Presented at the Mission Hope Cancer Center at Marian Regional Medical Center

1. Combating
Fatigue During
Cancer
Treatment

2. Hello!My name is Kacee Stagg.
2

3. 3
⊷ What is a wheat berry?
A whole wheat kernel composed of
the bran, germ, and endosperm
⊶ High in fiber, protein, and
iron
⊶ Loaded with vitamin E and
antioxidants
Wheat Berry Salad

4. Outline
⊷ Fatigue and Rest
⊷ Importance of Fluids
⊷ A Balanced Meal
⊷ Getting Adequate Nutrition
⊷ Recipes
4

5. 5
Nutrition and Cancer Treatment
⊷ Good nutrition is important during treatment
⊷ Different treatments can affect the way your
body tolerates food and nutrients
⊷ Nutrient needs vary from person to person.
⊶ Make an appointment with your dietitian
to identify your nutrition goals.

6. 1.
Fatigue & Rest

7. Fatigue and Treatment
⊷ Most common side effect
⊷ Experienced as tiredness,
weakness, or lack of energy
⊷ Requires adjustments in
exercise, work, sleep, and
eating
7

8. 8
⊷ Gives you more energy to eat
⊷ Some treatments affect sleep
more than others
⊷ Important for brain function,
mental well-being, and quality of
life
Getting Adequate Rest

9. 9
⊶ Limit caffeine intake - as
tempting as it may be
⊶ Alcohol can cause sleep
disturbances
⊶ Exercise
⊶ Limit fluids late at night
⊶ Set a sleeping cycle or take
short naps
Tips for Getting Enough Rest

10. 10 https://www.theenergyblueprint.com/why-does-coffee-make-me-tired/

11. Place your screenshot
here
11
This is an alarm clock app
that will track your sleep
and find your perfect wake
up window.

12. 2.
Importance of Fluids
12

13. Water
⊷ Foundational component of the body’s
cells
⊶ Maintains body temperature,
eliminates toxins, and helps with
joint health
⊷ Keeps your digestive tract moving
⊷ Some treatments cause dehydration
13

14. 14
Staying Hydrated
⊷ The 8 x 8 rule
Drink eight 8-oz glasses
per day
Sip
Keep
Track
Foods
Count
Try other
liquids
64 oz or
2 liters

15. Hydrating Foods
⊷ Broths & soups - ~92%
⊷ Watermelon - 92%
⊷ Cucumbers - 95%
⊷ Strawberries - 91%
⊷ Celery - 95%
⊷ Tomatoes - 94%
⊷ Grapefruit - 88%
15

16. 3.
A Balanced Diet
16

17. 17
Balancing Your Meals

18. Protein, Fat, and Fiber
with Each Meal
FIber
Fiber is the
indigestible part of
plant foods.
Insoluble fiber
helps to move
food waste out of
the body, and
soluble fiber helps
keep stool soft.
Protein
We need protein
for growth, to
repair tissues, and
to keep our
immune systems
healthy.
Fat
The body breaks
down fats and
uses them to
store energy,
insulate the body,
and transport
vitamins through
the blood.
18
Balancing your meals and snacks will give more sustained
energy.

19. 19 https://www.healthline.com/nutrition/why-refined-carbs-are-bad
Bran
The fiber-rich outer layer that protects
the seed and contains B vitamins and
trace minerals.
Endosperm
The middle layer that contains
carbohydrates along with proteins.
Germ
The small nutrient-rich core that
contains antioxidants, including
vitamin E, B vitamins and healthy fats.
Whole Grains vs Refined Grains

20. 20
Sources of Fiber

21. 21
Sources of Protein
Your protein
needs are higher
during treatment.

22. 22
Eating the Rainbow
Varying colors
have different
beneficial effects
on the body.

23. 23
Healthy Fats
Healthy fats
can help
decrease
inflammation
and bodily
stress.

