Nutrition is an important part of any cancer treatment plan, especially for those individuals who are undergoing colorectal cancer treatment and have had surgery to remove part of the colon. Another important consideration for patients who have had surgery to remove part of the colon is avoiding a bowel obstruction. Knowing which foods you should and shouldn’t eat can be a helpful part of the treatment and the surgery recovery process. In this webinar, we will talk about how nutrition and avoiding bowel blockages can be helpful to you after a colorectal cancer treatment procedure and what foods to eat as we enter the holiday season.
Margaret Martin, RD, MS, LDN, CDE is a Licensed Dietitian and Nutritionist in the State of Tennessee and James D. Waller, Jr., MD present this lively session.
Many complementary therapies, used along with conventional medicine, can support cancer treatments, reduce some of the adverse effects of cancer treatment, ease tension and pain, and contribute to overall health. This is known as integrative medicine. Integrative medicine can be a part of your plan throughout the entire treatment and survivorship experience. In this webinar, we will talk about how integration can be helpful to you after a colorectal cancer diagnosis and your journey forward.
Presented by Dr. Lisa Corbin: a board-certified internist, Associate Professor in the Department of Internal Medicine at the University of Colorado School of Medicine. In 2001, she helped the University of Colorado Hospital establish the Center for Integrative Medicine (TCFIM) and has served as the Medical Director ever since.
Audio and slides for this presentation are available on YouTube: http://youtu.be/Tt8WlPsohCU
Fatigue is a common side effect of cancer treatment. Fatigue from treatment can make everyday tasks and activities difficult to complete or enjoy. Join Jean Boucher, RN, an Oncology Nurse and Clinical Inquiry Specialist from the Nursing Department at Dana-Farber Cancer Institute, and discover how to manage cancer fatigue, improve sleep, mood, and nutrition habits, and boost energy levels.
Join Jessica Iannota, MS, RD, CSO, CDN for this exciting webinar on nutrition! Many patients and survivors wonder if there are foods and drinks that may ease side effects of treatment, even if they’re well into survivorship. In this webinar, Jessica will present the role and importance of diet and nutrition for colorectal cancer patients and survivors, and will discuss tips and tricks for how to integrate a healthy diet into your routine in a way that supports your health and potentially manage some GI side effects.
www.drdarmweightloss.com - Experience the life changing results of Dr. Darm's medically-supervised weight loss programs at Aesthetic Medicine in Portland, OR.
The Interstitial Cystitis Association (ICA), a non-profit health association, hosted a Patient Forum in Atlanta on Sunday, August 23, 2009. This CDC-funded event offered healthcare providers, patients and caregivers a chance to meet with leaders in the field to learn more about interstitial cystitis - a severely painful and chronic bladder condition affecting an estimated 3 million women and 1 million men in the United States. Speakers included Dr. Jeffrey Proctor, Dr. Anna Kelly and Susan Bilheimer.
Many complementary therapies, used along with conventional medicine, can support cancer treatments, reduce some of the adverse effects of cancer treatment, ease tension and pain, and contribute to overall health. This is known as integrative medicine. Integrative medicine can be a part of your plan throughout the entire treatment and survivorship experience. In this webinar, we will talk about how integration can be helpful to you after a colorectal cancer diagnosis and your journey forward.
Presented by Dr. Lisa Corbin: a board-certified internist, Associate Professor in the Department of Internal Medicine at the University of Colorado School of Medicine. In 2001, she helped the University of Colorado Hospital establish the Center for Integrative Medicine (TCFIM) and has served as the Medical Director ever since.
Audio and slides for this presentation are available on YouTube: http://youtu.be/Tt8WlPsohCU
Fatigue is a common side effect of cancer treatment. Fatigue from treatment can make everyday tasks and activities difficult to complete or enjoy. Join Jean Boucher, RN, an Oncology Nurse and Clinical Inquiry Specialist from the Nursing Department at Dana-Farber Cancer Institute, and discover how to manage cancer fatigue, improve sleep, mood, and nutrition habits, and boost energy levels.
