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Nursing Assessment and Management of Nutrition in Older People with Cancer: An Integrative Review
Journal article   Peer reviewed

Nursing Assessment and Management of Nutrition in Older People with Cancer: An Integrative Review

Dima Nasrawi, Carol Reid, Dr Megan Frances Lee and Elisabeth Coyne
Collegian, Vol.29(6), pp.924-930
12/2022
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Nursing assessment and management of nutrition in older people with cancerView
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UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#2 Zero Hunger
#3 Good Health and Well-Being
#5 Gender Equality

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Abstract

Nutritional assessment Malnutrition management Elderly Cancer nursing Nurtritional risk status Literature review
Background There is a risk of malnutrition when older people are diagnosed with cancer, highlighting the need for nutritional assessments and appropriate management to be undertaken by healthcare professionals including nurses. The absence of a standardised assessment method and management of nutrition in older people creates a gap in clinical practice and warrants further research. Aim The aim of this review was to explore the current nutritional assessment methods and evidence-based interventions for improving nutritional outcomes in older people with cancer. Methods An integrative literature review was conducted using electronic databases. Papers were limited to those published in English between 2009 and 2021. Search terms included older adult, elder, geriatric, senior, cancer, nutrition, malnutrition, hospital, and inpatient across four databases: Embase, CINAHL, MEDLINE, and Scopus. Using the inclusion and exclusion criteria, 303 articles were screened. A Mixed Methods Appraisal Tool (MMAT) (2018) was used for quality appraisal. Concept analysis explored themes across the included articles. Findings The themes from the analysis of 10 primary research articles, which included 5,327 participants, were (i) types of nutritional assessment and (ii) management of older people with cancer. The main nutritional assessment scales used were the Mini Nutrition Assessment and Patient-Generated Subjective Global Assessment. Conclusion The completion of a comprehensive nutritional assessment by health professionals, including nurses, could facilitate early dietary intervention in older persons with cancer. This would enable supportive dietary advice and supplementation to improve health outcomes.

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