Lauer- Anorexia and Cachexia at the end of life Flashcards Preview

Behavioral Health III > Lauer- Anorexia and Cachexia at the end of life > Flashcards

Flashcards in Lauer- Anorexia and Cachexia at the end of life Deck (14)
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1

What is anorexia?

Reduced desire to eat

2

How is anorexia often reported?

abdominal pain--N/V if pt is trying to eat regular amts

3

What is the primary cause of anorexia?

Hypothalamus fails to respond to orexigenic signals, usually secondary to inflammatory processes

4

What is sarcopenia?

muscle wasting

5

What is cachexia?

Weight loss that exceeds the amt that can be accounted for by the increased needs of the disease

6

What is ACS?

A multifactorial syndrome characterized by ongoing LOSS of skeletal mass that can't be reversed by NUTRITIONAL SUPPORT and leads to progressive functional impairment

7

What drives ACS?

cytokines! Leptin and grhelin are there but don't lead to signals to start or stop eating

8

What are the primary sxs of ACS?

muscle loss
anorexia
fatigue
early satiety

9

What are interventions available when a pt will not or cannot eat?

Invasive medical feeding
Pharmaceuticals
Oral assissted feeding

10

When should be interventions be used to help a pt who isn't eating?

EARLY --in pre-cachexia
when cure is possible
when pt enjoys eating

11

Does invasive medical means of feeding help to improve a chachexic pts functioning?

NO

Doesn't do anything

12

What pharmaceuticals can be used for a cachexic pt?

methylphenidate- AD
dronabinol- increases appetite and pleasure for eating
Megestrol acetate- hypothalamic stimulation--> adipose disposition increasing fat but NOT Muscle mass

13

What should you do for a pt w/ advanced dementia?

offer them oral assisted feedings

14

Failing to follow hunger and thirst signals can result in...

INCREASED SYMPTOMS--> PEOPLE NEED TO LISTEN TO YOUR BODY