Join Jessica Iannota, MS, RD, CSO, CDN for this exciting webinar on nutrition! Many patients and survivors wonder if there are foods and drinks that may ease side effects of treatment, even if they’re well into survivorship. In this webinar, Jessica will present the role and importance of diet and nutrition for colorectal cancer patients and survivors, and will discuss tips and tricks for how to integrate a healthy diet into your routine in a way that supports your health and potentially manage some GI side effects.
www.drdarmweightloss.com - Experience the life changing results of Dr. Darm's medically-supervised weight loss programs at Aesthetic Medicine in Portland, OR.
The Interstitial Cystitis Association (ICA), a non-profit health association, hosted a Patient Forum in Atlanta on Sunday, August 23, 2009. This CDC-funded event offered healthcare providers, patients and caregivers a chance to meet with leaders in the field to learn more about interstitial cystitis - a severely painful and chronic bladder condition affecting an estimated 3 million women and 1 million men in the United States. Speakers included Dr. Jeffrey Proctor, Dr. Anna Kelly and Susan Bilheimer.
Many cancer patients experience fatigue at before, during and after treatment. Studies show that 20-90% of cancer patients on active treatment experience symptoms of fatigue, and 20-80% of survivors report fatigue after finishing treatment.
Cancer-related fatigue can be unpredictable because a patient may feel energized one day but fatigued another without any change in activity or rest patterns.
Stacy Kennedy, MPH, RD/LDN, CSO, Senior Clinical Nutritionist at Dana-Farber Cancer Institute/Brigham & Women's Hospital, offers nutrition advice for ovarian cancer patients and survivors.
Presentation by Kemi Wright, Senior Executive Psychologist South Metropolitan Health Service. Move Your Mind: Embedding a clinical exerise physiology within a WA mental health service. Presented at the Western Australian Mental Health Conference 2019.
The Cancer Association of South Africa (CANSA) launches its Colorectal Cancer Awareness Campaign in partnership with Medtronic.
Colorectal cancer is the second most common cancer in men (following prostate cancer) and the third most common cancer in women (following breast and cervical cancer). An estimated 6 927 new cases of colorectal cancer were diagnosed in South Africa in 2018 which was about 6.5% of all cancers (1). More men (7.3% of all cancers) than women (5.7% of all cancers) were diagnosed with colorectal cancer in this same year.
The aim of the Medtronic and CANSA partnership aim is to provide Colorectal Cancer Awareness and education so patients can get treated at early stages and offered patient support through CANSA's patient care and support programmes.
https://www.cansa.org.za/adopt-a-balanced-lifestyle/
TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colo...Fight Colorectal Cancer
Are you wondering what to do to reduce your chances that cancer may come back? Have you talked with your doctor about things you can do to prevent this?
Join us for this lifestyle webinar and gain information and insights on:
- How to eat healthy during treatment
- The best foods to eat after colon surgery
- Healthy lifestyle tips that may reduce your risk of a colorectal cancer recurrence.
Presented by Jessica Iannotta, MS, RD, CSO, CDN
Chief Operating Officer, Meals to Heal. Jessica is in charge of all operations including clinical and culinary operations ranging from menu development to evidence-based website content, relationships with registered dietitians and social workers and developing processes and protocols for intake, management and outcomes analysis of patients.
CANSA promotes living an active balanced lifestyle and promotes that certain lifestyle changes can lower the risk of cancer.* It further advocates cutting out lifestyle factors that can put one at risk for cancer, especially colorectal cancer which is among the top three cancers** among men and women in South Africa. Poor lifestyle choices can play a significant part, in increasing risk for this type of cancer.
#CANSAColorectalCancer #ColorectalCancerAwareness #ActiveBalancedLifestyle
Read more:
Many cancer patients experience fatigue at before, during and after treatment. Studies show that 20-90% of cancer patients on active treatment experience symptoms of fatigue, and 20-80% of survivors report fatigue after finishing treatment.
Cancer-related fatigue can be unpredictable because a patient may feel energized one day but fatigued another without any change in activity or rest patterns.
Stacy Kennedy, MPH, RD/LDN, CSO, Senior Clinical Nutritionist at Dana-Farber Cancer Institute/Brigham & Women's Hospital, offers nutrition advice for ovarian cancer patients and survivors.
