what the findings mean? Join Dr. Elena Pereira, a gynecologic oncologist at Lenox Hill Hospital, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Pereira will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Part I - Anticipatory Grief: Experiencing grief before the loss has happenedbkling
Anticipatory grief is the emotional experience when there is an impending loss that will occur. Often, people associate loss and grief with death, this is just one area in which grief and loss can occur. Anticipatory grief is often a slower grieving process marked by intermittent, small or large losses. In the world of cancer, anticipatory grief may show up in a variety of ways, such as before a major surgery, losing hair from chemotherapy treatment or caring for a loved one with advanced cancer.
Learn about anticipatory grief and ways to cope with it. We will also explore methods to heal from this challenging experience.
See it and Catch it! Recognizing the Thought Traps that Negatively Impact How...bkling
A cancer diagnosis is stressful. Feelings of worry, fear, self-doubt, sadness, and loneliness are normal but can feel exhausting and consuming at times. Cultivating a habit of thought-watching and learning to recognize thought traps that might be contributing to our discomfort can help us respond and care for ourselves in helpful ways. Learn more about the connection between what we think and how we feel and what you can do about it that might impact how you feel today. Let’s talk about it.
Advocating for Better Outcomes: Ovarian Cancer and Youbkling
Many parts of your life can affect your health and your cancer risk. Things like your race, ethnicity, where you live, and your finances matter. Even so, how can you get the health care you need and lower your cancer risk? What should you and your family do if you need to speak up?
Join this special talk about knowing your risk, ovarian cancer care, and ways we can speak up to improve our health. provided by two experts from Memorial Sloan Kettering Cancer Center (MSK) and SHARE.
Do you want to feel empowered and confident in preserving your independence and lowering your risk for injury? Learn how to reduce the risk of injury, how to fall safely, and maximize quality of life. Avoid common pitfalls and connect with others who share this concern!
Speakers: Ayden Jones, Falls Prevention Consultant and A Matter of Balance Master Trainer, and Janvier Hoist-Forrester, OTS.
Embracing Life's Balancing Act: Part 2 - Fall Action Planbkling
Do you want to feel empowered and confident in preserving your independence and lowering your risk for injury? Learn how to reduce the risk of injury, how to fall safely, and maximize quality of life. Avoid common pitfalls and connect with others who share this concern!
Speakers: Ayden Jones, Falls Prevention Consultant and A Matter of Balance Master Trainer, and Janvier Hoist-Forrester, OTS.
Let's Talk About It: Communication, Intimacy, and Sex… Oh My!bkling
Changes to your body are normal to experience related to a cancer diagnosis. But the grief and the learning to live with a changed body take time. But what if you share your body with someone else? What if finding pleasure and connection through intimacy feels like an overwhelming or insurmountable obstacle on your road to healing? Let's talk together about our personal experiences and questions surrounding this important topic of communication and intimacy.
Let's Talk About It: To Disclose or Not to Disclose?bkling
Sharing your cancer diagnosis with others can bring up a range of unexpected feelings and questions. Deciding who you tell, how much to share, and why are all important things to consider. The answer to these questions is personal and it varies not only between survivors but also in different settings and relationships in your life. We talk together about personal experiences and questions surrounding this important topic.
Report Back from SGO: What’s New in Uterine Cancer?.pptxbkling
Dr. Ebony Hoskins, gynecologic oncologist at MedStar Washington Hospital Center, provides a comprehensive update from the Society of Gynecologic Oncology (SGO) Annual Meeting on Women’s Cancer. Dr. Hoskins breaks down the research presented at the conference, discusses new developments, and addresses the most pressing questions.
Learn Tips for Managing Chemobrain or Mental Fogginessbkling
Chemobrain, or mental fogginess, is experienced by many patients during and after cancer treatment. But what are some strategies that help?Dennis Lin, OTD, OTR/L, Occupational Therapist at City of Hope National Medical Center, will provide tips on how you can manage chemobrain and support better engagement in your daily life.
Vaccines: Will they become a form of Secondary and Primary Breast Cancer Prev...bkling
Our guest speaker Lee Gravatt Wilke, MD, Senior Medical Director at the University of Wisconsin School of Medicine and Public Health, explains the current state of vaccine clinical trials in breast cancer followed by a review of the STEMVAC trial, design of the vaccine, and the current state of the accrual and next steps.