24. 24
Adding Healthy Fats into Meals
⊷ Top any dish with oil
⊷ Garnish with high fat foods like nuts
⊷ Add avocado to your sandwiches
⊷ Sprinkle seeds into your smoothie

25. 3.
Getting Adequate Nutrition
25

26. Eat Smaller, More
Frequent Meals
⊷ Helps maintain weight
⊷ Overcome early satiety
⊷ Stabilize energy levels
⊷ Helps with mental sharpness
and clarity
26

27. 27
Plan Ahead
⊷ Stock your freezer/pantry to decrease the need to
shop
⊷ Keep protein-rich snacks on hand
⊶ Yogurt, hummus, nut butters.
⊷ Ask a friend or family member to with shopping or
preparing food

28. Tips for Low Appetite
⊷ Eat protein on your plate first
⊷ Milkshakes/smoothies may be easier
to tolerate
⊷ Eat your largest meal when you are
hungriest
⊷ Try new foods and recipes
⊷ Eat foods that smell good to stimulate
appetite
28

29. Meal Planning
⊷ On weekends, map out dinners for
the rest of the week.
⊷ Use mornings for prepping when
you have the most energy
Meal Planning Apps
⊷ Everydayhealth.com
⊷ Eatthismuch.com (also available as
an app)
29

30. Choose Simple Recipes
⊷ Make one-pot recipes using a crockpot
⊷ Stir frys
⊷ Grilled sandwiches
⊷ Breakfast for lunch or dinner
Quick and Easy Snacks
⊷ Hard boiled eggs
⊷ Hummus and veggies
⊷ Avocado toast
⊷ Fruit and nut butter
30

31. Recipes with
Little Cleanup

32. 32
Sheet-Pan Pineapple Chicken Fajitas
Ingredients
⊷ 1 pound chicken breasts - sliced thinly
⊷ 1 red pepper - sliced
⊷ 1 green pepper - sliced
⊷ 1 yellow pepper - sliced
⊷ 1 onion - halved and cut slices
⊷ 1/4 cup olive oil
⊷ 2 teaspoons chili powder
⊷ 1 teaspoon cumin
⊷ 1/2 teaspoon garlic powder
⊷ Pinch of chili flakes
⊷ 1 teaspoon salt
⊷ 1/2 teaspoon ground pepper
Instructions
1. Preheat oven to 400
2. In small bowl combine oil, chili powder,
cumin, chili flakes, garlic, salt and
pepper.
3. Toss chicken, veggies and oil mixture
together on a large sheet pan with one
inch edge.
4. Spread out evenly.
5. Bake for 25-30 minutes until chicken is
cooked and the veggies are soft with a
crispy edge.
6. Serve with tortillas, sour cream, avocado
and all your favorite fajita fixins!https://laughingspatula.com/sheet-pan-fajitas/

33. 33
Curried Chicken Skillet
Ingredients
⊷ 1-1/3 cups plus 1/2 cup reduced-sodium
chicken broth, divided
⊷ 2/3 cup quinoa, rinsed
⊷ 1 tablespoon canola oil
⊷ 1 medium sweet potato, diced
⊷ 1 medium onion, chopped
⊷ 1 celery rib, chopped
⊷ 1 cup frozen peas
⊷ 2 garlic cloves, minced
⊷ 1 teaspoon minced fresh gingerroot
⊷ 3 teaspoons curry powder
⊷ 1/4 teaspoon salt
⊷ 2 cups shredded cooked chicken
Instructions
1. In a small saucepan, bring 1-1/3 cups broth to a
boil. Add quinoa. Reduce heat; simmer, covered,
until liquid is absorbed, 12-15 minutes.
2. In a large skillet, heat oil over medium-high heat;
saute sweet potato, onion and celery until potato
is tender, 10-12 minutes. Add peas, garlic, ginger
and seasonings; cook and stir 2 minutes. Stir in
chicken and remaining broth; heat through. Stir in
quinoa.
https://www.tasteofhome.com/recipes/curried-
chicken-skillet/

34. 34
Thanks!

35. 35
Resources
⊷ Fatigue. (2015, July 15). Retrieved from
https://www.cancer.org/treatment/survivorship-during-and-after-
treatment/staying-active/nutrition/nutrition-during-treatment/fatigue.html
⊷ Nutrition for the Person With Cancer During Treatment. (n.d.). Retrieved
April 29, 2019, from
https://www.cancer.org/content/dam/CRC/PDF/Public/6711.00.pdf
⊷ Nutrition in Cancer Care (PDQ®)–Patient Version. (2018, March 16).
Retrieved April 29, 2019, from https://www.cancer.gov/about-
cancer/treatment/side-effects/appetite-loss/nutrition-pdq
⊷ Kathi - https://laughingspatula.com/sheet-pan-fajitas/
⊷ Ruth Hartunian-Alumbaugh - https://www.tasteofhome.com/recipes/curried-
chicken-skillet/