Clinical Implications of the Interdisciplinary Psychosocial Approach and Integrative Care for Patients with Advanced Cancer and Family Members in the Nutritional Support and Cancer Cachexia Clinic

  • Amano Koji
    Department of Palliative Medicine, National Cancer Center Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University
  • Kiuchi Daisuke
    Department of Palliative Medicine, National Cancer Center
  • Ishiki Hiroto
    Department of Palliative Medicine, National Cancer Center
  • Matsuoka Hiromichi
    Department of Psycho-Oncology, National Cancer Center
  • Satomi Eriko
    Department of Palliative Medicine, National Cancer Center
  • Morita Tatsuya
    Palliative and Supportive Care Division, Seirei Mikatahara General Hospital

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  • 栄養サポート・がん悪液質専門外来における進行がん患者と家族への心理社会的アプローチと多職種連携による統合ケアの臨床的意義

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Abstract

<p>Food and eating are of great significance to humans, as we are the only creatures that establish relationships and sustain a social network through food and eating. Recent studies revealed that patients with advanced cancer and their family members often experience complicated eating-related distress due to tumors themselves, side effects of cancer treatments, and negative impacts of cancer cachexia. Therefore, we suggested the importance of the integration of palliative, supportive, and nutritional care to alleviate eating-related distress among patients and family members, and the significance of the development of tools to measure their distress in supportive and palliative care settings. No care strategies for eating-related distress experienced by patients and family members have been established, and the development of an interdisciplinary psychosocial approach and integrative care is required. As such, we are planning to start a nutritional support and cancer cachexia clinic in the National Cancer Center, and disseminate a newly developed care program across Japan.</p>

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