Let's Talk About It: Uterine Cancer (Advance Care Planning)bkling
Although it can be a difficult topic, advance care planning is very important for anyone facing a cancer diagnosis. The goal of advance care planning is to set up a plan to make sure you get the care you want in the future. It is critical to prepare for future decisions about your medical care with your family and support system. We discuss how to start and continue those important conversations. Learn about the differences between palliative care and hospice, when to bring up your wishes with your medical team, and how to prepare your family for navigating these decisions.
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...bkling
You’ve been treated for uterine cancer. Now what? With surveillance strategies varying from doctor to doctor, it can be hard to know which advice you should follow. Dr. Jennifer Mueller, Head of the Endometrial Cancer Section, Gynecologic Oncology Service at Memorial Sloan Kettering Cancer Center, delves into surveillance guidelines, which tests to consider, and how to keep an eye out for any symptoms which could indicate recurrence.
Understanding and Managing Chemo-Induced Peripheral Neuropathy (CIPN)bkling
Certain chemotherapy drugs can cause chemotherapy-induced peripheral neuropathy (CIPN), which is one of the most common side effects of treatment. Chemotherapy treatments cause peripheral neuropathy by damaging the nerves in the fingers, hands, arms, legs, and feet. This can lead to symptoms including pain, numbness, tingling, and difficulty with mobility, which can greatly impact one’s quality of life. Dr. Anasheh Halabi is an Assistant Clinical Professor in Neuromuscular Medicine at UCLA who specializes in neuropathies and is a leading specialist in caring for patients with neurotoxicities related to cancer drugs. She discusses chemotherapy-related neuropathies, expectations, and management. The perspective of a patient who has experienced CIPN will also be included in the program.
Let's Talk About It: Sick and Tired of Being Sick and Tiredbkling
Cancer-related fatigue is one of the most challenging treatment-related side effects. Your level of cancer-related fatigue may vary from day to day or last for extended periods. Survivors experience fatigue related to cancer treatment, but fatigue can also be a side effect of the logistical, mental, and emotional toll cancer takes on someone. This mental and emotional fatigue can often be minimized and particularly challenging to cope with as a survivor. Learn how to address your fatigue in mindful ways so you can navigate the days ahead.
What’s New with PARP Inhibitors and Ovarian Cancer?bkling
PARP inhibitors have revolutionized ovarian cancer treatment, but recent updates to the FDA-approved indications have caused confusion and raised questions for patients. So what do these changes mean? Dr. Thomas Herzog, Deputy Director of the University of Cincinnati Cancer Center, discusses the current landscape of PARP inhibitors for ovarian cancer and what it means for you.
Caring for You: The Mental & Emotional Toll of Survivorshipbkling
A cancer diagnosis is stressful. From gathering information about treatment options to navigating relationships with loved ones, it is normal to feel overwhelmed and emotional. This session will provide concrete tools for sharpening self-awareness to better understand needs and gain strategies for coping with intense emotions like worry and fear.
Let's Talk About It: Ovarian Cancer (Shifting Focus: The Relationship with Yo...bkling
Cancer treatment can change the relationship you have with your body. Surgical scars, hair loss, changes in sensitivity, discomfort or pain, and ongoing side effects can be overwhelming and emotional to experience. Feelings of loss, disconnect, anger, and shame are normal to have but can be uncomfortable or complicated to navigate. Join us on Wednesday, February 14th as together we openly discuss the path forward to healing and reclaiming the important relationship with your body post-diagnosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
EATING DISORDERS (Psychiatry-7)by dr Shivam sharma.pptxShivam Sharma
For any queries ,contact shvmshrm@outlook.com
---
## Introduction to Eating Disorders
Welcome to this comprehensive presentation on Eating Disorders, a critical and often misunderstood area of mental health. This presentation is designed to provide in-depth knowledge and insights into the various aspects of eating disorders, making it valuable for both postgraduate medical aspirants preparing for the INI-CET and the general public seeking to understand these complex conditions.
### Objectives:
1. **Understanding Eating Disorders**: Gain a clear understanding of what eating disorders are, their types, and their distinguishing characteristics.
