[A case report of the difficulty treating an endstage oncologic ENT patient with parenteral nutrition].
The occurrence of cachexia at the end of life of patients suffering from cancer is a common seen problem. Within the last years new definitions, diagnostic criteria and classification systems of cachexia have been developed to improve the clinical practice. Still therapeutic interventions are limited; the role of parenteral nutrition (PN) remains controversial. PN cannot be generally recommended in patients with incurable malignancies, not even in ill-nourished patients with inadequate oral or enteral nutrition due to a changed metabolism. Treating a cachectic endstage patient suffering from head-neck-cancer we were faced with different problems.
5.Medizinische Abteilung mit Onkologie und Palliativstation, Krankenhaus Hietzing, Wolkersbergenstrasse 1, 1130, Wien, Österreich, ulrike.benold@wienkav.at.
Ulrike
U
Uxa-Benold
Ralph
R
Simanek
Annette
A
Henry
Dietmar
D
Weixler
Klaus
K
Geissler
D001317:Austria; D002100:Cachexia / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000628:therapy*; D003131:Combined Modality Therapy / Q000941:ethics / Q000379:methods; D018450:Disease Progression; D004992:Ethics, Medical; D019983:Guideline Adherence / Q000941:ethics; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000473:pathology / Q000628:therapy*; D008297:Male; D018447:Medical Futility / Q000941:ethics; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care / Q000941:ethics* / Q000379:methods*; D010288:Parenteral Nutrition / Q000941:ethics* / Q000379:methods*; D011379:Prognosis; D056144:Pyriform Sinus; D013727:Terminal Care / Q000941:ethics* / Q000379:methods*; D028761:Withholding Treatment / Q000941:ethics