Presentation by Kemi Wright, Senior Executive Psychologist South Metropolitan Health Service. Move Your Mind: Embedding a clinical exerise physiology within a WA mental health service. Presented at the Western Australian Mental Health Conference 2019.
The Cancer Association of South Africa (CANSA) launches its Colorectal Cancer Awareness Campaign in partnership with Medtronic.
Colorectal cancer is the second most common cancer in men (following prostate cancer) and the third most common cancer in women (following breast and cervical cancer). An estimated 6 927 new cases of colorectal cancer were diagnosed in South Africa in 2018 which was about 6.5% of all cancers (1). More men (7.3% of all cancers) than women (5.7% of all cancers) were diagnosed with colorectal cancer in this same year.
The aim of the Medtronic and CANSA partnership aim is to provide Colorectal Cancer Awareness and education so patients can get treated at early stages and offered patient support through CANSA's patient care and support programmes.
https://www.cansa.org.za/adopt-a-balanced-lifestyle/
TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colo...Fight Colorectal Cancer
Are you wondering what to do to reduce your chances that cancer may come back? Have you talked with your doctor about things you can do to prevent this?
Join us for this lifestyle webinar and gain information and insights on:
- How to eat healthy during treatment
- The best foods to eat after colon surgery
- Healthy lifestyle tips that may reduce your risk of a colorectal cancer recurrence.
Presented by Jessica Iannotta, MS, RD, CSO, CDN
Chief Operating Officer, Meals to Heal. Jessica is in charge of all operations including clinical and culinary operations ranging from menu development to evidence-based website content, relationships with registered dietitians and social workers and developing processes and protocols for intake, management and outcomes analysis of patients.
CANSA promotes living an active balanced lifestyle and promotes that certain lifestyle changes can lower the risk of cancer.* It further advocates cutting out lifestyle factors that can put one at risk for cancer, especially colorectal cancer which is among the top three cancers** among men and women in South Africa. Poor lifestyle choices can play a significant part, in increasing risk for this type of cancer.
#CANSAColorectalCancer #ColorectalCancerAwareness #ActiveBalancedLifestyle
Read more:
Exercise, Nutrition and Recurrence Prevention Webinar: March 21, 2012Fight Colorectal Cancer
Kimberly Moore Petersen is a graduate of the University of Kentucky and is a Registered Dietitian certified in weight management.
Kimberly is very knowledgeable in all aspects of nutrition and offers a unique and personal perspective to patients, survivors, caregivers, and other oncology professionals. She feels extremely fortunate and honored to work in a unique and vital area of the dietetics profession through The Minnie Pearl Cancer Foundation.
In August, the Cancer Association of South Africa (CANSA) highlights its service offering to cancer patients, caregivers and loved ones, in particular regarding coping with a diagnosis as well as managing side effects of cancer treatment, whether physical, or psychological. #CANSACares
An important aspect of this includes providing patients with dietary guidelines and advice before, during and after treatment.
Read more: https://www.cansa.org.za/cansas-top-dietary-tips-for-survivors/
Navigating Nutrition During Cancer and COVID-19bkling
Nutrition can be puzzling enough, but when you add a cancer diagnosis and a global pandemic, it’s even harder to make sense of it all. Julie Lanford, MPH, RD, CSO, LDN, "The Cancer Dietitian" for Cancer Services, will help put the pieces together so you’re equipped to navigate nutrition during cancer and COVID-19.
Intestinal obstruction is blockage of the intestine with help of a foreign body or any other causes like cancer it will obstruct the intestine. signs and symptoms of obstruction nausea, vomiting, pain, and etc.managemt like medical ad surgical are there. see any infection in the ostomy .advice life eat a bland diet, change the pouch, avoid smell food like cabbage, etc, eat as chew and eat should bd advised
Think Before You Eat and Drink
The Cancer Association of South Africa (CANSA) continues its 365 Health Challenge and encourages everyone to eat and drink smartly. Research strongly indicates that making smart choices regarding what is taken in and exercising regularly can have a positive effect, not only on a person’s well-being, but also reduces individual cancer risk.