2. **Etiology and Risk Factors**: Explore the underlying causes and risk factors that contribute to the development of eating disorders.
3. **Clinical Features and Diagnosis**: Learn about the clinical features, diagnostic criteria, and the importance of early detection.
4. **Management and Treatment**: Review the current approaches to managing and treating eating disorders, including medical, psychological, and nutritional interventions.
5. **Prevention and Awareness**: Discuss strategies for prevention, early intervention, and increasing awareness about eating disorders.
This presentation aims to bridge the gap between academic knowledge and practical understanding, providing you with the tools to recognize, diagnose, and effectively manage eating disorders. Whether you are preparing for a medical exam or seeking to educate yourself or others about these serious conditions, this presentation will equip you with essential information and practical insights.
Let's begin our journey into understanding eating disorders and the significant impact they have on individuals and society.
---
For any queries ,contact shvmshrm@outlook.com
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Maintaining Healthy Nutrition During a Cancer Diagnosis Program
1. J U LY 0 6 , 2 0 21
R O N NIE F O RTUNATO, M S , R D N
S E NIOR R E GIS TERED D I ETITIA N
N U TRITIO NIST
Maintaining Healthy Nutrition During
a Cancer Diagnosis
2. 7 / 1 3 / 2 0
2 1
2
Food is Medicine
Food is Love
M I S S IO N
We prepare and deliver nutritious meals for
people in the greater NYC metropolitan
area living with severe illness.
Free of charge and full of love.
3. Who We Serve:
People who are too sick to shop and cook for themselves
Medical eligibility:
• Diagnosis that requires nutrition intervention, such as HIV,
cancer, chronic kidney disease, CHF, COPD, and Alzheimer's
• Limited ADLs related to shopping and cooking
Referrals:
• Many sources: self-referral, healthcare providers, care
managers, discharge planners, family, etc.
Client & family:
• Serve the family – children in the household through age 19,
caregivers 60+
3
4. 01 Side Effects of Cancer
Treatments
02 Tips for Loss of Appetite
03 Tips for Nausea/Vomiting
04 Tips for Fatigue
Contents
05 Tips for Diarrhea
06 Tips for Mouth Sores/Dry
Mouth
07 Tips for Preventing Weight
Loss
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 4
6. • Loss of appetite, weight loss
• Nausea/vomiting
• Flu-like symptoms
• Fatigue
• Diarrhea/constipation
• Mouth sores/dry mouth
• Skin changes/rashes
• Alopecia
• Insomnia, dizziness
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 6
Chemotherapy can be associated with many
side effects, including:
7. • Fever, chills, headache, flushing
• Fatigue
• Nausea/vomiting
• Diarrhea or constipation
• Abdominal pain
• Decreased appetite
• Skin rash and skin problems
• Hyper- or hypotension
• Bleeding from nose, urine, GI tract, vagina
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 7
The various types of biotherapy also have
side effects, such as
8. • Hot flashes, sweating, fever, headache
• Nausea/vomiting
• Skin changes/rashes
• Joint ache/pain or bone pain
• Muscle weakness
• Weight gain
• Mood changes, malaise
• Menstrual irregularities, vaginal dryness
• Decreased libido, impotence
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 8
Hormone therapy is associated with
various side effects, such as
9. • Diarrhea
• Fatigue
• Headache, blurry vision, earaches
• Hair loss
• Mouth changes, cough
• Skin changes/rashes
• Nausea/vomiting
• Sexuality and fertility changes
• Urinary frequency, incontinence
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 9
Radiation therapy comes along with
ACUTE side effects, including:
10. • Headache
• Changes in memory and attention, dementia
• Osteopenia
• Pericarditis, congestive heart failure
• Diarrhea, malabsorption, intestinal changes
• Alterations in taste and smell, cough
• Infertility
• Skin pigmentation changes, fibrosis, atrophy
• Cataracts
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 1 0
Radiation therapy comes along with LATE
side effects, including:
11. • Pain, cramping
• Abnormal transit of food
• Maldigestion, malabsorption, heartburn
• Bowel obstruction
• Nutritional deficiencies
• Anorexia, unintentional weight loss
• Nausea/vomiting
• Diarrhea, constipation
• Dysphagia
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 1 1
Cancer surgery is associated with side
effects, such as:
13. 1. Eat small, frequent meals of calorie dense foods
and drinks.
