Start Your Search
MS30 - Modern Day RT in LA NSCLC: Where Is the Evidence? (ID 808)
- Event: WCLC 2018
- Type: Mini Symposium
- Track: Treatment of Locoregional Disease - NSCLC
- Presentations: 1
- Coordinates: 9/26/2018, 13:30 - 15:00, Room 202 BD
MS30.05 - Nutritional Management During Radical Radiotherapy (ID 11534)
14:35 - 14:50 | Presenting Author(s): Rhys White
Abstract not provided
Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.
P3.07 - Nursing and Allied Professionals (Not CME Accredited Session) (ID 973)
- Event: WCLC 2018
- Type: Poster Viewing in the Exhibit Hall
- Presentations: 1
- Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall
P3.07-07 - Multidisciplinary Supportive Care Assessment in Lung Cancer – A Case Study Example (ID 11801)
12:00 - 13:30 | Author(s): Rhys White
Although many patients report positively on their experience of cancer care, their Supportive Care (SC) needs may not be met for several reasons, including services not being universally available, poor recognition of needs and poor inter-professional communication (NICE, 2004). Guys and St Thomas’ NHS Foundation Trust has a dedicated SC service for lung cancer patients consisting of specialist Dietetics, Occupational Therapy (OT), Physiotherapy (PT) and Speech and Language Therapy (SLT). Here we describe a complex case study requiring extensive multimodal SC interventions.a9ded1e5ce5d75814730bb4caaf49419 Method
Patient X was a 46 year old female with adenocarcinoma of the left lung T4N3M1b diagnosed August 2017. She presented with shortness of breath, chest wall pain, dysphagia, dysphonia, anorexia and weight loss. She received 3 cycles of first line chemotherapy, 3 cycles of 2nd line Pembrolizumab and a single fraction of stereotactic radiotherapy for brain metastases. She died in January 2018.
On initial dietetic assessment the patient had lost 16.5% of her body weight over the previous 4 months. Dysphagia and anorexia resulted in her only managing puree textures and liquids resulting in a significant nutritional deficit. She received dietary counselling and oral nutritional supplements to optimise her intake and minimise further weight loss.
She received PT and OT intervention for fatigue, reduced mobility, deconditioning and reduced occupational performance within the clinic, including education regarding strengthening exercises, fatigue and breathlessness management. She was referred on to community services to progress her rehabilitation and assess equipment needs within the home setting.
SLT provided assessment and management of oropharyngeal dysphagia and dysphonia. She was supported to use a left head turn swallow strategy to reduce the risk of aspiration. In addition vocal hygiene advice and education was provided, aiming to prevent vocal strain.8eea62084ca7e541d918e823422bd82e Conclusion
Patient X benefited from assessment and intervention by a range of SC therapists which may have prevented aspiration pneumonia, minimised her weight loss and increased her functional independence thus having a significant impact on her quality of life. In many centres access to SC services may result in a high appointment burden and non-specialist intervention. Providing these services as part of a one stop MDT clinic prevented additional appointments and ensured effective communication between the MDT, so that medical and supportive goals were aligned. It can be argued this should be gold standard care for all lung cancer patients. To support this argument more robust clinical outcomes and patient experience data needs to be collected.6f8b794f3246b0c1e1780bb4d4d5dc53