https://www.cansa.org.za/adopt-a-balanced-lifestyle/
Nutrition During & After Cancer Treatment: Fighting Cancer with your Forkbkling
Join Savor Health's Oncology Dietitian, Chelsey Schneider, as she discusses the importance of nutrition during the continuum of cancer: before, during and after treatment. Chelsey will also share the current evidence-based survivorship guidelines with tips on implementing them in your everyday life. Learn more about our partnership with Savor Health and their virtual Dietitian-on-demand Ina® (the "Intelligent Nutrition Assistant”) who provides cancer patients/caregivers with personalized, evidence-based nutrition guidance and intervention 24/7 “on demand” via SMS text. Patients can access Ina® for free through the SHARE and Savor Health partnership.
Weight loss should occur when you eat fewer calories than you use. Increasing physical
activity while limiting your calories will help with weight loss and weight maintenance.
Talk to your dietitian about your calorie needs to achieve your weight loss goals.
Audio and slides for this presentation are available on YouTube: http://youtu.be/UVRYzgFqVGM
Dana-Farber Nutritionist Hillary Wright presents on how to fight cancer with your fork. She discusses the importance of healthy eating, and dispels some of the common myths about certain foods and cancer.
Similar to EATING TO AVOID A BOWEL OBSTRUCTION - December 2014 Webinar (20)
Dr. Murphy presents slides discussing general screening trends in the US, including how the US compares to other countries, different screening modalities, and differences in screening by:
-Age
-Gender
-Geography
-Race/Ethnicity
Looking to kick start your physical activity? Hoping to learn about how body movement can be a huge benefit for CRC patients and survivors? Curious about Climb for a Cure? Join this interactive webinar featuring Karia Coleman, MSK, personal trainer and athletic strength coach, and Fight CRC advocates as they discuss the importance, challenges, and joys of physical activity.
From bowel frequency, pain, and more, many colorectal cancer treatments lead to digestive side effects. Join this webinar with Dr. Cathy Eng to learn all about the digestive system, the side effects that are common due to CRC treatment, and how to manage those side effects.
Maine recently passed major colorectal cancer (CRC) policy at the state level. Join us to listen to their story and learn what worked well for CRC state advocacy!
Indiana just passed major colorectal cancer (CRC) policy this year. Join us to listen to their story and learn what worked well for CRC advocacy in Indiana!
Kentucky was one of the first states in the US to pass major colorectal cancer (CRC) policy. Join us to listen to their story and learn what worked well for CRC state advocacy!
Join Fight CRC in a webinar about biomarkers. In this session, Dr. Chris Lieu will focus the discussion on the NTRK biomarker, in addition to ctDNA, and Next-Generation Sequencing.
Join us as Eden Stotsky-Himelfarb, BSN, RN from Johns Hopkins Medicine discusses how to manage after a colorectal cancer diagnosis. In this session, she will cover understanding diagnoses, shared decision making, managing mental health, talking to family and colleagues, and more.
Some colorectal cancer treatments lead to side effects of the skin. In this webinar, Dr. Nicole LeBoeuf will discuss these specific side effects. She will talk about why they occur, how to prepare for them, and how to manage them.
Hear about the latest breaking colorectal cancer research! Fight CRC will be joined by Dr. Axel Grothey who will spend the hour detailing the research presented at the 2020 Gastrointestinal (GI) Cancers Symposium hosted by the American Society of Clinical Oncology.
Anticipating the end of life and making decisions about medical care at this time can be difficult and distressing for people with cancer and their loved ones. However, it is incredibly important to plan for the transition to end-of-life care.
In this webinar, we will discuss questions to ask when considering an end to curative treatment, what to expect with hospice and end-of-life care, a new medical care team, advance directives and healthcare proxies, options for pain, the role of caregivers and loved ones, and more.