2. Eat in pleasant surroundings.
• Avoid stress or conflict at meals.
3. Eat by the clock rather than waiting for appetite
or hunger cues
• View eating as part of treatment
4. Preserve energy by using foods that are easy to
prepare and serve
5. Consume liquids between meals rather than
during meals.
6. Maximize intake when most hungry.
7. Engage in light physical activity.
• This will help to stimulate appetite and move food through
the GI tract
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 1 3
Loss of Appetite
Eating Tips
14. Peanut Butter and Banana onToast:
• 1 slice bread
• 2 tbsp peanut butter
• 1 banana
Tuna Salad on Crackers:
• ½ cup tuna salad
• 5 crackers
High Calorie-High Protein Snack Ideas
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 1 4
Trail Mix:
• 1 cup cereal
• 12 almonds
• 2 tbsp peanuts
• 1/3 cup raisins
• ¼ cup chocolate
chips
Yogurt Smoothie:
• 8 oz yogurt
• ½ cup half and half
• 1 cup frozen
strawberries
Egg and Cheese:
• 1 egg
• 1 oz cheese
• 1 English muffin
https://stanfordhealthcare.org/medical-clinics/cancer-nutrition-services.html
16. Feeling nauseous for a long time can affect your appetite and can cause you to lose weight.To
manage your nausea or vomiting, it’s important to know what is causing the problem. If nausea
and vomiting are caused by your cancer treatment, symptoms may happen the day of treatment
and last for 3 or more days. Medication can be used to manage these symptoms. Remember to
take your medication as prescribed. If your nausea is occurring due to anxiety or stress, relaxation
techniques and simple changes to your diet will be helpful.
Cancer therapies
Intense pain
Fatigue
Stress
7 / 6 / 2 0 2 1
M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 1 6
Nausea/Vomiting
Some causes for these side effects
17. 1. Clear liquids first!
• If you have been vomiting, start by drinking a spoonful of
clear liquids such as sports drinks, water, or clear broth. Mint
or ginger tea are well tolerated
• Once you can drink clear liquids without vomiting, try full-
liquid foods and drinks like smoothies, soups, or those that
are easy on your stomach
• You can slowly add back solid foods when you start feeling
better.
2. Have small, frequent meals and snacks.
• Eat 6 to 8 small meals or snacks a day instead of 3 large
meals
3. Eat bland foods and foods served cool or at room
temperature.
• Foods that are hot, very sweet, fatty, or spicy can aggravate
nausea
4. A hard candy may relieve nausea and get rid of
any bad taste in the mouth.
• Choose peppermints, lemon drops, root beer barrels, or
ginger candies
5. Remove bad taste by rinsing mouth before
eating.
• Use a solution made of 1 tsp baking soda, ¾ tsp salt + 1 qt
warm/cool water
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 1 7
Nausea/Vomiting
Eating Tips
18. 1. Sip water throughout the day to keep you
hydrated.
2. If you are vomiting, dehydration is a serious
concern.
• While it may be very difficult, you need to drink clear liquids
as often as possible during this time.
3. After vomiting, rinse your mouth and spit out the
water.
• Try not to drink for 30 minutes.
• Then try to consume sips of apple juice, cranberry juice, flat
soda, broth, or bites of frozen flavored ice.
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 1 8
Nausea/Vomiting
Other Recommendations
19. 7 / 1 3 / 2 0
2 1
P R E S E N T A T I O N T I T L E 1 9
P E AC E F U L E AT I N G P L AC E
Create a relaxed atmosphere.
This will make eating easier.
T H E R O O M I T S E L F
The room should be well
ventilated and not smell of
strong food or cooking
odors.
T H I N G S TO AV O I D
Avoid wearing perfume,
aftershave, and scented
body lotions. Avoid strong-
smelling cleaning agents and
room fresheners.