In this webinar, Dr. Angela Nicholas, Dr. Chris Heery, and Wenora Johnson discuss all things clinical trials. Dr. Nicholas, a family practitioner and caregiver to her late husband, John MacCleod will dive into her experience searching for clinical trials along with advice to those currently searching, or planning on searching in the future. Dr. Heery, Chief Medical Officer for Precision Biosciences will spend time dispelling myths around clinical trials and challenges to enrollment, and Wenora Johnson, a stage III colon cancer survivor will describe the process and her point of view curating trials in the Fight CRC trial finder.
In this webinar, Dr. Popp will discuss everything you need to know about palliative care! This is an important webinar for colorectal cancer patients and their loved ones.
eeling worn out and exhausted all the time? You may be experiencing cancer-related fatigue. Tune in to this webinar to learn what cancer-related fatigue is, how to spot it, and how to manage it.
In this webinar, Dr. Azad discusses colorectal cancer recurrence. She addresses things to do to help reduce the risk of recurrence, in addition to what steps should be taken if colon or rectal cancer returns.
Join Fight CRC and Dr. Scott Kopetz to learn about the latest breaking colorectal cancer research from the American Society of Clinical Oncology 2019 Annual Conference.
May 2019 – What You Need to Know About Chemotherapy Induced Neuropathy WebinarFight Colorectal Cancer
Neuropathy is a common side effect for colorectal cancer patients. It is a side effect that can be incredibly challenging to manage, and can affect daily living. Join this informative webinar to learn all about neuropathy—why it happens, how to prepare for it, and methods to try and reduce its effects. This is an important webinar for all survivors and patients! Dana will speak from both the medical professional and patient angle, as she is a colon cancer survivor herself!
A cancer diagnosis and cancer treatment can be traumatic. An experience with cancer can lead to serious psychological distress that should be addressed. In this webinar, Schuyler Cunningham, Clinical Social Worker, talks about what trauma is, how to identify it, and what steps to take next.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
EATING TO AVOID A BOWEL OBSTRUCTION - December 2014 Webinar
1. Welcome to Fight Colorectal Cancer’s
Webinar:
Stomach Stuffers: How to eat well and avoid
a bowel obstruction this holiday season
Make Sure You Know the Latest News
About CRC Research and Treatment visit fightcrc.org
Our webinar will begin shortly.
2. Today’s Webinar:
1. Today’s Speakers: Margaret Martin, RD, MS, LDN, CDE &
James D. Waller, Jr., MD
2. Archived Webinars: FightColorectalCancer.org/Webinars
3. AFTER THE WEBINAR: expect an email with links to the
material. Also a survey on how we did, receive a Blue Star pin
when completed
4. Ask a question in the panel on the RIGHT SIDE of your screen
5. Follow along via Twitter – use the hashtag #CRCWebinar
4. Funding Science
Established in 2006, our Lisa Fund has
raised hundreds of thousands of dollars
to directly support the innovative research
in treating late-stage colorectal cancer.
100% of the funds donated go
directly to Late-stage colorectal
cancer research.
Learn more or donate:
FightColorectalCancer.org/LisaFund
5. Disclaimer
The information and services provided by Fight Colorectal
Cancer are for general informational purposes only. The
information and services are not intended to be
substitutes for professional medical advice, diagnoses, or
treatment.
If you are ill, or suspect that you are ill, see a doctor
immediately. In an emergency, call 911 or go to the
nearest emergency room.
Fight Colorectal Cancer never recommends or endorses
any specific physicians, products or treatments for any
condition.
6. Speaker
Margaret Martin, RD, MS, LDN, CDE
is a Licensed Dietitian and Nutritionist in the
State of Tennessee as well as a Certified
Diabetes Educator. Margaret graduated from
the University of Alabama with a Bachelor of
Science in Dietetics and received her
Master’s Degree in Nutrition Science & Public Health from the
University of Tennessee. With more than 10 years of experience in
Clinical Nutrition, Margaret has also worked in the insurance
industry with WellPoint Inc. and Blue Cross Blue Shield providing
telephonic nutrition consultations, service assistance, and web-based
nutrition education. In her free time Margaret volunteers
with the American Lung Association’s annual “Lung Force Walk" in
Middle Tennessee.