Nausea/Vomiting
Your Environment
20. Lemon-Ginger Cornmeal Cookies
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 0
• 1 cup (4.5 oz) all-purpose flour
• 1/3 cup yellow cornmeal
• ½ tsp baking soda
• ¼ tsp salt
• ½ tsp ground ginger
• ¾ cup + 2 tbsp sugar
• 6 tbsp butter, softened
• 1 large egg
• 1 tbsp grated lemon rind
Ingredients: Prep time: 10 minutes
Cook time: 20 minutes
Total time: 30 minutes
Serving size: 3 dozen
https://universitycancercenters.com/fight-nausea-lemon-cornmeal-cookies/
21. Lemon-Ginger Cornmeal Cookies
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 1
1. Preheat oven to 350˚F
2. Lightly spoon flour into dry measuring cup
and level off with a knife
3. Combine flour, cornmeal, baking soda, salt,
and ground ginger and stir with whisk
4. Combine sugar and butter in bowl, beat
with mixer for ~5 minutes or until light and
fluffy
5. Add egg to sugar-butter mixture and beat
well
6. Beat lemon rind into egg-sugar-butter
mixture
7. Beat flour and butter mixtures together at
medium speed until blended
8. Spoon ~1.5 tsp batter 2 inches apart on 2
parchment-lined baking sheets
9. Bake for 12 minutes or until lightly browned
and almost firm
10. Remove from oven and cool for 2 minutes,
then remove and cool on wire racks
Directions:
23. Fatigue is a lingering tiredness that is constant and limiting. With fatigue, you have persistent and relapsing
exhaustion and experience a similar feeling to having the flu or lacking sleep.
Causes of fatigue can be psychological, physiological, and physical:
• Psychological: stress, anxiety, and depression
• Physical: diabetes, cancer, anemia, and glandular fever
• Physiological: pregnancy, breastfeeding, and inadequate sleep
7 / 6 / 2 0 2 1
M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 3
Fatigue
Why it happens
24. 1. Improve your sleep habits and ensure adequate
sleep.
2. Cut out caffeine.
3. Drink plenty of water.
4. Exercise regularly and balance rest and activity.
5. Eat healthy to avoid becoming overweight or
underweight.
6. Take time to relax, perhaps trying meditation or
yoga.
7. Limit alcohol use.
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 4
Fatigue
Tips for Dealing with Fatigue
25. Anti-Inflammatory Overnight Oats
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 5
• 2 tbsp ground flax
• 1 tbsp hemp seeds
• 1/3 cup rolled oats
• 1 tsp chia seeds
• 2 tbsp peanut butter powder
• 1 scoop protein powder
• 1 tsp coconut sugar or brown sugar,
optional
• 1/3 cup unsweetened vanilla almond milk
or water
• 1 cup frozen strawberries
Ingredients: Directions:
1. Combine all dry ingredients in bowl
2. Add almond milk and strawberries to
bowl
3. Combine ingredients well and let “cook”
overnight in the refrigerator
**To make instant oats, combine ingredients,
put into microwave for 1.5-2 minutes, and
eat!
https://hungryhobby.net/anti-inflammatory-instant-oats-2/
27. Diarrhea occurs when you have frequent bowel movements that may be soft, loose, or watery. Foods and
liquids pass through the bowel so quickly that your body cannot absorb enough nutrition, vitamins, minerals,
from them. This can cause dehydration (which occurs when your body has too little water). Diarrhea can be
severe and last a short or long time.
Cancer treatments can cause diarrhea because they can harm healthy cells in the lining of your large and
intestines.
Diarrhea can also be caused by infections, medicine used to treat constipation, or antibiotics.
7 / 6 / 2 0 2 1
M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 7
Diarrhea
Why it happens
28. 1. Drink plenty of fluids to replace the fluid you lose
from diarrhea.
• These include water, ginger ale, coconut water, and sports
drinks such as Gatorade and Propel.
2. Drink only clear liquids for 12 to 14 hours after.
• This lets your bowels rest and helps replace lost fluids.
3. Let carbonated drinks lose their fizz before you
drink them.
• Add extra water if drinks make you thirsty or if they cause
nausea.
4. Eat 5 or 6 meals each day instead of 3 large
meals.
5. Eat foods and liquids that are high in sodium and
potassium.
• When you have diarrhea, your body loses these substances,
and it is important to replace them.
• Liquids high in sodium: bouillon or fat-free broth
• Foods high in potassium: bananas, canned apricots, and
baked/boiled/mashed potatoes
6. Eat low-fiber foods.
• Foods high in fiber can make diarrhea worse.