7. PearlPoint Cancer Support
• Our Mission: To create a more
confident cancer journey for adults
anytime, anywhere
• Provide personalized guidance,
education, and support through My
PearlPoint (mypearlpoint.org)
• Focus on patients and family
members dealing a cancer
diagnosis and subsequent
treatment
• Personalized services from the
moment of diagnosis, free of
charge
12/9/2014 7
8. Nutrition Tips for Colorectal Surgery
Objectives
• The Colon’s Job
• Nutrition Steps to Know
• Holiday Tips to Avoid obstruction
8
9. Nutrition & The Healthy Colon
The colon is your body’s food & nutrition
workhorse. What does the colon do?
• Finishes the final step of digestion
• Absorbs nutrients and fluids
• Balances nutrition for life and immunity
• Prepares waste for elimination
9
10. Nutrition and Colorectal Cancer
• Colorectal cancer & surgery may trigger
digestive issues.
• Digestive issues such as diarrhea,
constipation, gas, & bowel obstruction
can trigger malnutrition.
• Digestive issues are treatable!
– Start the conversation with your healthcare
team
– Share your “Side Effects Log”
10
11. Fortify Before Surgery
• Grab nutrient-rich foods
• Stir in extra protein sources
• Sip on supplemental liquids
• Follow your surgeon’s pre-op instructions
11
12. Fortify Before Surgery
• Choose nutrient-rich
foods with iron, protein,
vitamins, etc.
• Look on Nutrition Facts
labels for % Daily Values
5% or less=LOW
20% or more=HIGH
12
13. Fortify Before Surgery
• Stir extra nutrition into hot
cereals, gelatins, beverages,
soups, creamy items,
or casseroles.
• For example:
– egg whites powder
– dry milk powder
– commercial protein powders
– liquid daily multivitamin
13
14. Nutrition after Surgery
• Give your colon time to heal
• There is not just ONE post-op meal plan
• Surgeon or registered dietitian will prescribe your
nutrition plan
• Nutrition plan progresses over time from ice chips
to solid foods
14
15. Nutrition After Surgery
Tips to Avoid Obstruction:
• Ask for printed meal plan
• Meet with registered dietitian
• Drink fluids as prescribed
– Ice chips
– Clear liquids such as apple, cranberry, or cherry
juices
– Gelatins, decaf tea, soft drinks, coffee
– Full liquids such as milk, soup, ice cream, or yogurt
15
16. Nutrition After Surgery
Eat small, frequent mini-meals
• Go small
– Small meals give your colon an easier job
• Choose fuel
– Frequent nutrition fights fatigue & mood swings
• Drink up
– Aim for 10-12 ounces every 3-4hrs
16
17. Nutrition After Surgery
Types of Fiber
• Soluble Fiber thickens the stool
• Insoluble Fiber gives bulk
• Spread fiber intake throughout the day
17
18. Nutrition After Surgery
Watch Fiber Intake
• Know which foods and drinks contain fiber
• Low-fiber means less than 0.5 to 2 grams per
serving and less than 13 grams daily
• Low fiber = low-stress digestion which helps
speed healing
• High-fiber sources include nuts, seeds, pulp,
peels. Avoid these.
18
19. Nutrition After Surgery
Good Low-fiber foods
• Juices with no pulp or seeds
• Cooked veggies with no strings, peels, seeds
• White bread, plain bagels, crackers with < 2 grams fiber
• Cooked and cold cereals <3grams fiber
• Plain noodles, pasta, white rice
• Skinless potatoes
• Bananas
• Canned fruits, seedless in light syrup
• Cooked meat, fish, and eggs
• Broths and soups made with OK items
• Angel food cake, frozen yogurt, pudding, ices
19
20. Holiday Tips To Avoid Obstruction
• Choose low fiber
• Hydrate thru the day with 64 ounces +
• Eat every 3-4 hours
• Enjoy what you eat
• Review your food intake log for any issues
• Seek help for meal plan, cooking & shopping
20
21. Holiday Tips to Avoid Obstruction
• Take good posture
• Off the high risk foods—nuts, strings,
peels, seeds, stalks, whole grains, etc.