• Low-fiber foods include: plain or vanilla yogurt, white toast,
applesauce, bananas, and white rice.
7. Have foods and drinks at room temperature,
neither too hot nor too cold.
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 8
Diarrhea
Eating/Drinking Tips
29. 7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 2 9
Diarrhea
Foods and Drinks to Avoid
• High-fiber foods such as whole wheat breads and
pasta
• Sugary drinks, such as regular soda and fruit punch
• Very hot or very cold drinks
• Greasy or fatty foods, such as French fries and
hamburgers
• Foods and drinks that can cause gas, including
cooked dried beans and fruits and vegetables
• Milk products, unless they are low-lactose or
lactose-free
• Alcohol, such as beer, wine or hard liquor
• Spicy foods, such as pepper, hot sauce, salsa,
and chili
• Foods or drinks with caffeine, such as regular
coffee, tea, some sodas, and chocolate
• Sugar-free products that are sweetened with
xylitol or sorbitol, such as sugar-free gums and
candy
• Apple juice, since it is high in sorbitol
30. • Be gentle when wiping yourself after a bowel movement. Instead of toilet paper, clean yourself with wet wipes.
• Tell your doctor or nurse if your rectal area is sore or bleeds or if you have hemorrhoids.
• Tell your doctor if you have had diarrhea for more than 24 hours.They also need to know if you have pain or
cramping.
• Your doctor may prescribe you medicine to help control these problems.
• You may also need IV fluids to replace lost water and nutrients.
• Do not take medicine for diarrhea without asking your doctor or nurse.
3 0
Diarrhea
Other Recommendations
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S
31. Easy Electrolyte-Replacing Popsicles!
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 3 1
12 oz Pedialyte, 4 oz clear juice 4
popsicles
Grape: grape Pedialyte + white grape juice
Orange-apple: orange Pedialyte + apple
juice
Lemon-grape: lemon Pedialyte + white
grape juice
OR make your own Pedialyte!
4 cups water
½ tsp baking soda
3 tbsp sugar or honey
½ tsp salt
Mix Pedialyte + clear fruit juice, then freeze in ice cube tray with toothpick stuck in it or in
popsicle trays!
http://www.suesnutritionbuzz.com/2012/02/23/homemade-pedialyte-pops-feeding-the-
stomach-bug/
33. 7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 3 3
Mouth Sores/Dry Mouth
Eating tips
• Milkshakes, custards, puddings, cottage cheese,
yogurt, and smoothies
• Mashed potatoes, mashed peas and carrots, or
other mashed vegetables
• Tender fish or chicken
• Watermelon, cantaloupe, or honeydew
• Peach, pear or apricot nectars
• Macaroni and cheese, buttered noodles
• Cooked cereals (oatmeal, grits, cream of wheat)
• Creamy soups and stews
• Scrambled eggs or omelets
• Canned fruits (pears, peaches, bananas,
applesauce)
• Nutritional supplements such as Boost, Ensure,
Enlive, Resource, and NuBasic.
Choose foods that are soft and easy to chew and swallow:
34. 7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 3 4
Mouth Sores/Dry Mouth
Foods to Avoid
• Citrus fruits or juices
• Tomato products
• Dry food without sauce
• Spicy or salty foods
• Rough or raw foods, such as apples or granola
• Sticky or chewy foods, such as peanut butter or
raisins
• Commercial mouthwashes with alcohol
Avoid foods that may irritate the mouth:
35. 7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 3 5
Mouth Sores/Dry Mouth
General Recommendations
1. Add extra sauce such as gravy, melted butter,
or sour cream.
2. Puree or blenderize your food.
3. Cut your food into small pieces.
4. Use a straw to drink liquids.
5. Cook all food until soft and tender.
6. Mix food with gravy, sauce, butter, or
margarine to make it easier to swallow.
7. Use a smaller or baby-sized spoon.
8. Hot food can irritate the mouth. Cool or
room temperature is best.
9. Try sucking on ice chips or popsicles.
10. Rinse your mouth frequently with water to
promote healing and remove bacteria
11. Ask your doctor or dentist about using
anesthetic lozenges or spray to help numb
your mouth or throat while you eat
36. No Blender Smoothie:
• 1 cup milk or milk alternative
• 1 generous scoop ice cream or sorbet
• 2 tablespoons butterscotch or chocolate syrup
• 3 tablespoons powdered milk
Put in a cup with a lid and shake!