• Avoid spicy foods, gassy foods, gum, & straws
• Set goals to get active-start 5 minute walk
• Trim alcoholic and caffeinated beverages
21
22. For more resources to help you navigate your
cancer journey, sign up for a free dashboard on
My PearlPoint at mypearlpoint.org.
22
23. For more tips managing
nutrition side effects,
download our free Cancer
Side Effects Helper mobile
app from Google Play or
iTunes.
23
25. Speaker
James D. Waller, Jr., MD is a
native of Evansville, Indiana. He
attended medical school at Indiana
University and completed his internship
at Methodist Hospital in Indianapolis.
His residencies in general surgery and
colorectal surgery were in Michigan at Butterworth Hospital
and Ferguson Hospital respectively. Dr. Waller is board-certified
by the American Board of Surgery and the American
Board of Colon and Rectal Surgery. In 1986, Dr. Waller
joined Dr. Krystosek in practice at Ohio Valley Colon and
Rectal Surgeons. Outside the office, he enjoys playing ice
hockey and softball.
26. Ohio Valley
Colon &
Rectal
Surgeons
801 St. Mary’s Drive, 200 West
Evansville, IN 47714
(812) 477-6103 ● (800) 371-1169
www.colonsurgeons.com
James D. Waller, M.D.
12/9/2014 26
30. Obstruction
Small bowel obstruction more common
Colon cancer most common cause of colonoic
obstruction
Colon cancer obstructing in only 2-3% of cases
31. Small Bowel Obstruction
Complete or partial occlusion of the intestinal
lumen
Adhesions in 60%
Cancer in 20%
Hernia in 10%
Inflammation 5%, Crohn’s, diverticulitis, abcess
32. Adhesions
Can occur after any surgery
More common with extensive or multiple
surgeries
Worse with pelvic or colon surgeries
Obstruction occurs with torsion/twisting of
bowel (garden hose)
This reults in kinking of the bowel and possible
compromise of the blood supply
33. Tumors
Metastatic cancers are most common
Small bowel cancers are rare
Intra-abdominal:
ovaries/pancreatic/stomach/colon
Extra abdominal: lung/breast/melanoma
Obstruction caused by direct
compression/invasion or twisting
34. Hernia
Entrapment of bowel within the hernia
Compression/twisting and possible restriction
of blood flow
36. Majority of Obstructions
Adhesions with twisting or entrapment of the
bowel
Involving the small bowel
Even in patients with a history of colon cancer!!
37. Clinical presentation
Crampy abdominal pain
Abdominal distension
Nausea and vomitting
Obstipation (no stool or gas )
Loose frequent stool/diarrhea with partial
obstruction!
39. Evaluation
Plain abdominal Xray- Upright KUB
CT scan
Barium study when intermittent or partial
CBC, CMP, EKG, UA
40. Treatment
IV fluid support
Tube ( NG ) decompression
Surgery when indicated
41. Medical Tx
Monitor closely… vitals, urine output, exam
Over 50% will resolve with medical treatment
42. Surgery
If no improvement in 24-48 hours
Deterioration
Any sign of acute abdomen
Negative exploration is sometimes better than
waiting!
43. Surgery
Laparoscopic approach sometimes possible
Simple lysis of adhesion in most cases
Reduction repair of herniae
Bowel resection if not viable
Bypass or resection if cancer or radiation
Resection or stricturoplasty in Crohn’s
Resection of sigmoid if diverticular
44. Special cases
Early post op
History of multiple surgeries for obstruction
Metastatic disease
Radiation
45. Colon Cancer Patients
15% or greater lifetime risk of obstruction
? Less risk with laparoscopic resection
Partial obstruction can occur with anastomotic
strictures
Radiation induced strictures
Ostomy can represent an area of partial
obstruction
46. Prevention
No proven method of prevention
Minimize ‘injury’ of surgery
Not caused by diet or activities
47. Summary
Most obstructions caused by adhesions
At least a 15% risk after colon resection
Most respond to conservative treatment
Surgery for those who do not improve or
present with incarcerated hernia or acute
abdomen
48. Question & Answer Time . . .
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49. Contact Us
Fight Colorectal Cancer
1414 Prince Street, Suite 204
Alexandria, VA 22314
(703) 548-1225
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