Soothing Shake Recipes
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 3 6
Strawberry Cream:
• ½ cup frozen strawberries
• 1 generous scoop ice cream or sorbet
• ½ cup milk or milk alternative
• 3 tablespoons powdered milk
Mix at high speed in a blender until smooth.
38. 1. Eat 5 or 6 small meals each day instead of 3 large
meals.
• You may find it easier to eat smaller amounts at one time.
2. Eat something every 2-3 hours.
• Treat food like medication and make a schedule for eating – don’t
wait for your body to tell you it’s hungry
3. Eat larger meals when you feel well and are rested.
4. Eat foods high in protein and calories.
• This includes: meat, eggs, cheese, full-fat dairy, peanut butter,
and ice cream
• You can also add protein and calories to foods, such as gravies,
butter, oil, cream, nuts, granola, and dried fruits.
5. Cook with protein-fortified milk.
• Use it instead of regular milk when cooking macaroni and cheese,
pudding, cream sauce, mased potatoes, cocoa, soup, or pancakes.
6. Keep snacks nearby for when you feel like eating.
• Take easy-to-carry snacks such as crackers, nuts, granola bars, or
dried fruit when you go out.
7. Eat a bedtime snack.
8. Change the form of a food to make them easier to
eat: chop, grind, or puree.
9. Eat soft, cool, or frozen foods
• These include yogurt, milkshakes, smoothies, and popsicles.
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 3 8
Preventing Weight Loss
Eating Tips
39. 1. Drink liquids throughout the day – even when
you don’t want to eat
• Choose liquids that add calories and other nutrients.These
include juice, soup, milk, milkshakes, and smoothies.
2. Sip only small amounts of liquids during meals.
• Many people feel too full if they eat and drink at the same
time.
• If you want more than just small sips, have a larger drink at
least 30 minutes before or after meals.
3. If you have lost a significant amount of weight
unintentionally, drink 1 or 2 liquid supplements
• These include Ensure and Boost.
• These should be consumed as snacks.
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 3 9
Preventing Weight Loss
Drinking Tips
40. 7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 4 0
Preventing Weight Loss
Other Recommendations
BE AS ACTIVE AS YOU CAN.
You might have more appetite if you take a
short walk or do other light exercise. Studies
show many people feel better after exercising
each day.
TALK TO YOUR DOCTOR.
Tell your doctor if you have eating problems,
such as nausea, vomiting, or changes in how
foods taste and smell. They can help control
these so you can eat better.
41. Meal Additions
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 4 1
Cheese (grated or cream cheese): add to mashed potatoes, pureed soups, grits, sauces, meatloaf, casseroles
Dry milk powder: add to meatloaf, cooked cereal, yogurt, milkshakes
Peanut butter: add to milkshakes, muffins, cooked cereal, yogurt
Nuts, banana, and/or pureed fruits: add to yogurt, cooked cereals, purees, milkshakes
Whole milk: add to prepare hot cereals, cocoa, soups, puddings
Sauces: add your favorite to meatloaf, pasta, purees, casseroles
Hard cooked eggs and avocado: add to salads or sandwiches
Granola, muesli, wheat germ, or flax: sprinkle on yogurt, pudding, ice cream
43. Contacts
7 / 6 / 2 0 2 1 M A I N T A I N I N G H E A L T H Y N U T R I T I O N D U R I N G A C A N C E R D I A G N O S I S 4 3
God’s Love We Deliver
166 Avenue of the Americas
New York, NY 10013
Godslovewedeliver.org
Nutrition Department
nutrition@glwd.org
212.294.8103
Ronnie Fortunato, MS, RDN
Senior Registered Dietitian Nutritionist
rfortunato@glwd.org
212.294.8103
Lisa Zullig, MS, RDN
Director, Nutrition Services
lzullig@glwd.org
212.294.8103
At god's love, we serve ppl who can't shop/cook - any age.
Eligibility: chronic condition + ADL limitations around shopping and cooking. Clients are referred in many ways – by themselves, or from healthcare providers, care managers, discharge planners, family, etc. We require that medical eligibility is verified by a medical provider.
Our clients may be living at home or referred upon discharge.